Armbrecht H J, Wongsurawat N, Paschal R E
Geriatric Research, Education, and Clinical Center, Veterans Administration Medical Center, St Louis, Missouri 63125.
J Endocrinol. 1987 Aug;114(2):173-8. doi: 10.1677/joe.0.1140173.
The purpose of these studies was to determine whether the responsiveness of the kidney to parathyroid hormone (PTH) and calcitonin changed with age. Experiments were performed in young (3 months old), adult (12-14 months old) and old (22-24 months old) male Fischer 344 rats fed normal diets and thyroparathyroidectomized. Parathyroid hormone was administered i.p. at 24, 12 and 2 h before death and calcitonin was given i.p. at 12 and 2 h before death. Parathyroid hormone significantly increased the conversion of 25-hydroxyvitamin D3 to 1,25-dihydroxyvitamin D3 (1,25-(OH)2D3) by renal slices from young but not adult or old animals. A similar age-related decline in the capacity of PTH to raise serum 1,25-dihydroxyvitamin D (1,25-(OH)2D) levels was also seen. Parathyroid hormone significantly decreased tubular reabsorption of phosphorus, increased concentrations of urinary cyclic AMP (cAMP) and increased serum concentrations of calcium in all age groups. In contrast, calcitonin significantly increased 1,25-(OH)2D3 production by renal slices from both young and adult animals. Calcitonin decreased serum concentrations of calcium in young but not in adult rats. These results suggest that there are maturational changes in the PTH- and cAMP-dependent pathways in the kidney but not in the calcitonin- and cAMP-independent pathways. The changes in the PTH- and cAMP-dependent pathways affect the stimulation of 1,25-(OH)2D production but not the inhibition of phosphate transport.
这些研究的目的是确定肾脏对甲状旁腺激素(PTH)和降钙素的反应性是否随年龄变化。实验在喂食正常饮食且已进行甲状旁腺切除的年轻(3个月大)、成年(12 - 14个月大)和老年(22 - 24个月大)雄性Fischer 344大鼠身上进行。在处死前24小时、12小时和2小时腹腔注射甲状旁腺激素,在处死前12小时和2小时腹腔注射降钙素。甲状旁腺激素能显著增加年轻动物而非成年或老年动物肾切片将25 - 羟基维生素D3转化为1,25 - 二羟基维生素D3(1,25 - (OH)2D3)的能力。在PTH提高血清1,25 - 二羟基维生素D(1,25 - (OH)2D)水平的能力方面也观察到了类似的与年龄相关的下降。甲状旁腺激素在所有年龄组中均能显著降低肾小管对磷的重吸收,增加尿中环磷酸腺苷(cAMP)浓度,并提高血清钙浓度。相比之下,降钙素能显著增加年轻和成年动物肾切片产生1,25 - (OH)2D3的量。降钙素能降低年轻大鼠而非成年大鼠的血清钙浓度。这些结果表明,肾脏中PTH和cAMP依赖途径存在成熟变化,而在降钙素和非cAMP依赖途径中则不存在。PTH和cAMP依赖途径的变化影响了1,25 - (OH)2D产生的刺激作用,但不影响对磷酸盐转运的抑制作用。