Spirichev V B, Blazheevich N V, Bogoslovskiĭ N A, Samokhvalov G I, Avakumov V M
Vopr Med Khim. 1978 Sep-Oct;24(5):679-90.
Single administration of 0.25 microgram of sunthetic Ialpha-hydroxycholecalciferol (IalphaOHD3) into nephrectomized rats, maintained at D-avitaminous diet, improved the active transport of calcium ions against the concentration gradient in small intestine of these animals, whereas ergocalciferol was biologically inactive under the same conditions. Administration of IalphaOHD3 during 5 days at a dose 0.025 microgram normalized calcium content in blood serum of rats with D-avitaminosis, Increased doses of IalphaOHD3, administered into intact animals, caused transient hyperphosphatemia, hypercalcemia, calcinosis of internal tissues (kidney heart, aorta) as well as death of some animals. IalphaOHD3 exceeded 400-fold the hypercalcemic and calcinose effects of ergocalciferol. LD50 for IalphaOHD3 was equal to 100 microgram/kg, if it was administered during 5 days per os. Tissue calcinosis was developed after administration of a daily dose 10 microgram/kg, moderate hypercalcemia was caused by a daily dose 1 microgram/kg or 0.25 microgram per an animal; this amount is only 10-fold higher as compared with the physiologic requirement. Ergocalciferol caused hypercalcemia and metastatic calcification only at a dose 4000 microgram/kg. Clinical use of IalphaOHD3 at doses, exceeding the physiologic requirements, has to be prohibited due to high activity of the preparation and to toxicity of its increased doses.
对切除肾脏并维持缺乏维生素D饮食的大鼠单次给予0.25微克合成的1α-羟基胆钙化醇(1αOHD3),可改善这些动物小肠中钙离子逆浓度梯度的主动转运,而在相同条件下麦角钙化醇无生物学活性。以0.025微克的剂量连续5天给予1αOHD3,可使患维生素D缺乏病大鼠的血清钙含量恢复正常。对未切除肾脏的动物给予增加剂量的1αOHD3,会导致短暂的高磷血症、高钙血症、内脏组织(肾脏、心脏、主动脉)钙化以及一些动物死亡。1αOHD3的高钙血症和钙化作用比麦角钙化醇强400倍以上。如果经口连续5天给予1αOHD3,其半数致死量(LD50)为100微克/千克。每日剂量为10微克/千克时会出现组织钙化,每日剂量为1微克/千克或每只动物0.25微克时会引起中度高钙血症;该剂量仅比生理需求量高10倍。麦角钙化醇仅在剂量为4000微克/千克时才会引起高钙血症和转移性钙化。由于该制剂活性高且增加剂量时具有毒性,因此必须禁止临床使用超过生理需求量的1αOHD3剂量。