DePalo D, Theisen A L, Langman C B, Bouillon R, Bourdeau J E
Division of Renal Medicine, Michael Reese Hospital and Medical Center, Chicago, Ill.
Miner Electrolyte Metab. 1988;14(6):313-20.
To evaluate the renal adaptations to dietary P deprivation, young growing female rabbits were fed a P-deficient diet for 10 consecutive days while they were housed in metabolism cages. Urinary Ca excretion rates increased markedly within 24 h of P deprivation, remained high for each of the 10 days that dietary P was low, and returned to control values within 24 h of consuming a normal-P feed. The hypercalciuria was attributable to both an increased filtered load and decreased tubular reabsorption of Ca. Urinary P excretion rates decreased gradually in response to a low P diet and reached a nadir only after 9 days of deprivation. Urinary P excretion rates recovered to control values within 24 h of feeding a normal-P diet. Increased tubular reabsorption of P alone accounted for the hypophosphaturia. Plasma P concentration was reduced significantly after 10 days of dietary P deprivation, and this was associated with a significant increase in plasma calcitriol concentration. We conclude that dietary P deprivation in the rabbit effects the hypophosphatemia, hypophosphaturia, and hypercalciuria that characterize this condition in rats, dogs, and humans. Furthermore, the elevation in plasma calcitriol concentration that has been observed with dietary P deprivation in healthy rats and humans also occurs in the laboratory rabbit.
为评估肾脏对饮食中磷缺乏的适应性,将幼年生长中的雌性兔子饲养在代谢笼中,连续10天喂食低磷饮食。磷缺乏24小时内尿钙排泄率显著增加,在饮食磷含量低的10天里一直保持在较高水平,在摄入正常磷饲料24小时内恢复到对照值。高钙尿症归因于滤过负荷增加和肾小管对钙的重吸收减少。尿磷排泄率因低磷饮食而逐渐降低,仅在缺乏9天后达到最低点。喂食正常磷饮食24小时内尿磷排泄率恢复到对照值。仅肾小管对磷的重吸收增加导致了低磷尿症。饮食磷缺乏10天后血浆磷浓度显著降低,这与血浆骨化三醇浓度显著增加有关。我们得出结论,兔子饮食中磷缺乏会导致低磷血症、低磷尿症和高钙尿症,这些是大鼠、狗和人类这种情况的特征。此外,在健康大鼠和人类中观察到的饮食磷缺乏导致的血浆骨化三醇浓度升高在实验兔中也会出现。