Bourdeau J E, Schwer-Dymerski D A, Stern P H, Langman C B
Miner Electrolyte Metab. 1986;12(3):176-85.
Calcium and phosphorus metabolism were investigated in chronically vitamin D-deficient adult albino rabbits that were consuming a diet containing 1% calcium and 0.5% phosphorus. Mineral balances, net intestinal and renal handling of calcium and phosphorus, and serum concentrations of calcium, phosphorus, parathyroid hormone, 25-hydroxycholecalciferol, and calcitriol were measured during metabolic balance studies. Chronic vitamin D deficiency (with undetectable serum concentrations of 25-hydroxycholecalciferol or calcitriol) was associated with mild hypocalcemia, moderate hypophosphatemia, and generally elevated serum parathyroid hormone concentrations. Net intestinal absorption of calcium or phosphorus was equal in chronically vitamin D-deficient adult rabbits and nutritionally matched, vitamin D-supplemented controls. In contrast, urinary excretion rates of both minerals were reduced significantly in the vitamin D-deficient group, indicating the action of homeostatic mechanisms within the kidneys. As a result of the decreased urinary excretions of calcium and phosphorus, the net external balance for each mineral during the metabolic balance studies was significantly more positive in the chronically vitamin D-deficient rabbits than in the vitamin D-supplemented controls. These observations demonstrate the importance of the renal conservation of Ca and P to mineral homeostasis in the chronically vitamin D-deficient adult rabbit.
在长期维生素D缺乏的成年白化兔中研究了钙和磷的代谢情况,这些兔子食用的是含有1%钙和0.5%磷的饮食。在代谢平衡研究期间,测量了矿物质平衡、钙和磷在肠道和肾脏的净处理情况,以及血清中钙、磷、甲状旁腺激素、25-羟基胆钙化醇和骨化三醇的浓度。慢性维生素D缺乏(血清中25-羟基胆钙化醇或骨化三醇浓度检测不到)与轻度低钙血症、中度低磷血症以及血清甲状旁腺激素浓度普遍升高有关。长期维生素D缺乏的成年兔与营养匹配的补充维生素D的对照组相比,钙或磷的肠道净吸收量相等。相反,维生素D缺乏组两种矿物质的尿排泄率均显著降低,这表明肾脏内存在稳态机制。由于钙和磷的尿排泄减少,在代谢平衡研究期间,长期维生素D缺乏的兔子中每种矿物质的净外部平衡比补充维生素D的对照组明显更呈正值。这些观察结果证明了在长期维生素D缺乏的成年兔中,肾脏对钙和磷的保留对矿物质稳态的重要性。