Di Stefano A, Elalouf J M, Garel J M, de Rouffignac C
Kidney Int. 1985 Feb;27(2):394-400. doi: 10.1038/ki.1985.22.
We evaluated the effects of human calcitonin (hCT) on electrolyte excretion in hormone-deprived rats, that is, in the absence of endogenous parathyroid hormone, antidiuretic hormone, thyrocalcitonin and glucagon, the effects of which might have interfered with those of exogenous calcitonin. Plasma hCT levels, measured by radioimmunoassay, varied from 0 to 32 ng/ml. In these rats, hCT decreased magnesium (Mg) and calcium (Ca) excretion in a dose-dependent fashion. Maximal decreases were observed for hCT plasma concentrations comprised between 3 and 5 ng/ml, and persisted at the highest doses. Sodium, potassium, water, and total solute excretions were constant in the calcitonin concentration range explored. The same was observed for phosphate, except that slight but significant phosphaturia was elicited by the highest doses. Calcium and phosphate infusions to attenuate the fall in plasma Ca and phosphate concentration subsequent to hCT infusion, did not alter the hormonal effect on Ca and Mg excretion. hCT can therefore directly modulate Mg and Ca reabsorption by the kidney at plasma concentrations within the physiological range. The maximal effects on Mg and Ca reabsorption were obtained at plasma concentrations which are generally reached after maximal stimulation of endogenous calcitonin secretion. It is suggested that in rats, endogenous secretion of calcitonin stimulates Ca and Mg renal reabsorption without modification of sodium and phosphate excretion.
我们评估了人降钙素(hCT)对激素缺乏大鼠电解质排泄的影响,即在没有内源性甲状旁腺激素、抗利尿激素、甲状腺降钙素和胰高血糖素的情况下,这些激素的影响可能会干扰外源性降钙素的作用。通过放射免疫测定法测得的血浆hCT水平在0至32 ng/ml之间变化。在这些大鼠中,hCT以剂量依赖性方式降低镁(Mg)和钙(Ca)的排泄。在血浆浓度为3至5 ng/ml时观察到最大降幅,并在最高剂量时持续存在。在所研究的降钙素浓度范围内,钠、钾、水和总溶质排泄量保持恒定。磷酸盐的情况也是如此,只是最高剂量会引起轻微但显著的磷酸盐尿。输注钙和磷酸盐以减轻hCT输注后血浆钙和磷酸盐浓度的下降,并未改变激素对钙和镁排泄的影响。因此,hCT可以在生理范围内的血浆浓度下直接调节肾脏对镁和钙的重吸收。在通常在内源性降钙素分泌受到最大刺激后达到的血浆浓度下,可获得对镁和钙重吸收的最大影响。提示在大鼠中,降钙素的内源性分泌刺激钙和镁的肾脏重吸收,而不改变钠和磷酸盐的排泄。