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慢性甲状旁腺切除大鼠血清钙浓度恢复正常时伴有降钙素血症

Hypercalcitoninemia associated with return of serum calcium concentration toward normal in chronically parathyroidectomized rats.

作者信息

Peng T C, Garner S C

出版信息

Endocrinology. 1979 Jun;104(6):1624-30. doi: 10.1210/endo-104-6-1624.

Abstract

In chronically parathyroidectomized male Fischer and Holtzman rats, we found a progressive rise in the levels of serum immunoreactive calcitonin (CT) despite hypocalcemia. The rise was preceded by an increase in the thyroidal CT concentration (determined by RIA) and hyperplasia of C cells (determined by the immunoperoxidase bridge technique). In association with the rise in serum CT, we also observed a return of serum Ca toward normal levels, which the evidence suggests was not due to compensatory regeneration of parathyroid remnants after incomplete parathyroidectomy. It also is unlikely that ectopic parathyroid tissue was responsible for the return of serum Ca toward normal. Since the increase in serum CT after parathyroidectomy coincided with the return of serum Ca toward normal, we postulate that a gradual rise in serum Ca in chronically parathyroidectomized rats might stimulate the "CT-saturated" thyroid glands to release CT, thus leading to a progressive increase in serum CT. Alternatively, it is possible that the increase in serum CT after parathyroidectomy may be due in part simply to nonspecific leakage of CT from the "CT-saturated" thyroid glands.

摘要

在长期甲状旁腺切除的雄性Fischer和Holtzman大鼠中,我们发现尽管存在低钙血症,但血清免疫反应性降钙素(CT)水平仍呈渐进性升高。这种升高之前甲状腺CT浓度增加(通过放射免疫分析法测定)以及C细胞增生(通过免疫过氧化物酶桥技术测定)。与血清CT升高相关,我们还观察到血清钙水平恢复到正常水平,证据表明这并非不完全甲状旁腺切除术后甲状旁腺残余组织的代偿性再生所致。血清钙恢复正常也不太可能是异位甲状旁腺组织所致。由于甲状旁腺切除术后血清CT升高与血清钙恢复正常同时发生,我们推测长期甲状旁腺切除大鼠血清钙的逐渐升高可能刺激“CT饱和”的甲状腺释放CT,从而导致血清CT逐渐增加。或者,甲状旁腺切除术后血清CT升高部分可能仅仅是由于“CT饱和”的甲状腺中CT的非特异性泄漏。

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