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钙调节激素和环核苷酸对氨基酸尿和磷尿的影响。

Effect of calciotropic hormones and cyclic nucleotides on aminoaciduria and phosphaturia.

作者信息

McInnes R R, Scriver C R

出版信息

Pediatr Res. 1980 Mar;14(3):218-23. doi: 10.1203/00006450-198003000-00008.

Abstract

Parathyroid extract (PTE), dibutyrylcyclic AMP (dbcAMP), adenosine cyclic 3':5'-monophosphate (cAMP). calcitonin (CT), and calcium chloride were infused separately into anesthetized, sham-operated, or TPTX vitamin D-fed adult rats to examine the effect of these calciotropic agents on fractional excretion (FE) of alpha-aminoisobutyric acid (AIB), and phosphate anion (Pi). AIB is a nonmetabolizable amino acid. Inulin clearance, FEAIB, and FEPi were stable in the intact (n = 10) and TPTX rat (n = 10). TPTX decreased FEAIB, and FEPi significantly (P less than 0.001 for both). PTE and dbcAMP both increased FEAIB in the intact rat (P less than 0.001); failure to obtain this response in the TPTX animal was a key finding. PTE and dbcAMP increased FEPi (P less than 0.001) in both the intact and TPTX animal. CT was the only agent (versus PTE, dbcAMP, adenosine cyclic 3':5'-monophosphate, and CaCl2) to increase FEAIB (P less than 0.001) in the TPTX rat; furthermore, it was the only agent that did not increase FEPi in the TPTX rat although it had hypocalcemic and hypophosphatemic effects. Changes in inulin clearance or plasma concentration of AIB, following infusion of calciotropic agents, do not explain the unique responses in FEAIB in the TPTX rat. Our findings suggest that hyperaminoaciduria induced by parathyroid hormone and cyclic nucleotide in the intact animal may be mediated by CT. Hyperphosphaturia is not a necessary response to small-dose (25 milliunits/kg.hr) infusions of CT.

摘要

将甲状旁腺提取物(PTE)、二丁酰环磷腺苷(dbcAMP)、环磷腺苷(cAMP)、降钙素(CT)和氯化钙分别注入麻醉的、假手术的或甲状旁腺切除并喂食维生素D的成年大鼠体内,以研究这些钙调节因子对α-氨基异丁酸(AIB)和磷酸根阴离子(Pi)分数排泄(FE)的影响。AIB是一种不可代谢的氨基酸。在完整大鼠(n = 10)和甲状旁腺切除大鼠(n = 10)中,菊粉清除率、FEAIB和FEPi是稳定的。甲状旁腺切除显著降低了FEAIB和FEPi(两者P均小于0.001)。PTE和dbcAMP均增加了完整大鼠的FEAIB(P小于0.001);在甲状旁腺切除动物中未能获得这种反应是一个关键发现。PTE和dbcAMP在完整和甲状旁腺切除动物中均增加了FEPi(P小于0.001)。CT是唯一一种(与PTE、dbcAMP、环磷腺苷和氯化钙相比)能增加甲状旁腺切除大鼠FEAIB的药物(P小于0.001);此外,它是唯一一种在甲状旁腺切除大鼠中不增加FEPi的药物,尽管它有降钙和降磷作用。注入钙调节因子后菊粉清除率或血浆AIB浓度的变化并不能解释甲状旁腺切除大鼠FEAIB的独特反应。我们的研究结果表明,完整动物中甲状旁腺激素和环核苷酸诱导的高氨基酸尿可能由CT介导。小剂量(25毫单位/千克·小时)注入CT时,高磷尿并非必然反应。

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