Kawashima H, Kraut J A, Kurokawa K
J Clin Invest. 1982 Jul;70(1):135-40. doi: 10.1172/jci110586.
Effect of metabolic acidosis on two distinct 25-hydroxyvitamin D(3)-1alpha-hydroxylase (1alpha-hydroxylase) systems was studied in the kidneys of vitamin D-deficient rats; one is localized in the proximal convoluted tubule (PCT), is activated in vitamin D deficiency, and is regulated primarily by parathyroid hormone (PTH) via cyclic AMP; the other is localized in the proximal straight tubule (PST), is latent in vitamin D deficiency, and is selectively stimulated by calcitonin via a cyclic AMP-independent mechanism. The 1alpha-hydroxylase activities were measured in the PCT and PST microdissected from the kidney of vitamin D-deficient rats with or without metabolic acidosis of varying duration. The 1alpha-hydroxylase activity decreased in the PCT from 0.74+/-0.07 fmol/mm per h to 0.24+/-0.02 at day 3 of metabolic acidosis without a further decline at day 7. Neither metabolic acidosis of 16 h duration nor reduction of the incubation medium pH from 7.4 to 7.0 affected the enzyme activity in the PCT. To examine the underlying mechanism for the suppression of 1alpha-hydroxylase activity, PTH, cyclic AMP, or calcitonin was given to rats with metabolic acidosis of 3 d duration. Although PTH failed to augment the suppressed 1alpha-hydroxylase activity in the PCT, cyclic AMP restored it to the level of control rats. The 1alpha-hydroxylase activity in the PST remained undetectable in control rats and in acidotic rats with or without PTH or cyclic AMP treatments. However, calcitonin stimulated the 1alpha-hydroxylase activity in the PST equally from undetectable to 0.75+/-0.09 fmol/mm per h in control and to 0.78+/-0.10 in acidotic rats. The data suggests that metabolic acidosis suppresses 1alpha-hydroxylase only in the PCT by inhibiting PTH-dependent adenylate cyclase, and that cellular events beyond cyclic AMP in the PCT and the events responsive to calcitonin in the PST are unaffected. The results show the definite advantage of using defined single nephron segments to study the hormonal and ionic control of the 1alpha-hydroxylase system in the kidney.
在维生素D缺乏的大鼠肾脏中,研究了代谢性酸中毒对两种不同的25-羟基维生素D(3)-1α-羟化酶(1α-羟化酶)系统的影响;一种定位于近端曲管(PCT),在维生素D缺乏时被激活,主要由甲状旁腺激素(PTH)通过环磷酸腺苷(cAMP)调节;另一种定位于近端直小管(PST),在维生素D缺乏时处于潜伏状态,并通过一种不依赖cAMP的机制被降钙素选择性刺激。在患有或未患有不同持续时间代谢性酸中毒的维生素D缺乏大鼠的肾脏中,对经显微解剖获得的PCT和PST中的1α-羟化酶活性进行了测定。在代谢性酸中毒第3天,PCT中的1α-羟化酶活性从0.74±0.07 fmol/mm每小时降至0.24±0.02,在第7天没有进一步下降。持续16小时的代谢性酸中毒或将孵育培养基pH从7.4降至7.0均未影响PCT中的酶活性。为了研究1α-羟化酶活性受抑制的潜在机制,给患有3天代谢性酸中毒的大鼠注射PTH、cAMP或降钙素。尽管PTH未能增强PCT中受抑制的1α-羟化酶活性,但cAMP将其恢复到对照大鼠的水平。在对照大鼠以及接受或未接受PTH或cAMP处理的酸中毒大鼠中,PST中的1α-羟化酶活性均未检测到。然而,降钙素同样刺激了对照大鼠PST中的1α-羟化酶活性,使其从不可检测水平升至0.75±0.09 fmol/mm每小时,在酸中毒大鼠中升至0.78±0.10。数据表明,代谢性酸中毒仅通过抑制PTH依赖的腺苷酸环化酶来抑制PCT中的1α-羟化酶,并且PCT中cAMP之外的细胞事件以及PST中对降钙素的反应性事件均未受影响。结果显示了使用明确的单个肾单位节段来研究肾脏中1α-羟化酶系统的激素和离子控制的明显优势。