Epstein S, Heath H, Bell N H
Calcif Tissue Int. 1983;35(1):32-6. doi: 10.1007/BF02405003.
Available evidence in vitro and in vivo suggests that pharmacologic doses of isoproterenol stimulate the secretion of parathyroid hormone (PTH) and calcitonin (CT) and propranolol inhibits secretion. However, the findings in man are either quite modest or inconsistent. In view of this controversy, we examined the effects of isoproterenol, 0.15 micrograms intradermally (i.d.), dopamine, 5 micrograms/kg body weight over 60 min intravenously (i.v.), and propranolol, 1 mg over 5 min followed by 60 micrograms per min for 2 i.v. in normal human subjects. It was found that these agents did not alter serum calcium, serum immunoreactive PTH, or plasma immunoreactive CT. The findings do not support a physiologic role for biogenic amines in the control and regulation of PTH or CT secretion in normal man.
体外和体内的现有证据表明,药理学剂量的异丙肾上腺素会刺激甲状旁腺激素(PTH)和降钙素(CT)的分泌,而普萘洛尔则抑制分泌。然而,在人体中的研究结果要么相当有限,要么并不一致。鉴于这种争议,我们在正常人体受试者中研究了皮内注射0.15微克异丙肾上腺素、静脉注射5微克/千克体重的多巴胺(持续60分钟)以及静脉注射1毫克普萘洛尔(5分钟内注射完毕,随后以每分钟60微克的速度持续注射2小时)的效果。结果发现,这些药物并未改变血清钙、血清免疫反应性PTH或血浆免疫反应性CT。这些发现不支持生物胺在正常人体内对PTH或CT分泌的控制和调节中发挥生理作用。