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镁、钙代谢与甲状旁腺素之间的相关性(作者译)

[Correlations between metabolisms of magnesium, calcium and parathormon (author's transl)].

作者信息

Wessels F, Hrubesch M, Samizadeh A, Hoffmann V, Hermesmeyer M, Wagner H

出版信息

Med Klin. 1978 May 12;73(19):705-9.

PMID:651759
Abstract

Serum- or plasma levels of 102 healthy individuals as well as 78 patients with chronic renal insufficiency of various degrees were tested for parathormon (PTH), calcium, magnesium, anorganic phosphate, alkaline phosphatase, kreatinin, total protein as well as magnesium concentrations of the erythrocytes; attempts were made to correlate these parameters with each other. As most important finding in healthy individuals a significant negative correlation could be observed between serum PTH and magnesium of erythrocytes, whereas patients with renal insufficiency had a marked elevation and significant positive correlation between these two parameters. Since all other correlations were not as striking, if compared to these findings, we concluded that a feedback regulation system may exist in the intracellular magnesium concentration and PTH metabolism, so that an increase of the intracellular magnesium stimulates the PTH secretion, whereas elevated PTH activity causes a decrease of the intracellular magnesium together with a depression of the PTH release.

摘要

对102名健康个体以及78名不同程度慢性肾功能不全患者的血清或血浆进行甲状旁腺激素(PTH)、钙、镁、无机磷、碱性磷酸酶、肌酐、总蛋白以及红细胞镁浓度的检测;尝试将这些参数相互关联。在健康个体中最重要的发现是血清PTH与红细胞镁之间存在显著负相关,而肾功能不全患者这两个参数则显著升高且呈正相关。由于与这些发现相比,所有其他相关性都不那么显著,我们得出结论,细胞内镁浓度与PTH代谢之间可能存在反馈调节系统,即细胞内镁增加会刺激PTH分泌,而PTH活性升高会导致细胞内镁减少,同时PTH释放受到抑制。

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