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垂体切除术及1,25 - 二羟基维生素D对十二指肠钙吸收的影响

Effect of hypophysectomy and 1,25-dihydroxyvitamin D on duodenal calcium absorption.

作者信息

Yeh J K, Aloia J F

出版信息

Endocrinology. 1984 May;114(5):1711-7. doi: 10.1210/endo-114-5-1711.

Abstract

Intestinal active and passive transport of calcium were studied in hypophysectomized (HX) and intact rats using the in vivo duodenal loop technique. In the vitamin D-supplemented condition, hypophysectomy resulted in a decrease in serum 1,25-dihydroxyvitamin D [1,25-(OH)2D]. Hypophysectomy prevented a gain in body weight and decreased intestinal mucosal weight and total calcium absorption. When the data were expressed per unit mucosal wet weight, duodenal active calcium transport was not different in the HX and intact groups, but passive transport was persistently decreased by hypophysectomy. Administration of bovine GH to the HX rats did not change the mucosal mass, but enhanced both active and passive duodenal transport to calcium. Vitamin D depletion for 6 weeks decreased serum 25-hydroxy-vitamin D and 1,25-(OH)2D levels in both intact and HX rats to about the same level. After bovine GH and 1,25-(OH)2D3 replacement, the calcium absorption studies suggest that 1) 1,25-(OH)2D3 enhances intestinal calcium passive transport as well as active transport in intact and HX rats; 2) GH enhances both active and passive transport of calcium in the presence of sufficient quantities of 1,25-(OH)2D; 3) this latter effect is independent of the metabolism of vitamin D; and 4) a decrease in mucosal mass is one of the factors that results in decreased calcium absorption after hypophysectomy.

摘要

采用体内十二指肠袢技术,研究了垂体切除(HX)大鼠和完整大鼠肠道钙的主动转运和被动转运。在补充维生素D的条件下,垂体切除导致血清1,25 - 二羟维生素D [1,25-(OH)2D] 水平降低。垂体切除阻止了体重增加,降低了肠黏膜重量和总钙吸收。当数据以单位黏膜湿重表示时,HX组和完整组的十二指肠钙主动转运没有差异,但垂体切除使被动转运持续降低。给HX大鼠注射牛生长激素(GH)并没有改变黏膜质量,但增强了十二指肠对钙的主动和被动转运。6周的维生素D缺乏使完整大鼠和HX大鼠的血清25 - 羟维生素D和1,25-(OH)2D水平降低至大致相同水平。在补充牛GH和1,25-(OH)2D3后,钙吸收研究表明:1)1,25-(OH)2D3增强了完整大鼠和HX大鼠肠道钙的被动转运以及主动转运;2)在有足够量1,25-(OH)2D存在时,GH增强了钙的主动和被动转运;3)后一种作用与维生素D的代谢无关;4)黏膜质量降低是垂体切除后钙吸收减少的因素之一。

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