Canterbury J M, Lerman S, Claflin A J, Henry H, Norman A, Reiss E
J Clin Invest. 1978 May;61(5):1375-83. doi: 10.1172/JCI109055.
We studied the effects of vitamin D metabolites on parathyroid hormone (PTH) secretion. Test materials were injected into the cranial thyroid artery of the dog, and immunoreactive PTH was measured frequently in serum samples from the inferior thyroid vein and the femoral vein. This model for the study of secretion had previously been validated with the use of known modulators on PTH secretion. In control experiments, injection of 100% ethanol, the vehicle in which cholecalciferol (D(3)) metabolites were suspended, resulted in no change in PTH secretion. Likewise, native vitamin D(3), in doses ranging from 250 to 1,250 ng had no effect on PTH secretion. 25-Hydroxycholecalciferol, 25-(OH)D(3), in doses of 125-240 ng, caused complete suppression of PTH secretion. When 24,25-dihydroxycholecalciferol, 24,25-(OH)(2)D(3), was injected in doses of 50-250 ng, suppression of PTH secretion was again complete; in doses of 5 ng, injection of this metabolite resulted in significant but incomplete suppression of secretion. In doses of 50-250 ng, 1,25-(OH)(2)D(3) strongly stimulated PTH secretion, but in a dose of 5 ng this metabolite had no effects. Injection of equal doses of 1,25-(OH)(2)D(3) and 24,25-(OH)(2)D(3) resulted in significant suppression of PTH secretion. Hypocalcemia-induced stimulation of PTH secretion was suppressed by 24,25-(OH)(2)D(3) while hypercalcemia-induced suppression of PTH secretion was stimulated by 1,25-(OH)(2)D(3). In all experiments showing suppression of PTH secretion, peripheral PTH decreased. Arguments are presented for considering the suppressive effects of D(3) metabolites as physiologic modulators. However, this stimulating effect of 1,25-(OH)(2)D(3) occurred only in pharmacologic doses and hence probably has no physiologic relevance.
我们研究了维生素D代谢产物对甲状旁腺激素(PTH)分泌的影响。将测试物质注入犬的甲状腺上动脉,并频繁测量甲状腺下静脉和股静脉血清样本中的免疫反应性PTH。此前已使用已知的PTH分泌调节剂对该分泌研究模型进行了验证。在对照实验中,注射100%乙醇(胆钙化醇(D(3))代谢产物的悬浮溶剂)后,PTH分泌没有变化。同样,剂量为250至1250 ng的天然维生素D(3)对PTH分泌也没有影响。剂量为125 - 240 ng的25 - 羟胆钙化醇,即25 - (OH)D(3),可完全抑制PTH分泌。当以50 - 250 ng的剂量注射24,25 - 二羟胆钙化醇,即24,25 - (OH)(2)D(3)时,PTH分泌再次被完全抑制;以5 ng的剂量注射这种代谢产物会导致分泌受到显著但不完全的抑制。剂量为50 - 250 ng时,1,25 - (OH)(2)D(3)强烈刺激PTH分泌,但5 ng剂量的这种代谢产物没有作用。注射等量的1,25 - (OH)(2)D(3)和24,25 - (OH)(2)D(3)会导致PTH分泌显著抑制。低钙血症诱导的PTH分泌刺激被24,25 - (OH)(2)D(3)抑制,而高钙血症诱导的PTH分泌抑制被1,25 - (OH)(2)D(3)增强。在所有显示PTH分泌受到抑制的实验中,外周血PTH均下降。文中提出了将D(3)代谢产物的抑制作用视为生理调节剂的观点。然而,1,25 - (OH)(2)D(3)的这种刺激作用仅在药理剂量下出现,因此可能没有生理相关性。