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脊髓损伤:降钙素对截瘫大鼠钙、镁和磷的影响

Spinal cord injury: effect of thyrocalcitonin on calcium, magnesium and phosphorus in paraplegic rats.

作者信息

Naftchi N E, Viau A T, Sell G H, Lowman E W

出版信息

Arch Phys Med Rehabil. 1980 Dec;61(12):575-9.

PMID:7458622
Abstract

Calcium, magnesium and phosphorus balances were studied in 20 paraplegic rats (T5) fed ad libitum an 18% casein diet. Ten of the paraplegic animals were treated daily with 4MRC (Medical Research Council) units of thyrocalcitonin. Ten sham-operated rats served as controls. Spinal cord transection caused an immediate increase in urinary excretion of calcium, 550 +/- 70 micrograms/24 hr, compared with controls levels, 257 +/- 85 micrograms/24 hr. Paraplegia also resulted in an elevated excretion of fecal calcium, 39 +/- 5 mg/24 hr, phosphorus, 42 +/- 7 mg/24 hr, and magnesium, 4.6 +/- 0.8 mg/24 hr, compared with that of controls, 26 +/- 6 mg/24 hr, 32 +/- 6 mg/24 hr and 2.7 +/- 0.8 mg/24 hr for calcium, phosphorus and magnesium, respectively. Administration of thyrocalcitonin to paraplegic rats further increased urinary excretion of calcium, 835 +/- 186 micrograms/24 hr. However, fecal losses of calcium, 19 +/- 5mg/24 hr, phosphorus, 31 +/- 6mg/24 hr, and magnesium, 2.6 +/- 0.4mg/24 hr, which were elevated following spinal cord transection, were markedly reduced after thyrocalcitonin treatment. As a result, balances of these compounds, which were depressed in rats following spinal cord transection, were "normalized" after treatment with thyrocalcitonin. It would seem, therefore, worthwhile to study the effect of thyrocalcitonin in spinal cord injured humans in an effort to determine whether or not it would be helpful in improving mineral balances.

摘要

对20只自由采食18%酪蛋白饮食的截瘫大鼠(T5)进行了钙、镁和磷平衡研究。其中10只截瘫动物每天接受4个医学研究委员会(MRC)单位的甲状腺降钙素治疗。10只假手术大鼠作为对照。脊髓横断导致钙尿排泄立即增加,与对照组水平(257±85微克/24小时)相比为550±70微克/24小时。截瘫还导致粪便钙排泄增加,为39±5毫克/24小时,磷为42±7毫克/24小时,镁为4.6±0.8毫克/24小时,而对照组钙、磷和镁的排泄量分别为26±6毫克/24小时、32±6毫克/24小时和2.7±0.8毫克/24小时。给截瘫大鼠注射甲状腺降钙素进一步增加了钙尿排泄,为835±186微克/24小时。然而,脊髓横断后升高的粪便钙、磷和镁损失,分别为19±5毫克/24小时、31±6毫克/24小时和2.6±0.4毫克/24小时,在甲状腺降钙素治疗后明显减少。结果,脊髓横断后大鼠体内这些化合物的平衡受到抑制,在接受甲状腺降钙素治疗后“恢复正常”。因此,研究甲状腺降钙素对脊髓损伤患者的影响,以确定它是否有助于改善矿物质平衡,似乎是值得的。

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