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用铝和次氮基三乙酸铁诱导Wistar大鼠慢性肾衰竭的实验性骨营养不良

Experimental osteodystrophy of chronic renal failure induced by aluminum- and ferric-nitrilotriacetate in Wistar rats.

作者信息

Yukihiro S, Okada S, Takeuchi K, Inoue H

机构信息

First Department of Pathology, Okayama University Medical School, Japan.

出版信息

Pathol Int. 1995 Jan;45(1):19-25. doi: 10.1111/j.1440-1827.1995.tb03375.x.

Abstract

The aluminum (AI) and iron (Fe) chelate complexes of nitrilotriacetate (NTA) cause renal insufficiency when they are administered intraperitoneally to rats. Their effects on bone metabolism were studied in 4 week old Wistar rats. Daily intraperitoneal administration of AI-NTA (3mg AI/kg for 11 weeks) induced osteomalacia, impaired bone growth, decreased bone mineral density, lower serum PTH levels than normal as well as renal insufficiency. Al staining showed diffuse deposition in the trabecula and a strong linear band of aluminum deposited at the mineralization front and along the cement line. The osteoid seen markedly within the trabecula was probably the decalcified portion of the bone, the calcium apatite of which was defectively fabricated because of diffuse Al deposition in the trabecula. Al deposition along the cement line would make it much more susceptible to external shear stress than normal. Although daily intraperitoneal administration of Fe-NTA (6 mg Fe/kg for 11 weeks) caused impaired bone growth, decreased bone mineral content and renal insufficiency, the osteoid volume did not increase. Fe staining showed that Fe was deposited diffusely in the cytoplasm of osteoblasts. The results of this study demonstrated that during renal insufficiency, different minerals exhibit different modes of action on bone metabolism, and that Al-NTA is useful for experimental animal models of Al-induced osteomalacia in renal insufficiency.

摘要

次氮基三乙酸(NTA)的铝(Al)和铁(Fe)螯合物经腹腔注射给大鼠时会导致肾功能不全。我们在4周龄的Wistar大鼠中研究了它们对骨代谢的影响。每日腹腔注射Al-NTA(3mg铝/千克,持续11周)会诱发骨软化症、损害骨骼生长、降低骨矿物质密度、使血清甲状旁腺激素水平低于正常水平以及导致肾功能不全。铝染色显示在小梁中有弥漫性沉积,并且在矿化前沿和沿黏合线处有一条强烈的铝线性带。在小梁内明显可见的类骨质可能是骨骼的脱钙部分,由于小梁中铝的弥漫性沉积,其钙磷灰石的形成存在缺陷。沿黏合线的铝沉积会使其比正常情况更容易受到外部剪切力的影响。尽管每日腹腔注射Fe-NTA(6mg铁/千克,持续11周)会导致骨骼生长受损、骨矿物质含量降低和肾功能不全,但类骨质体积并未增加。铁染色显示铁在成骨细胞的细胞质中弥漫性沉积。本研究结果表明,在肾功能不全期间,不同矿物质对骨代谢表现出不同的作用方式,并且Al-NTA可用于肾功能不全中铝诱导的骨软化症的实验动物模型。

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