Hemmingsen C, Staun M, Lewin E, Egfjord M, Olgaard K
Department of Nephrology, Rigshospitalet, University of Copenhagen, Denmark.
J Hypertens. 1994 Aug;12(8):901-7.
To examine renal and intestinal calbindin-D in relation to calcium metabolic changes in three different models of experimental hypertension.
Spontaneously hypertensive rats (SHR), hypertension-prone Dahl salt-sensitive (Dahl-S) rats and the Goldblatt two-kidney, one clip rat model of renovascular hypertension were examined.
Both prehypertensive and hypertensive SHR had significantly lower concentrations of both renal calbindin-D28k and intestinal calbindin-D9k than Wistar control rats. This was accompanied by hypocalcaemia, hypomagnesaemia and increased plasma 1,25(OH)2 vitamin D levels. Induction of hypertension in Dahl-S rats reduced intestinal calbindin-D9k and increased plasma levels of 1,25(OH)2 vitamin D, while renal calbindin-D28k levels, plasma calcium levels and plasma magnesium levels were unchanged. Renovascular hypertension was associated with a significant increase in the intestinal calbindin-D9k, plasma 1,25(OH)2 vitamin D, parathyroid hormone and magnesium levels, while renal calbindin-D2k, plasma calcium and phosphorus levels were unaffected.
These three models of experimental hypertension have clearly demonstrated three separate patterns in the regulation of renal and intestinal calbindin-D, which relate to different alterations of factors involved in calcium and magnesium metabolism. In all three models hypertension was accompanied by a significant increase in plasma concentrations of 1,25(OH)2 vitamin D. Only rats with renovascular hypertension showed increased intestinal calbindin-D9k levels, whereas reduced concentrations were found in the SHR and in the hypertensive Dahl-S rats. This indicates the existence of a resistance at the cellular level to 1,25(OH)2 vitamin D affecting the expression of calbindin-D in both SHR and Dahl-S rats.
研究三种不同实验性高血压模型中肾和肠道钙结合蛋白-D与钙代谢变化的关系。
对自发性高血压大鼠(SHR)、高血压易感的 Dahl 盐敏感(Dahl-S)大鼠以及 Goldblatt 二肾一夹肾血管性高血压大鼠模型进行研究。
与 Wistar 对照大鼠相比,高血压前期和高血压期的 SHR 肾钙结合蛋白-D28k 和肠道钙结合蛋白-D9k 浓度均显著降低。同时伴有低钙血症、低镁血症以及血浆 1,25(OH)₂维生素 D 水平升高。Dahl-S 大鼠诱导高血压后,肠道钙结合蛋白-D9k 降低,血浆 1,25(OH)₂维生素 D 水平升高,而肾钙结合蛋白-D28k 水平、血浆钙水平和血浆镁水平未改变。肾血管性高血压与肠道钙结合蛋白-D9k、血浆 1,25(OH)₂维生素 D、甲状旁腺激素和镁水平显著升高相关,而肾钙结合蛋白-D2k、血浆钙和磷水平未受影响。
这三种实验性高血压模型清楚地展示了肾和肠道钙结合蛋白-D 调节的三种不同模式,这与钙和镁代谢相关因素的不同改变有关。在所有三种模型中,高血压均伴有血浆 1,25(OH)₂维生素 D 浓度显著升高。只有肾血管性高血压大鼠的肠道钙结合蛋白-D9k 水平升高,而 SHR 和高血压 Dahl-S 大鼠中该蛋白浓度降低。这表明在细胞水平上,SHR 和 Dahl-S 大鼠存在对 1,25(OH)₂维生素 D 的抵抗,影响了钙结合蛋白-D 的表达。