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[大鼠慢性肾功能不全与继发性甲状旁腺功能亢进。生化及组织学评估]

[Chronic renal insufficiency and secondary hyperparathyroidism in rats. Biochemical and histological evaluation].

作者信息

Virgós M J, Menéndez-Rodríguez P, Serrano M, González-Carcedo A, Braga S, Cannata J B

机构信息

Unidad de Investigación, Metabolismo Oseo y Mineral, Hospital Central de Asturias, Universidad de Oviedo, España.

出版信息

Rev Esp Fisiol. 1993 Dec;49(4):241-7.

PMID:8209101
Abstract

Chronic renal failure (CRF) in rats (surgical nephrectomy, 5/6) as well as its derived bone lesions have been studied. Eighty-five male Wistar rats were used, to which chronic renal failure was induced in 1 or 2 surgical times, the parameters of renal function in basal conditions and at different times after surgery being determined. With the method used chronic renal failure is induced with values of creatinine clearance 2/3 times lower than the initial ones (p < 0.05), which stabilize at the 7th week. On the other hand the parathyroid hormone levels (PTH) in serum triple (from 125 +/- 49 to 395 +/- 191, p < 0.05), and a decrease in the tubular phosphate reabsorption is produced (p < 0.001). In bone histology an increase in resorption and bone formation is observed as well as paratrabecular fibrosis, all of which is compatible with the histological diagnosis of hyperparathyroidism. The model of surgical renal insufficiency with ablation of 5/6 of the renal mass, reduces renal function to 1/3 of the initial values after 7 weeks, this procedure having a 20% global mortality without differences being observed between the carrying out of nephrectomies in 1 or 2 surgical times. This degree of CRF was accompanied by secondary hyperparathyroidism both at the biochemical and histological levels, findings which are of great usefulness for future experimental studies.

摘要

对大鼠慢性肾衰竭(CRF)(手术切除5/6肾组织)及其引发的骨病变进行了研究。使用了85只雄性Wistar大鼠,通过1次或2次手术诱导其慢性肾衰竭,并测定基础状态及术后不同时间的肾功能参数。采用该方法诱导的慢性肾衰竭,肌酐清除率值比初始值降低2/3(p < 0.05),并在第7周稳定下来。另一方面,血清甲状旁腺激素水平(PTH)增至三倍(从125±49增至395±191,p < 0.05),肾小管对磷酸盐的重吸收减少(p < 0.001)。在骨组织学检查中,观察到骨吸收和骨形成增加以及小梁旁纤维化,所有这些均与甲状旁腺功能亢进的组织学诊断相符。切除5/6肾组织的手术性肾功能不全模型,7周后肾功能降至初始值的1/3,该手术总体死亡率为20%,1次或2次手术切除肾脏之间未观察到差异。这种程度的CRF在生化和组织学水平上均伴有继发性甲状旁腺功能亢进,这些发现对未来的实验研究非常有用。

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