Tsuji H, Cawthorn C, Ecarot B
Shriners Hospital, Department of Surgery, McGill University, Montreal, Quebec, Canada.
J Bone Miner Res. 1996 Sep;11(9):1234-40. doi: 10.1002/jbmr.5650110907.
We evaluated in normal and hypophosphatemic (Hyp) mice whether changes in serum levels of osteocalcin in response to dietary phosphate supplementation, parathyroid hormone (PTH) and 1,25-dihydroxyvitamin D3 (1,25(OH)2D3) administration were related to perturbations in calcium phosphate homeostasis. In normal mice, serum osteocalcin levels were not altered by phosphate supplementation. In contrast, phosphate supplementation in Hyp mice led to a 2-fold decrease in serum osteocalcin to normal levels after 3 days and to an increase in osteocalcin levels after 14 days. The decrease in osteocalcin was associated with normophosphatemia, severe hypocalcemia, and marked increases in circulating 1,25(OH)2D3 levels, whereas the increase in osteocalcin levels was associated with normophosphatemia and no change in serum calcium and 1,25(OH)2D3. Administration of PTH decreased serum osteocalcin in both genotypes. Infusion of 1,25(OH)2D3 for 3 days elicited increases in serum osteocalcin and calcium levels in normal mice, whereas in Hyp mice it produced significant decreases in osteocalcin levels and no change in serum calcium. However, with a more prolonged infusion of 1,25(OH)2D3, hypercalcemia and increases in serum osteocalcin were induced in mutant mice. Our results suggest that the abnormal osteocalcin response of Hyp mice is not directly attributable to an osteoblast dysfunction but is secondary, at least in part, to perturbations in factors that modulate the osteoblast activity, especially serum calcium and/or PTH.
我们在正常小鼠和低磷血症(Hyp)小鼠中评估了血清骨钙素水平对饮食中补充磷酸盐、注射甲状旁腺激素(PTH)和1,25 - 二羟维生素D3(1,25(OH)2D3)的变化是否与磷酸钙稳态的紊乱有关。在正常小鼠中,补充磷酸盐不会改变血清骨钙素水平。相反,在Hyp小鼠中补充磷酸盐,3天后血清骨钙素水平降低两倍至正常水平,14天后骨钙素水平升高。骨钙素的降低与血磷正常、严重低钙血症以及循环中1,25(OH)2D3水平显著升高有关,而骨钙素水平的升高与血磷正常以及血清钙和1,25(OH)2D3无变化有关。注射PTH会降低两种基因型小鼠的血清骨钙素水平。对正常小鼠连续3天输注1,25(OH)2D3会引起血清骨钙素和钙水平升高,而在Hyp小鼠中则导致骨钙素水平显著降低且血清钙无变化。然而,对突变小鼠进行更长时间的1,25(OH)2D3输注会诱导高钙血症和血清骨钙素升高。我们的结果表明,Hyp小鼠骨钙素的异常反应并非直接归因于成骨细胞功能障碍,而是至少部分继发于调节成骨细胞活性的因素的紊乱,尤其是血清钙和/或PTH。