Prabhu S, Levi M, Dwarakanath V, Arar M, Biber J, Murer H, Baum M
Department of Pediatrics, University of Texas Southwestern Medical Center at Dallas 75235-9063, USA.
Pediatr Res. 1997 Jan;41(1):20-4. doi: 10.1203/00006450-199701000-00003.
Administration of glucocorticoids to neonates increases proximal tubule volume absorption by increasing glucose, bicarbonate, and amino acid transport. We have recently demonstrated that glucocorticoids may contribute to the maturational decrease in phosphate transport. This study examines the maturation of NaPi-6 [the regulated proximal tubule sodium-inorganic phosphate (Na-Pi) transporter] mRNA and protein abundance and the mechanism for the decrease in phosphate transport by glucocorticoids. Weaned young rabbits (5 wk) had a 2-fold greater brush border membrane NaPi-6 protein abundance than that measured in adults. Renal cortical NaPi-6 mRNA abundance was comparable in neonates (less than 10 d of age) and adults. Renal brush border membrane vesicles from dexamethasone-treated neonatal rabbits (10 micrograms/100 g of body weight for 4 d) had a lower rate of Na-Pi transport than vehicle-treated controls (46.8 +/- 6.5 versus 71.0 +/- 9.0 pmol 32P/10 s/mg of protein, p < 0.05). Abundance of NaPi-6 protein in brush border membrane vesicles was 3-fold lower in newborn rabbits treated with pharmacologic doses of dexamethasone than in vehicle-treated controls. NaPi-6 mRNA abundance was the same in both groups. NaPi-1, a brush border membrane phosphate transporter which is also an anion channel, mRNA, and protein abundance was not affected by glucocorticoids. These data demonstrate that there is a maturational decrease in NaPi-6 protein abundance and that glucocorticoids decrease neonatal phosphate transport, at least in part, by reducing the number of Na-Pi transporters.
给新生儿使用糖皮质激素可通过增加葡萄糖、碳酸氢盐和氨基酸转运来提高近端小管的容积吸收。我们最近证明,糖皮质激素可能促使磷酸盐转运出现成熟性降低。本研究检测了NaPi-6(调节性近端小管钠-无机磷酸盐转运体)mRNA和蛋白丰度的成熟情况,以及糖皮质激素导致磷酸盐转运减少的机制。断奶幼兔(5周龄)刷状缘膜NaPi-6蛋白丰度比成年兔高2倍。新生儿(小于10日龄)和成年兔肾皮质NaPi-6 mRNA丰度相当。用 dexamethasone 处理的新生兔(10微克/100克体重,共4天)的肾刷状缘膜囊泡的钠-磷酸盐转运速率低于用赋形剂处理的对照组(46.8±6.5对71.0±9.0皮摩尔32P/10秒/毫克蛋白,p<0.05)。用药理剂量dexamethasone处理的新生兔刷状缘膜囊泡中NaPi-6蛋白丰度比用赋形剂处理的对照组低3倍。两组的NaPi-6 mRNA丰度相同。NaPi-1是一种刷状缘膜磷酸盐转运体,也是一种阴离子通道,其mRNA和蛋白丰度不受糖皮质激素影响。这些数据表明,NaPi-6蛋白丰度存在成熟性降低,且糖皮质激素至少部分通过减少钠-磷酸盐转运体数量来降低新生儿的磷酸盐转运。