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饮食磷对甲状旁腺切除大鼠肾磷酸盐重吸收的影响。

Influence of dietary phosphorus on renal phosphate reabsorption in the parathyroidectomized rat.

作者信息

Steele T H, DeLuca H F

出版信息

J Clin Invest. 1976 Apr;57(4):867-74. doi: 10.1172/JCI108363.

Abstract

Inorganic phosphate (Pi) reabsorption was studied during Pi infusion, after acute or chronic thyroparathyroidectomy (TPTX), in rats stabilized on a high-phosphorus (1% P) or a low-phosphorus (0.02% P) diet. After acute TPTX, there were no consistent differences in Pi reabsorption between the high- and low-phosphorus dietary groups. After chronic TPTX, the rats stabilized on the low-phosphorus diet exhibited nearly complete Pi reabsorption at every plasma Pi level, while the animals receiving the high-phosphorus diet manifested a marked phosphaturic response to Pi infusion. In addition, Pi reabsorption was significantly increased in the chronic TPTX low-phosphorus rats which achieved the highest filtered Pi loads, while their urine remained essentially phosphate-free. Dietary phosphorus-dependent alterations in Pi reabsorption may play a significant role in establishing the rate of Pi excretion per nephron under certain circumstances and should be considered in the interpretation of studies investigating renal Pi handling. The ability of phosphorus-depleted animals to maintain a phosphate-free urine during Pi loading would favor the rapid repletion of body phosphorus stores.

摘要

在高磷(1%P)或低磷(0.02%P)饮食条件下稳定饲养的大鼠中,研究了在输注无机磷酸盐(Pi)期间、急性或慢性甲状旁腺切除术(TPTX)后Pi的重吸收情况。急性TPTX后,高磷饮食组和低磷饮食组之间的Pi重吸收没有一致的差异。慢性TPTX后,低磷饮食条件下稳定饲养的大鼠在每个血浆Pi水平上都表现出几乎完全的Pi重吸收,而接受高磷饮食的动物对Pi输注表现出明显的排磷反应。此外,慢性TPTX低磷大鼠的Pi重吸收显著增加,这些大鼠达到了最高的滤过Pi负荷,而它们的尿液基本上仍无磷酸盐。饮食中磷依赖性的Pi重吸收改变在某些情况下可能对确定每个肾单位的Pi排泄率起重要作用,在解释研究肾脏Pi处理的研究时应予以考虑。缺磷动物在Pi负荷期间维持无磷酸盐尿液的能力将有利于身体磷储备的快速补充。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb66/436730/95a018e74128/jcinvest00147-0113-a.jpg

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