Yao J, Kathpalia P, Bushinsky D A, Favus M J
Department of Medicine, The University of Chicago, Pritzker School of Medicine, Chicago, Illinois 60637, USA.
J Clin Invest. 1998 May 15;101(10):2223-32. doi: 10.1172/JCI1164.
Hypercalciuria in genetic hypercalciuric stone-forming (GHS) rats is accompanied by intestinal Ca hyperabsorption with normal serum 1,25-dihydroxyvitamin D3 [1,25(OH)2D3] levels, elevation of intestinal, kidney, and bone vitamin D receptor (VDR) content, and greater 1,25(OH)2D3-induced bone resorption in vitro. To test the hypothesis that hyperresponsiveness of VDR gene expression to 1,25(OH)2D3 may mediate these observations, male GHS and wild-type Sprague- Dawley normocalciuric control rats were fed a normal Ca diet (0.6% Ca) and received a single intraperitoneal injection of either 1,25(OH)2D3 (10-200 ng/100 g body wt) or vehicle. Total RNAs were isolated from both duodenum and kidney cortex, and the VDR and calbindin mRNA levels were determined by Northern blot hybridization using specific cDNA probes. Under basal conditions, VDR mRNA levels in GHS rats were lower in duodenum and higher in kidney compared with wild-type controls. Administration of 1,25(OH)2D3 increased VDR gene expression significantly in GHS but not normocalciuric animals, in a time- and dose-dependent manner. In vivo half-life of VDR mRNA was similar in GHS and control rats in both duodenum and kidney, and was prolonged significantly (from 4-5 to > 8 h) by 1,25(OH)2D3 administration. Neither inhibition of gene transcription by actinomycin D nor inhibition of de novo protein synthesis with cycloheximide blocked the upregulation of VDR gene expression stimulated by 1,25(OH)2D3 administration. No alteration or mutation was detected in the sequence of duodenal VDR mRNA from GHS rats compared with wild-type animals. Furthermore, 1,25(OH)2D3 administration also led to an increase in duodenal and renal calbindin mRNA levels in GHS rats, whereas they were either suppressed or unchanged in wild-type animals. The results suggest that GHS rats hyperrespond to minimal doses of 1,25(OH)2D3 by an upregulation of VDR gene expression. This hyperresponsiveness of GHS rats to 1,25(OH)2D3 (a) occurs through an increase in VDR mRNA stability without involving alteration in gene transcription, de novo protein synthesis, or mRNA sequence; and (b) is likely of functional significance, and affects VDR-responsive genes in 1, 25(OH)2D3 target tissues. This unique characteristic suggests that GHS rats may be susceptible to minimal fluctuations in serum 1, 25(OH)2D3, resulting in increased VDR and VDR-responsive events, which in turn may pathologically amplify the actions of 1,25(OH)2D3 on Ca metabolism that thus contribute to the hypercalciuria and stone formation.
遗传性高钙尿石形成(GHS)大鼠的高钙尿症伴随着肠道钙的过度吸收,血清1,25 - 二羟基维生素D3 [1,25(OH)2D3]水平正常,肠道、肾脏和骨骼中维生素D受体(VDR)含量升高,且体外1,25(OH)2D3诱导的骨吸收增加。为了验证VDR基因表达对1,25(OH)2D3的高反应性可能介导这些观察结果的假说,给雄性GHS大鼠和野生型Sprague - Dawley正常钙尿症对照大鼠喂食正常钙饮食(0.6%钙),并腹腔注射一次1,25(OH)2D3(10 - 200 ng/100 g体重)或溶剂。从十二指肠和肾皮质分离总RNA,使用特异性cDNA探针通过Northern印迹杂交测定VDR和钙结合蛋白mRNA水平。在基础条件下,与野生型对照相比,GHS大鼠十二指肠中的VDR mRNA水平较低,而肾脏中的较高。给予1,25(OH)2D3后,GHS大鼠而非正常钙尿症动物的VDR基因表达以时间和剂量依赖性方式显著增加。在十二指肠和肾脏中,GHS大鼠和对照大鼠VDR mRNA的体内半衰期相似,给予1,25(OH)2D3后显著延长(从4 - 5小时延长至> 8小时)。放线菌素D对基因转录的抑制或环己酰亚胺对从头蛋白质合成的抑制均未阻断1,25(OH)2D3给药刺激的VDR基因表达上调。与野生型动物相比,未检测到GHS大鼠十二指肠VDR mRNA序列的改变或突变。此外,给予1,25(OH)2D3也导致GHS大鼠十二指肠和肾脏中钙结合蛋白mRNA水平增加,而在野生型动物中它们要么被抑制要么未改变。结果表明GHS大鼠通过VDR基因表达上调对最小剂量的1,25(OH)2D3产生高反应性。GHS大鼠对1,25(OH)2D3的这种高反应性(a)通过增加VDR mRNA稳定性而发生,不涉及基因转录、从头蛋白质合成或mRNA序列的改变;(b)可能具有功能意义,并影响1,25(OH)2D3靶组织中VDR反应性基因。这种独特的特征表明GHS大鼠可能易受血清1,25(OH)2D3最小波动的影响,导致VDR和VDR反应性事件增加,进而可能在病理上放大1,25(OH)2D3对钙代谢的作用,从而导致高钙尿症和结石形成。