Blum J W, Fischer J A, Hunziker W H, Binswanger U, Picotti G B, Da Prada M, Guillebeau A
J Clin Invest. 1978 May;61(5):1113-22. doi: 10.1172/JCI109026.
Modifications of the plasma level of immunoreactive parathyroid hormone (PTH) in cattle were induced by changes of the plasma concentrations of epinephrine, isoproterenol, or calcium. During abrupt hypocalcemia, PTH, obtained by infusions with ethylene glycol-bis (beta-aminoethylether) N, N'-tetraacetate (EGTA), increased during the first 4-8 min. After a transient decline, the hormone levels rose again and remained elevated. Infusions of calcium suppressed the hypocalcemia-induced augmentation of PTH levels within a few minutes. Prolonged epinephrine (and isoproterenol) infusions also rapidly increased PTH levels, however, in this case, they returned to basal concentrations after 50-60 min. Additional epinephrine infusions could not further raise PTH values. Moreover, three short-lasting infusions of epinephrine (7 min each), given at 30-min intervals, increased PTH levels to the same extent, whereas additional infusions were much less effective. The PTH response to epinephrine was completely restored, when the interval after a prolonged epinephrine infusion had been prolonged to > 100 min. During moderate hypocalcemia, occurring at the end of EGTA infusions and lasting for 90 min, the PTH response to a short-lasting epinephrine infusion (7 min) was more pronounced than in normocalcemic animals. During severe hypocalcemia, in which superimposed short-lasting infusions of EGTA (7 min) led to an additional abrupt fall of plasma calcium concentrations but not to a corresponding additional rise of the PTH levels, epinephrine rapidly and further increased PTH concentrations. On the other hand, at the end of prolonged infusions of epinephrine, when additional infusions of epinephrine were ineffective in raising PTH levels, EGTA-induced hypocalcemia consistently increased PTH concentrations. The EGTA-induced augmentation of PTH levels was enhanced by epinephrine and isoproterenol but not by propranolol. The present findings indicate, that variations of the extracellular calcium concentrations and beta-adrenergic agonists modify PTH levels by two different and independent mechanisms. On the other hand, it appears that the magnitude of change of the PTH levels to either stimulus is partially modulated by exposure to the other.
肾上腺素、异丙肾上腺素或钙的血浆浓度变化可引起牛血浆中免疫反应性甲状旁腺激素(PTH)水平的改变。在急性低钙血症期间,通过输注乙二醇双(β-氨基乙基醚)N,N'-四乙酸(EGTA)获取的PTH在最初4 - 8分钟内升高。短暂下降后,激素水平再次上升并持续升高。输注钙在几分钟内抑制了低钙血症诱导的PTH水平升高。长时间输注肾上腺素(和异丙肾上腺素)也会迅速升高PTH水平,然而,在这种情况下,它们在50 - 60分钟后恢复到基础浓度。额外输注肾上腺素不能进一步提高PTH值。此外,每隔30分钟进行三次持续7分钟的肾上腺素短时间输注,可使PTH水平升高到相同程度,而额外输注的效果则要差得多。当长时间输注肾上腺素后的间隔延长至>100分钟时,PTH对肾上腺素的反应完全恢复。在EGTA输注结束时出现的中度低钙血症持续90分钟期间,PTH对短时间(7分钟)肾上腺素输注的反应比正常血钙动物更明显。在严重低钙血症期间,叠加短时间(7分钟)输注EGTA会导致血浆钙浓度进一步急剧下降,但不会导致PTH水平相应进一步升高,此时肾上腺素会迅速进一步升高PTH浓度。另一方面,在长时间输注肾上腺素结束时,当额外输注肾上腺素无法有效提高PTH水平时,EGTA诱导的低钙血症会持续增加PTH浓度。EGTA诱导的PTH水平升高可被肾上腺素和异丙肾上腺素增强,但不能被普萘洛尔增强。目前的研究结果表明,细胞外钙浓度和β-肾上腺素能激动剂通过两种不同且独立的机制改变PTH水平。另一方面,似乎PTH水平对任何一种刺激的变化幅度都部分受到另一种刺激的影响。