甲状旁腺激素-(1-38)给药频率对其骨合成代谢作用及钙、磷、镁平衡的影响

J L Riond, I Goliat-von Fischer, B Küffer, A Toromanoff, R Forrer
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引用次数: 12

摘要

采用随机完全区组设计,研究了人工合成人甲状旁腺激素片段1-38 [hPTH-(1-38)]给药频率对32只9周龄雌性sd大鼠骨形成及钙、磷、镁平衡的影响。大鼠连续14天皮下注射载药液,每天1次或50微克hPTH-(1-38)/kg BW,每天1次,每天8:00,每天2次,每天8:00,下午5:00或每天3次,每天8:00,下午0:30,下午5:00。在hPTH-(1-38)治疗计划的最后48小时进行平衡研究,之后去除股骨、胫骨和腰椎,测定干重、体积以及Ca、P、Mg、羟脯氨酸和DNA的含量。甲状旁腺激素治疗与钙、磷和镁的表观肠道吸收显著增加有关。平均尿钙排泄量随给药频率的增加而增加。在给药频率最高的两组中,尿钙排泄量与肠道钙表观吸收量和胫骨钙含量呈负相关。甲状旁腺激素显著提高了平均钙、磷、镁平衡、骨钙、磷、镁平均含量和平均骨干重。与不受PTH影响的胫骨平均体积相反,第五腰椎的平均体积随着治疗而增加。每天处理2次和3次,股骨中羟脯氨酸的平均浓度显著高于对照组。每日1次和2次给药组第三腰椎羟脯氨酸平均含量升高,但最高给药频率的平均值与对照组无显著差异。股骨和第四腰椎DNA含量随给药频率显著降低。
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Influence of the dosing frequency of parathyroid hormone-(1-38) on its anabolic effect in bone and on the balance of calcium, phosphorus and magnesium.

The effect of the frequency of administration of synthetic human parathyroid hormone fragment 1-38 [hPTH-(1-38)] on bone formation and on the balance of calcium, phosphorus, and magnesium was investigated in 32 9-week-old female Sprague-Dawley rats, using a randomly complete block design. Rats received subcutaneously during 14 days either the vehicle solution once a day or 50 micrograms hPTH-(1-38)/kg BW once a day at 8:00 a.m., twice a day at 8:00 a.m. and 5:00 p.m. or three times a day at 8:00 a.m., 0:30 p.m., and 5:00 p.m. The balance study was performed during the last 48 h of the hPTH-(1-38) treatment schedule after which femora, tibiae, and lumbar vertebrae were removed for the determination of the dry weight, volume, and contents of Ca, P, Mg, hydroxyproline, and DNA. PTH treatment was associated with a significant increase of the apparent intestinal absorption of Ca, P, and Mg. Mean urinary Ca excretion augmented with the increase of the frequency of dosing. Urinary Ca excretion correlated negatively with the Ca apparent intestinal absorption and with the Ca content of the tibiae in the 2 groups with the highest frequency of dosing. The mean Ca, P, and Mg balances, the mean contents of bone Ca, P, and Mg and the mean bone dry weights were significantly increased with PTH treatment. In contrast to the mean volume of tibiae which was not affected by the PTH administration, the mean volume of the fifth lumbar vertebrae increased with the treatment. With the 2 times and 3 times daily treatments, mean hydroxyproline concentrations in the femora were significantly higher than the control values. An increase of the mean hydroxyproline content of the third lumbar vertebrae was evidenced with the 1 time and 2 times daily treatment, but the mean of the highest frequency of dosing was not different from that of the control group. The DNA content of femoral and of the fourth lumbar vertebrae significantly decreased with the frequency of dosing.

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