首页|活性维生素D改善高盐饮食引起的钙稳态和骨代谢异常作用的动物实验研究

活性维生素D改善高盐饮食引起的钙稳态和骨代谢异常作用的动物实验研究

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目的 观察高盐饮食后钙调控网络的整体变化,探讨补充活性维生素D对高盐饮食引起的钙稳态失衡和骨代谢异常的作用.方法 24 只3 月龄雄性SD大鼠随机分对照组(Con)、高盐饮食组(HN)、对照+活性维生素D组(Con+VD)和高盐+活性维生素D组(HN+VD),每组6 只.干预4 周后,观察并比较各组大鼠的体质量、收缩压、24h尿量、血尿电解质、肾功能、血管紧张素-Ⅱ、醛固酮、心房钠尿肽、甲状旁腺激素(PTH)、成纤维细胞生长因子23、25-羟化维生素D、Ⅰ型原胶原前肽(PINP)及Ⅱ型胶原交联C-末端肽(CTX-Ⅱ)水平.采用Masson、PAS染色评估肾脏病理,免疫组化染色分析肾脏1α-羟化酶(CYP27B1)和24-羟化酶(CYP24A1)表达.结果 与Con组相比,HN组尿钙/肌酐、血PTH、血PINP和血CTX-Ⅱ水平较高,差异有统计学意义(P<0.05);HN组CYP27B1 表达下调,CYP24A1 表达上调,骨小梁减少.与HN组相比,HN+VD组血PTH、血PINP和血CTX-Ⅱ水平较低,差异有统计学意义(P<0.05);HN+VD组骨小梁增多.结论 高盐饮食可以抑制活性维生素D合成,升高PTH水平,影响钙稳态和骨代谢,补充活性维生素D一定程度改善这些影响.
An experimental study on effects of active vitamin D on improvement of abnormal calcium homeostasis and bone metabolism induced by high salt diet in animals
Objective To observe the overall changes in the calcium regulatory network after a high salt diet,and ex-plore the effects of supplementing with active vitamin D on calcium homeostasis imbalance and bone metabolism abnormalities caused by a high salt diet.Methods 24 3-month-old male SD rats were randomly divided into control group(Con),high-salt diet group(HN),control+active vitamin D group(Con+VD)and high-salt+active vitamin D group(HN+VD),with 6 rats in each group.After 4 weeks of intervention,the body weight,systolic blood pressure,24 h urine volume,blood and urine electrolytes,kidney function,and the levels of serum angiotensin Ⅱ,aldosterone,atrial natriuretic peptide,parathyroid hor-mone(PTH),fibroblast growth factor 23,25-hydroxyvitamin D,type I procollagen N-terminal pro-peptide(PINP),C-termi-nal cross-linked telopeptide of type Ⅱ collagen(CTX-Ⅱ)were determined and compared.Renal pathology was evaluated by Masson and PAS staining,and the expressions of cytochrome P450 family 27 subfamily B member 1(CYP27B1)and cyto-chrome P450 family 24 subfamily A member 1(CYP24A1)in kidney were analyzed by immunohistochemical staining.Results Compared with the Con group,the HN group had higher levels of urinary calcium/creatinine,serum PTH,PINP and CTX-Ⅱ,with statistical significance(P<0.05);CYP27B1 expression was down-regulated,CYP24A1 expression was up-reg-ulated,and bone trabeculae decreased in the HN group.Compared with the HN group,the HN+VD group had lower levels of serum PTH,PINP and CTX-Ⅱ,and the differences were statistically significant(P<0.05);the bone trabeculae increased in the HN+VD group.Conclusion A high-salt diet can inhibit the synthesis of active vitamin D,increase PTH level,affect cal-cium homeostasis and bone metabolism.Supplementation with active vitamin D can ameliorate these effects to some extent.

active vitamin Dhigh-salt dietcalcium homeostasisbone metabolism

史佳林、顾杰、陈旭娇、毛建萍、游怀舟、陈靖

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复旦大学附属华山医院肾病科,上海 200040

国家老年疾病临床医学研究中心(华山),上海 200040

活性维生素D 高盐饮食 钙稳态 骨代谢

国家重点研发计划国家重点研发计划上海市科委科技创新行动计划上海市科委科技创新行动计划

2020YFC20050002021YFC250020220Y1190450021ZR1411100

2024

老年医学与保健
复旦大学附属华东医院

老年医学与保健

CSTPCD
影响因子:0.655
ISSN:1008-8296
年,卷(期):2024.30(2)
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