代谢性酸中毒对肠道钙磷吸收的影响。

U. Gafter, J. Kraut, D. B. Lee, V. Silis, M. Walling, K. Kurokawa, M. Haussler, J. Coburn
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引用次数: 58

摘要

为了研究代谢性酸中毒对肠道钙(Ca)、磷(P)吸收和维生素D代谢的影响,研究了低钙、中低磷饲粮饲喂NH4Cl 3天或9天的大鼠和两两饲养的对照组的代谢平衡和体外45Ca和[32P]磷酸盐的肠囊摄取。测定各组大鼠血浆1,25(OH)2D浓度。酸性大鼠净钙、磷吸收率为87% ~ 92%,与对照组无显著差异。此外,肠囊对45Ca和[32P]磷酸盐的吸收与对照组无显著差异。氯化铵喂养大鼠的血浆1,25(OH)2D高于对照组(213 +/- 44 vs 110 +/- 12 pg/ml),而酸性动物的血清P较低(4.6 +/- 0.7 vs 7.6 +/- 0.3 mg/dl)。这些数据表明,代谢性酸中毒不会抑制饮食剥夺期间肠道钙和磷吸收的增加,也不会降低血浆中125 (OH)2D的水平。
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Effect of metabolic acidosis in intestinal absorption of calcium and phosphorus.
To investigate the effect of metabolic acidosis on intestinal calcium (Ca) and phosphorus (P) absorption and vitamin D metabolism, metabolic balance studies and in vitro gut sac uptake of 45Ca and [32P]phosphate were performed in rats maintained on low-Ca and moderately low-P diet and fed NH4Cl for 3 or 9 days and pair-fed controls. Plasma 1,25(OH)2D concentration was measured in the rats fed NH4Cl for 9 days and their controls. Net Ca and P absorption was 87-92% in the acidotic rats and did not differ from control. Moreover, gut sac uptakes of 45Ca and [32P]phosphate were not different from control. Plasma 1,25(OH)2D was higher in the ammonium chloride-fed rats than in controls (213 +/- 44 vs. 110 +/- 12 pg/ml), and serum P was lower in the acidotic animals (4.6 +/- 0.7 vs. 7.6 +/- 0.3 mg/dl). These data indicate that metabolic acidosis does not depress the augmented intestinal absorption of calcium and phosphorus noted during their dietary deprivation nor reduce the plasma level of 1,25(OH)2D.
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