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钙敏感受体与25-羟基维生素D -1α-羟化酶相互作用以调节骨骼生长与骨转化 |
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The calcium-sensing receptor and 25-hydroxyvitamin D-1α-hydroxylase interact to modulate skeletal growth and bone turnover |
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Richard C, Huo R, Samadfam R, Bolivar I, Miao D, Brown EM, Hendy GN, Goltzman D 2010/8/12 13:44:00 |
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Journal of Bone and Mineral Research, 2010, Volume 25, Issue 7
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We examined parathyroid and skeletal function in 3-month-old mice expressing the null mutation for 25-hydroxyvitamin D-1α-hydroxylase [1α(OH)ase-/-] and in mice expressing the null mutation for both the 1α(OH)ase and the calcium-sensing receptor [Casr -/-1α(OH)ase-/-] genes. On a normal diet, all mice were hypocalcemic, with markedly increased parathyroid hormone (PTH), increased trabecular bone volume, increased osteoblast activity, poorly mineralized bone, enlarged and distorted cartilaginous growth plates, and marked growth retardation, especially in the compound mutants. Osteoclast numbers were reduced in the Casr-/-1α(OH)ase-/- mice. On a high-lactose, high-calcium, high-phosphorus "rescue" diet, serum calcium and PTH were normal in the 1α(OH)ase-/- mice but increased in the Casr-/-1α(OH)ase-/- mice with reduced serum phosphorus. Growth plate architecture and mineralization were improved in both mutants, but linear growth of the double mutants remained abnormal. Mineralization of bone improved in all mice, but osteoblast activity and trabecular bone volume remained elevated in the Casr-/-1α(OH) ase-/- mice. These studies support a role for calcium-stimulated maturation of the cartilaginous growth plate and mineralization of the growth plate and bone and calcium-stimulated CaSR-mediated effects on bone resorption. PTH-mediated bone resorption may require calcium-stimulated CaSR-mediated enhancement of osteoclastic activity. © 2010 American Society for Bone and Mineral Research.
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Correspondence Address: Goltzman, D.; Calcium Research Laboratory, Department of Medicine, Royal Victoria Hospital, 687 Pine Avenue West, Montreal, QC H3A1A1, Canada; email:david.goltzman@mcgill.ca |
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疾病资源中心
王燕燕 王曙
上海交通大学附属瑞金医院内分泌科
患者,女,69岁。2009年1月无明显诱因下出现乏力,当时程度较轻,未予以重视。2009年3月患者乏力症状加重,尿色逐渐加深,大便习惯改变,颜色变淡。4月18日入我院感染科治疗,诉轻度头晕、心慌,体重减轻10kg。无肝区疼痛,无发热,无腹痛、腹泻、腹胀、里急后重,无恶性、呕吐等。入院半月前于外院就诊,查肝功能:ALT 601IU/L,AST 785IU/L,TBIL 97.7umol/L,白蛋白 41g/L,甲状腺功能:游离T3 30.6pmol/L,游离T4 51.9pmol/L,心电图示快速房颤。
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