偏甲状腺功能障碍症和阿尔多斯特主义的悖论
Vikram S Chhokar1, Yao Sun, Syamal K Bhattacharya
1Division of Cardiovascular Diseases, University of Tennessee Health Science Center, Memphis, TN 38163, USA.
Circulation
|February 16, 2005
概括
阿尔多斯特罗尼症会导致过多的和损失,导致骨质损失和二次性甲状腺功能障碍. 这种矿物质不平衡导致氧化应激和心力衰竭中的炎症.
科学领域:
- 内分泌学 在内分泌学.
- 心血管生理学心血管生理学
- 矿物质的新陈代谢.
背景情况:
- 阿尔多斯特主义与氧化压力,炎症和心力衰竭中的浪费有关.
- 这项研究研究了阿尔多激素过量对矿物平衡和骨健康的系统性影响.
研究的目的:
- 为了确定老鼠的阿尔多/1%NaCl治疗 (ALDOST) 是否增强了Ca2+和Mg2+的分泌.
- 调查这种增强分泌的全身后果,包括骨损失和细胞变化.
主要方法:
- 鼠被用ALDOST或spironolactone (Spiro) 治疗,这是一种阿尔多激素对抗剂.
- 测量包括矿物质分泌,血矿物质水平,甲状腺激素,骨密度和细胞Ca2+/Mg2+含量.
主要成果:
- ALDOST显著增加了尿液和便中的Ca2+和Mg2+分泌,降低了血中电离化的Ca2+和Mg2+水平.
- 骨矿物质密度和强度下降,而PBMC和心脏组织显示Ca2+过载.
- 螺旋乳治疗逆转了这些有害影响.
结论:
- 由于阿尔多斯特尼症引起的Ca2+和Mg2+损失导致二次性甲状腺功能增强症和骨质再吸收.
- 细胞Ca2+过载有助于氧化应激和炎症在aldosteronism.
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