服用阿伦德罗纳特在小鼠中加剧了化诱导的酸性病变
Mikayla Moody1, Tannin A Schmidt1, Ruchir Trivedi2
1Department of Biomedical Engineering, School of Dental Medicine, University of Connecticut Health Center, Farmington, CT, United States of America.
PloS one
|September 15, 2023
概括
双酸盐 (BPPs) 在患有代谢性酸性病的小鼠中没有改善骨健康. 通过阻止骨释放缓冲离子,BPPs可能会使酸性损伤恶化,这表明对慢性病患者要仔细考虑.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 骨的新陈代谢 骨的新陈代谢
- 酸平衡是指酸平衡的情况.
背景情况:
- 慢性病 (CKD) 与普遍的骨病和骨折风险有关.
- 代谢性酸性有助于CKD患者的骨溶解.
- 双酸盐 (BPP) 用于抑制骨吸收,但它们在酸性疾病中的作用尚不清楚.
研究的目的:
- 调查BPPs在维持骨健康和pH调节中的有效性,在一种代谢酸性的小鼠模型中.
- 为了确定BPP是否在酸性条件下影响骨结构,组成或机制.
- 在代谢酸症的背景下,评估BPPs对酸平衡的影响.
主要方法:
- 使用了一种饮食诱导的代谢酸的小鼠模型.
- 研究了三个组:对照组,酸性和酸性+双酸盐 (酸性+BPP).
- 骨质参数和血液气体在14天的酸性诱导和BPP管理后被分析.
主要成果:
- 在酸性小鼠中,BPP给药对骨结构,机械或组成的影响很小,甚至没有任何影响.
- 与BPPs治疗的小鼠表现出更严重的酸性化与仅酸性化治疗小组相比.
- BPPs似乎通过抑制骨缓冲离子的释放来加剧酸化.
结论:
- 双酸盐可能会通过干扰骨的缓冲能力,使慢性病患者的酸性恶化.
- 建议在患有酸性的CKD患者中仔细考虑BPP的使用.
- 在这些患者中,补充剂可能有助于减轻BPPs的酸性作用.
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