Hypertension, Vol 13, 233-242, Copyright © 1989 by American Heart Association
J Merke, PA Lucas, A Szabo, G Cournot-Witmer, G Mall, R Bouillon, T Drueke, J Mann and E Ritz
Abnormalities of calcium metabolism and of its two principal regulating
hormones, parathyroid hormone and 1,25-dihydroxyvitamin D3 (calcitriol),
have been reported in the spontaneously hypertensive rat (SHR). Reports of
abnormal calcitriol metabolism in the SHR by several groups have not
provided measurements of tissue calcitriol receptors. Similarly, few data
are available as to the parathyroid status of the SHR. In the present
study, circulating calcitriol levels and intestinal and parathyroid gland
calcitriol receptor status were determined in male SHR and in Wistar-Kyoto
(WKY) rats. Parathyroid status was investigated by determination of
parathyroid gland mass together with tissue micromorphometry and by
quantitative histology of bone as a measure of the biological action of
parathyroid hormone. Circulating calcitriol levels were reduced in the
11-week-old SHR compared with the WKY rat (165 +/- 23 vs. 194 +/- 28
pmol/l, p less than 0.01, mean +/- SD). Calcitriol-free ratio was
diminished and maximal specific binding capacity for calcitriol was
increased in the SHR in parathyroid tissue (172 +/- 4.9 vs. 123 +/- 6.6
fmol/mg protein, p less than 0.01) and in intestinal mucosa with no change
of receptor affinity. Plasma ionized calcium (1.29 +/- 0.05 vs. 1.45 +/-
0.35 mmol/l, p less than 0.05) and phosphate (1.5 +/- 0.26 vs. 2.4 +/- 0.03
mmol/l, p less than 0.05) were significantly lower in the SHR. Parathyroid
gland mass was increased in the SHR (59 +/- 12 vs. 17 +/- 7 micrograms/100
g body wt, p less than 0.001) as a result of hyperplasia and not
hypertrophy. Higher osteoclast numbers were observed in SHR bone (27.6 +/-
0.79 vs. 23.9 +/- 0.66 osteoclasts/mm2, p less than 0.01), suggesting
increased parathyroid hormone activity. In summary, in the 11-week-old SHR
we observed reduced circulating calcitriol levels together with increased
tissue calcitriol receptor numbers, increased parathyroid gland mass, and
histological evidence of hyperparathyroidism. It is possible that these
abnormalities influence the development of hypertension in the SHR.
ARTICLES
Hyperparathyroidism and abnormal calcitriol metabolism in the spontaneously hypertensive rat
Department of Internal Medicine, University of Heidelberg, Federal Republic of Germany.
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