title: Parathyroidectomy abolishes the increase of renal 25-hydroxyvitamin D-1 alpha-hydroxylase in lactating rats.
abstract: Serum ionized calcium (Ca), but not inorganic phosphorus or immunoreactive parathyroid hormone, negatively correlates with renal 25-hydroxyvitamin D-1 alpha-hydroxylase (1 alpha-hydroxylase) and serum 1,25-dihydroxyvitamin D in intact lactating rats. The present study tested the hypothesis that the presumed stimulation of renal 1 alpha-hydroxylase by hypocalcemia requires the presence of intact parathyroid glands. Lactating and nonlactating rats were surgically parathyroidectomized (PTX) or sham-operated (sham) at 9-10 days of lactation. Later (24 h) the rats were bled, nephrectomized, and killed. In lactating PTX rats, serum ionized Ca decreased to 50% of the level of sham rats, and serum 1,25-dihydroxyvitamin D fell to 37 +/- 5.0 pg/ml compared with 82 +/- 13.0 pg/ml for sham lactating rats but was still 2.5 times the value for nonlactating PTX rats (15 +/- 0.8 pg/ml). In contrast to the still elevated serum 1,25-dihydroxyvitamin D concentration in lactating PTX rats, renal 1 alpha-hydroxylase was suppressed to the same low level as in nonlactating PTX rats, suggesting the existence of extrarenal synthesis of 1,25-dihydroxyvitamin D in lactation. A curvilinear relationship was revealed between serum ionized Ca and renal 1 alpha-hydroxylase in sham lactating and nonlactating rats (r2 = 0.71, P < 0.0001). However, in PTX rats, decreasing ionized Ca did not lead to any increase in 1 alpha-hydroxylase above the low baseline values seen at ionized Ca concentrations between 1.3 and 1.5 mM. We therefore conclude that intact parathyroid glands are required for hypocalcemia to activate renal 1 alpha-hydroxylase in female rats.
authors.affiliation: Department of Medicine, Duke University Medical Center, Durham 27710.
authors.forename: B
authors.initials: B
authors.lastname: Lobaugh
authors.forename: S C
authors.initials: SC
authors.lastname: Garner
authors.forename: J A
authors.initials: JA
authors.lastname: Lovdal
authors.forename: A
authors.initials: A
authors.lastname: Boass
authors.forename: S U
authors.initials: SU
authors.lastname: Toverud
mesh_terms: D015090:25-Hydroxyvitamin D3 1-alpha-Hydroxylase / Q000378:metabolism*; D000818:Animals; D004100:Dihydroxycholecalciferols / Q000097:blood; D005260:Female; D006996:Hypocalcemia / Q000097:blood; D007668:Kidney / Q000201:enzymology*; D007774:Lactation / Q000378:metabolism*; D016105:Parathyroidectomy; D051381:Rats; D011919:Rats, Inbred Strains
chemical_list: D004100:Dihydroxycholecalciferols; D015090:25-Hydroxyvitamin D3 1-alpha-Hydroxylase