Role of 1,25-Dihydroxyvitamin D3 in Maintaining Serum Phosphorus and Curing Rickets

Y Tanaka, HF DeLuca - Proceedings of the National …, 1974 - National Acad Sciences
Y Tanaka, HF DeLuca
Proceedings of the National Academy of Sciences, 1974National Acad Sciences
The intravenous injection of a single dose of 650 pmoles of 1, 25-dihydroxyvitamin D3 to rats
fed a vitamin D-deficient, low-phosphorus diet caused an elevation of serum phosphorus
within 5 hours which reached a maximum in about 10-12 hours. This elevated serum
phosphorus returned to deficiency levels 2-3 days later. On the other hand, a single injection
of 650 pmoles of 25-hydroxyvitamin D3 produced a significant rise at 12 hours, reached a
maximum in 24-36 hours, and was maintained for at least 7 days. The single dose of 1, 25 …
The intravenous injection of a single dose of 650 pmoles of 1,25-dihydroxyvitamin D3 to rats fed a vitamin D-deficient, low-phosphorus diet caused an elevation of serum phosphorus within 5 hours which reached a maximum in about 10-12 hours. This elevated serum phosphorus returned to deficiency levels 2-3 days later. On the other hand, a single injection of 650 pmoles of 25-hydroxyvitamin D3 produced a significant rise at 12 hours, reached a maximum in 24-36 hours, and was maintained for at least 7 days. The single dose of 1,25-dihydroxyvitamin D3 supported little calcification of bone, whereas the 25-hydroxyvitamin D3 produced marked calcification. Six-hundred and fifty pmoles of 24,25-dihydroxyvitamin D3 increased serum phosphorus only slightly and induced no calcification. When 1,25-dihydroxyvitamin D3 was given each day, a sustained increase in serum phosphorus and marked bone calcification resulted. In contrast to the serum phosphorus responses, intestinal calcium transport remained high 5 days after administration of a single dose of 1,25-dihydroxyvitamin D3. Serum calcium was not changed appreciably by any of the metabolites.
Thyroparathyroidectomized rats or rats fed a diet extremely deficient in phosphate still exhibited a marked elevation of serum phosphorus in response to 1,25-dihydroxyvitamin D3. The effect of 1,25-dihydroxyvitamin D3 on serum phosphorus was greatly reduced in nephrectomized rats, suggesting that the serum phosphorus response to 1,25-dihydroxyvitamin D3 may arise from an enhancement of phosphate reabsorption in the renal tubules.
It is suggested that 1,25-dihydroxyvitamin D3 cures rickets in rats by increasing the concentration of serum phosphorus rather than by increasing serum calcium concentration and calcium absorption.
National Acad Sciences