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  • Chronic insulin deficiency  (2)
  • Springer  (2)
  • 1
    Electronic Resource
    Electronic Resource
    Springer
    Calcified tissue international 35 (1983), S. 615-619 
    ISSN: 1432-0827
    Keywords: Chronic insulin deficiency ; Hypercorticosteronism ; Dietary calcium restriction ; Streptozotocin-induced
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Notes: Summary Chronic diabetes mellitus in the rat is attended by a reduced bone turnover and growth arrest, decreased circulating immunoreactive parathyroid hormone (iPTH), and hypercorticosteronism. Since chronic insulin deficiency in the rat is associated with intestinal hyperabsorption of calcium and a positive calcium balance that may account for the decreased iPTH, as well as other hormonal alterations observed in these animals, we studied the effect of long-term (5 week) dietary calcium restriction (0.1% Ca, 0.8% P) in control and streptozotocin-induced diabetic rats. Chronic diabetic rats reared on a normal calcium (1.2% Ca) diet had increased serum calcium and phosphate (Pi) concentrations and were markedly hypercalciuric and phosphaturic compared with controls. Serum corticosterone was increased and iPTH markedly decreased in the diabetic animals. Dietary Ca restriction (0.1% Ca) decreased urinary calcium excretion and resulted in a comparable phosphaturic response in both control and diabetic rats. Moreover, although Ca restriction in diabetic animals had no appreciable effect on serum insulin, serum glucose, or urinary glucose excretion, it was associated with a marked increase in circulating iPTH; this resulted in serum concentrations comparable with that observed in control animals reared on the low Ca diet. These results support the hypothesis that the decreased circulating iPTH observed in chronic diabetic rats results predominantly from their intestinal hyperabsorption of Ca. In contrast to control animals, diabetic rats reared on a low Ca diet failed to maintain their serum Ca despite the marked increase in serum iPTH and striking decrease in calciuria, thus underscoring the reliance of these animals on intestinal hyperabsorption of Ca to maintain Ca balance under conditions of adequate Ca intake. Serum corticosterone was insignificantly altered by dietary Ca restriction in control rats; hypercorticosteronism, characteristically observed in diabetic rats, was normalized by Ca restriction. We conclude that a primary disturbance in Ca homeostasis may contribute, in part, to hormonal alterations observed in chronic experimental diabetes.
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  • 2
    ISSN: 1432-0827
    Keywords: Chronic insulin deficiency ; Epiphyseal growth ; Cartilaginous glycolysis ; Streptozotocin
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine , Physics
    Notes: Summary Chronic insulin deficiency, in both man and experimental animal models, has been associated with skeletal alterations, the genesis of which remains unknown. Since cartilage growth and maturation are dependent on the maintenance of adequate glycolytic activity, we evaluated cartilaginous carbohydrate metabolism and epiphyseal growth plate morphology in control, long-term (7 weeks) streptozotocin-induced diabetic and insulintreated diabetic rats. Since parathyroid hormone levels have been shown to be decreased in chronically diabetic rats, we also studied the effect of a low calcium diet (0.1%) on cartilage metabolism and morphology in the insulinopenic state. In vitro incubation of epiphyseal cartilage slices in Kreb's Ringer buffer was performed in 5 mM glucose, with either14C-6-glucose as a glycolytic marker or14C-1-glucose as a pentose phosphate pathway marker. While14C-6-glucose uptake was only marginally reduced in diabetic rat cartilage, lactate production was markedly decreased, approximating 42% of control values, and the activity of the pentose phosphate shunt increased (P〈0.01). These biochemical alterations were attended by a marked reduction (P〈0.005) in the width of epiphyseal growth plates obtained from rats with untreated diabetes. Both insulin replacement (P〈0.001) and dietary calcium restriction (P〈0.02) in diabetic animals resulted in a significant increment in the width of epiphyseal growth plates. These morphologic changes were accompanied by a significant (P〈0.02) increase in cartilaginous lactate production, in the absence of altered glucose uptake. While insulin treatment corrected glycolysis, it had little effect on the augmented pentose shunt activity, implying stimulation of both these metabolic pathways. Dietary calcium restriction normalized glycolysis and corrected the accelerated activity of the pentose phosphate pathway. We conclude that chronic insulin deficiency in the growing rat is attended by alterations in cartilaginous carbohydrate metabolism which may relate not only to insulinopenia per se, but also to the relative hypoparathyroidism that characterizes the chronic experimental diabetic state. The accumulated data also suggest that these metabolic derangements may account, at least in part, for the reduced longitudinal bone growth observed in this growing animal model.
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