Placental transfer of calcium and strontium in the guinea pig.
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Indicator dilution experiments were done to determine the extraction of 85Sr during a single passage through capillaries of the tibial diaphysis. Extraction was estimated by injection of 85SrCl2 and a nonpermeant, reference tracer, T-1824-labeled albumin, into the nutrient artery and recording of the effluent venous dilution curves (femoral vein). The mean (+/- SD) maximal instantaneous extraction was 0.53 +/- 0.08 (N = 12). Net retention after 10 min, estimated from venous curves, was 0.41 +/- 0.06 (N = 12), which appeared not substantially different from the retention estimated by direct isotope counting of the tibias for 85Sr, 0.35 +/- 0.06 (N = 12). In a second set of experiments in intact animals, tibial 85Sr extraction after intravenous injection was apparently higher, 0.53 +/- 0.28 (N = 15). Values of tibial diaphyseal blood flow, estimated from washout curves for iodoantipyrine after tibial nutrient artery injection, were 1.47 +/- 0.63 ml/min per 100 g (N = 27). The extraction was not much diminished by higher flows. The estimates of permeability-surface area product (PS) for bone capillaries did increase with flow, suggesting recruitment of more capillaries at higher flows. PS values averaged 0.63 +/- 0.29 (N = 12); we conclude that the capillary membrane is a primary barrier to the passage of 85Sr and presumably other small hydrophilic solutes.
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In 20 untreated patients with idiopathic or postmenopausal osteoporosis, kinetic studies of skeletal blood flow (using 18F) and bone turnover (using 85Sr) were combined with dynamic histomorphometry performed on transiliac biopsies taken within 6 weeks of each other. In 8 patients the combined studies were repeated after treatment. A further 5 patients were studied only while receiving treatment. As expected, skeletal blood flow measured by 18F correlated with an index of 85Sr uptake into the exchangeable pools of bone. Additionally and independently, skeletal blood flow correlated with an index of the work rate of the osteoblasts in each multicellular unit of bone (the corrected apposition rate of Parfitt). These correlations were statistically significant in both the untreated patients (P less than 0.05) and the whole group (P less than 0.001). Further indices related to bone turnover at the level of the skeleton as a whole were significantly associated with skeletal blood flow only in the combined group.
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