RT Journal Article SR Electronic T1 Excessive proliferation and apoptosis of parathyroid cells contribute to primary hyperparathyroidism in rabbit model JF Journal of Investigative Medicine JO J Investig Med FD BMJ Publishing Group Ltd SP 1392 OP 1398 DO 10.1136/jim-2021-002184 VO 70 IS 6 A1 Jing-tao Bi A1 Rong-jie Bai A1 Hui-li Zhan A1 Zhan-hua Qian A1 Li-hua Gong A1 Ya-qi Liu A1 Zhi-xue Zheng A1 Xuan Cai YR 2022 UL http://hw-f5-jim.highwire.org/content/70/6/1392.abstract AB To explore the molecular pathogenesis of primary hyperparathyroidism (PHPT), we investigated the proliferation and apoptosis of parathyroid cells in a rabbit model of diet-induced PHPT. A total of 120 adult Chinese rabbits were randomly divided into normal diet (Ca:P, 1:0.7) group (control group) or a high-phosphate diet (Ca:P, 1:7) group (experimental group). The thyroid and parathyroid complexes were harvested for 1-month interval from month 1 to month 6. The expression of proliferation markers, including proliferating cell nuclear antigen (PCNA) and cyclin-D1, and B cell lymphoma-2 (Bcl-2), were evaluated by immunohistochemistry in thyroid and parathyroid tissues. Apoptosis was quantified by DNA-fragment terminal labeling. Our results demonstrated that parathyroid cells in the experimental group started proliferating from the end of the 2nd month, the expression of PCNA, Bcl-2, and cyclin-D1 were significantly higher in the PHPT group than those of the control group (p<0.05). Furthermore, the apoptosis index (AI) was positively correlated with the glandular cell count and expression of PCNA in the 6th month in the PHPT group. Overall, our results suggested that excessive proliferation and apoptosis of parathyroid cells may contribute to the pathogenesis of PHPT through PCNA-related, Bcl-2-related, and cyclin-D1-related pathways.No data are available.