Polyuria and loss of renal concentrating ability have frequently been observed in patients with hypercalcemia (1-8). It has not been clear whether the capacity of the kidneys to concentrate urine is selectively impaired by hypercalcemia or whether it is depressed together with many other renal functions as a result of substantial injury to and encroachment upon active renal parenchyma (9). In the present experiments the effects of hypercalcemia on renal function and morphology were studied in rats given large doses of calciferol (vitamin D2) for several days. The results suggest that hypercalcemia and renal damage produced in this manner specifically impair renal concentrating ability. This functional defect is associated with alterations in the structure of the collecting tubules of the renal medulla.
METHODSEighteen male albino rats of the Sprague-Dawley strain, weighing about 300 Gm., were maintained on a measured diet of Purina Lab Chow and allowed to drink tap water ad libitum. Following initial determinations of blood urea nitrogen, urea clearance, phenolsulfonphthalein (PSP) excretion and maximum urinary osmolality, 200,-000 units or 400,000 units of vitamin D2 in peanut oil was injected subcutaneously daily for four days. At the end of this time, the same tests were repeated. The animals were then sacrificed by exsanguination from the abdominal aorta during pentobarbital anesthesia and the kidneys removed for morphologic examination. Eight rats served as controls, receiving only peanut oil for four days, with food intake limited to that taken by matched animals receiving vitamin D2.For the measurement of urea clearance, 0.2 to 0.3 ml. of heparinized blood was obtained from the tail. Rats