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THE CONTROL OF THE RENAL EXCRETION OF WATER : II. THE RATE OF LIBERATION OF THE POSTERIOR PITUITARY ANTIDIURETIC
1Departments of Physiology and Medicine, New York University College of Medicine, and the Research Service, Third (New York University) Medical Division, Welfare Hospital, New York.
The Journal of Experimental Medicine
|October 30, 2009
Summary
This study investigated the posterior pituitary antidiuretic hormone
Area of Science:
- Nephrology
- Endocrinology
- Physiology
Background:
- The posterior pituitary antidiuretic hormone (ADH) influences water and electrolyte balance.
- ADH has two key actions: promoting distal water reabsorption and inhibiting proximal sodium reabsorption in the nephron.
Purpose of the Study:
- To investigate the dual actions of ADH on renal water and sodium transport.
- To determine the physiological range of endogenous ADH secretion in dogs.
Main Methods:
- Constant intravenous infusion of ADH in dogs.
- Administration of graded doses of ADH to animals with diabetes insipidus and normal animals.
- Monitoring water and electrolyte excretion.
Main Results:
- ADH administration demonstrated dose-dependent effects on water and sodium reabsorption.
- A specific dosage range (0.001-0.005 unit/hour) induced antidiuresis in diabetes insipidus and was physiologically active in normal dogs.
- Experimental data suggest complex interactions between ADH actions and other undefined variables influencing water and electrolyte excretion.
Conclusions:
- The normal endogenous secretion rate of ADH in dogs (10-15 kg) is estimated to be between 0.001 and 0.005 unit/hour.
- Water and electrolyte balance involves intricate regulation beyond the primary actions of ADH.
- Further research is needed to elucidate the "obscure variables" affecting renal function.
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