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Physiology and pathophysiology of the vasopressin-regulated renal water reabsorption

Open access
Boone, Michelle, Deen, Peter M. T.·2008·Pflügers Archiv - European Journal of Physiology

Abstract

To prevent dehydration, terrestrial animals and humans have developed a sensitive and versatile system to maintain their water homeostasis. In states of hypernatremia or hypovolemia, the antidiuretic hormone vasopressin (AVP) is released from the pituitary and binds its type-2 receptor in renal principal cells. This triggers an intracellular cAMP signaling cascade, which phosphorylates aquaporin-2 (AQP2) and targets the channel to the apical plasma membrane. Driven by an osmotic gradient, pro-urinary water then passes the membrane through AQP2 and leaves the cell on the basolateral side via AQP3 and AQP4 water channels. When water homeostasis is restored, AVP levels decline, and AQP2 is internalized from the plasma membrane, leaving the plasma membrane watertight again. The action of AVP is counterbalanced by several hormones like prostaglandin E2, bradykinin, dopamine, endothelin-1, acetylcholine, epidermal growth factor, and purines. Moreover, AQP2 is strongly involved in the pathophysiology of disorders characterized by renal concentrating defects, as well as conditions associated with severe water retention. This review focuses on our recent increase in understanding of the molecular mechanisms underlying AVP-regulated renal water transport in both health and disease.

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Metadata

Authors
Boone, M., & Deen, P. M. T.
Venue
Pflügers Archiv - European Journal of Physiology
Published
2008-04-23
Volume
456
Issue
6
Pages
1005-1024
ISSN
  • 0031-6768 (ISSN-L)
  • 1432-2013
OpenAlex
W2162838622
Cited by
291
References
4
FWCI
5.83
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Physiology and pathophysiology of the vasopressin-regulated renal water reabsorption. https://app.cochat.ai/papers/10.1007/s00424-008-0498-1
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Boone, M., & Deen, P. M. T. (2008). Physiology and pathophysiology of the vasopressin-regulated renal water reabsorption. Pflügers Archiv - European Journal of Physiology. https://doi.org/10.1007/s00424-008-0498-1

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