Cited by 155Electrolyte and hormonal disordersThermoregulation and physiological responsesIon Transport and Channel Regulation

The regulation of antidiuretic hormone release in man

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Segar, William E., Moore, Ward W.·1968·Journal of Clinical Investigation

Abstract

It has been postulated that alterations in the intravascular distribution of blood affect antidiuretic hormone (ADH) secretion in man. The studies reported here were designed to alter blood distribution by thermal and by positional change to test this thesis.HUMAN BLOOD ADH LEVELS HAVE BEEN SHOWN TO VARY WITH POSITION: a mean value of 0.4 +/- 0.6 (SD) muU/ml was obtained while the subject was supine, a value of 1.4 +/- 0.7 muU/ml while sitting, and 3.1 +/- 1.5 muU/ml while standing. In 79 control subjects, sitting comfortably for 30 min in a normal environment, a blood ADH level of 1.65 +/- 0.63 muU/ml was found. It is suggested that subjects assume this position during experiments in which blood is drawn for measurement of ADH levels.In eight seated subjects the ADH level rose from 1.6 +/- 0.4 to 5.2 +/- 0.8 muU/ml after a 2 hr exposure at 50 degrees C and fell to 1.0 +/- 0.26 muU/ml within 15 min at 26 degrees C.Six subjects with a mean ADH level of 2.2 +/- 0.58 muU/ml sat quietly in the cold (13 degrees C) for 1 hr, and the ADH level fell to 1.2 +/- 0.36 muU/ml. After 15 min at 26 degrees C, the level rose to 3.1 +/- 0.78 muU/ml. The serum sodium and osmolal concentrations remained constant during all studies.Water, sodium, and total solute excretion decreased during exposure to the heat, whereas the urine to plasma (U/P) osmolal ratio increased. During cold exposure, water, sodium, and total solute excretion increased, and there was a decrease in the U/P osmolal ratio.These data are interpreted as indicating that changes in activity of intrathoracic stretch receptors, in response to redistribution of blood, alter ADH secretion independently of changes in serum osmolality. The rapidity of change of blood ADH concentration indicates a great sensitivity and a prime functional role for the "volume receptors" in the regulation of ADH secretion.

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  1. Moore, W. W., W. E. Segar, J. A. Johnson, and J. E. Zehr. 1967. Blood ADH levels in hydrated humans during infusion of hypertonic saline. Federation Proc. 26: 256. (Abstr.)
  2. Moore, W. W., W. E. Segar, J. A. Johnson, and J. E. Zehr. 1967. Blood ADH levels in hydrated humans during infusion of hypertonic saline. Federa- tion Proc. 26: 256. (Abstr.)

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Authors
Segar, W. E., & Moore, W. W.
Affiliations
  • Indiana University Indianapolis (US)
  • Rockefeller Foundation (US)
Venue
Journal of Clinical Investigation
Published
1968-09-01
Volume
47
Issue
9
Pages
2143-2151
ISSN
0021-9738 (ISSN-L)
OpenAlex
W154707947
Cited by
155
References
30
Citations by year
2026: 2 · 2025: 1 · 2023: 1 · 2021: 2 · 2020: 3 · 2019: 7 · 2018: 3 · 2016: 6 · 2014: 2 · 2013: 3 · 2012: 4
FWCI
10.16
Type
journal article
Language
en
Open access
Locations
  • Journal of Clinical Investigation (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Electrolyte and hormonal disorders
  • Health Sciences › Medicine › Physiology › Thermoregulation and physiological responses
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
Keywords
vasopressin release, blood volume regulation, position change, heat exposure, cold exposure, volume receptors, serum osmolality, urine osmolality, thermoregulation

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