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Development and Clinical Application of a New Method for the Radioimmunoassay of Arginine Vasopressin in Human Plasma
Open accessAbstract
A radioimmunoassay has been developed that permits reliable measurements of plasma arginine vasopressin (AVP) at concentrations as low as 0.5 pg/ml in sample volumes of 1 ml or less. Nonhormonal immunoreactivity associated with the plasma proteins is eliminated by acetone precipitation before assay, leaving unaltered a component that is immunologically and chromatographically indistinguishable from standard AVP. Storage of plasma results in a decline in AVP concentration and, thus, must be carefully regulated. The plasma AVP values obtained by our method approximate the anticipated levels and vary in accordance with physiologic expections. In recumbent normal subjects, plasma AVP ranged from (mean +/-SD) 5.4+/-3.4 pg/ml after fluid deprivation to 1.4+/-0.8 pg/ml after water loading, and correlated significantly with both plasma osmolality (r=0.52; P<0.001) and urine osmolality (r=0.77; P<0.001). After fluid restriction, plasma AVP was uniformly normal relative to plasma osmolality in patients with nephrogenic diabetes insipidus and primary polydipsia but was distinctly subnormal in all patients with pituitary diabetes insipidus. The infusion of physiologic amounts of posterior pituitary extract caused a dose-related rise in plasma vasopressin that afterwards declined at the expected rate (t(1/2)=22.5+/-4 min). We conclude that, when used appropriately, our radioimmunoassay method provides a useful way of assessing AVP function in man.
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“Robertson et al. showed that two radioimmunoassays for vasopressin yielded measurements in unextracted plasma that were at least two orders of magnitude greater than those inferred from other evidence, and which did not fluctuate in parallel with endogenous authentic vasopressin (33,58).”
From Intranasal Oxytocin: Myths and Delusions (2016) · cites this paper as [58]
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Metadata
- Authors
- Robertson, G. L., Mahr, E. A., Athar, S., & Sinha, T.
- Affiliations
- Larue Carter Hospital (US)
- ORCID
- Robertson, Gary L.
- Venue
- Journal of Clinical Investigation
- Published
- 1973-09-01
- Volume
- 52
- Issue
- 9
- Pages
- 2340-2352
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC333039
- OpenAlex
- W1984984454
- Cited by
- 787
- References
- 26
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 15 · 2023: 11 · 2022: 17 · 2021: 11 · 2020: 13 · 2019: 10 · 2018: 13 · 2017: 14 · 2016: 25 · 2015: 14 · 2014: 18 · 2013: 11 · 2012: 15
- FWCI
- 23.58
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Nephrology › Electrolyte and hormonal disorders
- Life Sciences › Neuroscience › Endocrine and Autonomic Systems › Neuroendocrine regulation and behavior
- Health Sciences › Health Professions › Medical Laboratory Technology › Clinical Laboratory Practices and Quality Control
- Keywords
- vasopressin, radioimmunoassay, acetone precipitation, plasma osmolality, urine osmolality, fluid deprivation, water loading, nephrogenic diabetes insipidus, primary polydipsia, posterior pituitary extract
- MeSH terms
- Acetone, Antibodies, Antigen-Antibody Reactions, Arginine, Blood Preservation, Blood Pressure, Chromatography, Gel, Chromatography, Ion Exchange, Cross Reactions, Diabetes Insipidus, Diuresis, Humans, Iodine Isotopes, Lysine, Methods, Osmolar Concentration, Oxytocin, Pituitary Hormones, Posterior, Radioimmunoassay, Trimethoprim, Urine, Vasopressins, Vasotocin
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