[Role of V1- and V2-receptors in mechanism of physiological paradox--an increase of reabsorption of the solute free water and simultaneous rise of diuresis]

Ross Fiziol Zh Im I M Sechenova. 2006 Oct;92(10):1228-38.
[Article in Russian]

Abstract

In experiments on non-anesthetized rats with administration into stomach of water (5 ml/100 g body mass) direct correlation has been found between an increase of diuresis and excretion of solute free water (r = 0.98, p < 0.01), while after injection to these animals of 5 x 10(-11) M arginine-vasotocin - between an increase of diuresis and simultaneous rise reabsorption of solute free water (r = 0.8, p < 0.01). The rise of diuresis after the vasotocin injection is due to inhibition of sodium re- absorption, with the solute excretion fraction increasing from 2.6 +/- 0.2 % to 11.9 +/- 1.2, p < 0.001. A similar physiological paradox - an increase of diuresis with the simultaneous increase of reabsorption of solute free water - has been revealed at night hours in children with tendency for nocturnal enuresis (r = 0.64, p < 0.01). Mechanism responsible for this phenomenon consists in a rise of diuresis due to a decrease of sodium ion reabsorption in the ascending Henle loop limb. A problem is discussed of the homeostatic significance of a decrease of sodium reabsorption combined with an increase of solute-free water reabsorption; it is suggested that this phenomenon is based on a redistribution of reabsorption inside the nephron - a decrease of ion and water reabsorption in the initial parts of the nephron distal segment and an increase of solute free water reabsorption with the antidiuretic hormone-stimulated high osmotic permeability of terminal parts of renal tubules. An intraperitoneal injection of V1-anatagonist (OPC-21268) decreased the natriuretic component of response to arginine-vasotocin, while injection of V2-antagonist (OPC-31260) eliminated the antidiuretic component.

Publication types

  • English Abstract
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Absorption
  • Adolescent
  • Animals
  • Antidiuretic Hormone Receptor Antagonists
  • Child
  • Child, Preschool
  • Diuresis / drug effects
  • Diuresis / physiology*
  • Female
  • Humans
  • Kidney Function Tests
  • Nocturnal Enuresis / physiopathology*
  • Osmolar Concentration
  • Rats
  • Rats, Wistar
  • Receptors, Vasopressin / agonists
  • Receptors, Vasopressin / metabolism*
  • Vasotocin / pharmacology
  • Water / physiology
  • Water-Electrolyte Balance

Substances

  • Antidiuretic Hormone Receptor Antagonists
  • Receptors, Vasopressin
  • Water
  • Vasotocin