12. Lecture 26, 27 Flashcards
What are osmoreceptors?
Neurons able to sense changes in plasma osmolality
Located in the organum vasculosum of the lamina terminalis (OVLT) and the subfornical organ (SFO)
Elevated osmolality activates mechanosensitive cation channels in the neuronal membranes and causes depolarization and increased frequency of AP, hypo-osmolality decreases frequency
Slide 1-2 lecture 26
Where do osmosensitive neurons project to?
Project to large diameter neurons (magnocellular neurons) in the supraoptic (SON) and paraventricular nuclei (PVN) of anterior hypothalamus
Magnocellular neurons synthesize arginine vasopressin (AVP), that is transported along their axons to nerve terminals in the posterior line of pituitary
AVP enters general circulation
Slide 1-2 lecture 26
How does osmosensation turn to systemic osmoregulation?
Hyperosmolality triggers 2 parallel feedback control mechanisms that have a common endpoint: increase in whole body free water
AVP osmoreceptors in the hypothalamus trigger magnocellular neurons to release AVP, results in increase in reabsorption of water in the kidneys (reduced excretion of water)
Thirst osmoreceptors also trigger appetite for water
Reduction in osmolality
Increase in whole body free water
Slide 3 lecture 26
Study kidney breakdown slides 5-6 lecture 26
Okay
What makes collecting duct permeable to water?
Vasopressin makes collecting duct permeable to water
Permeability of last portion of tubules can vary greatly due to physiological conditions
Major determinant of controlled permeability is the peptide hormones arginine vasopressin (antidiuretic hormone; ADH)
Slide 7-8 lecture 26
What are the 4 steps of insertion fo water into the apical membrane?
- Vasopressin binds to membrane receptor
- Receptor activates cAMP second messenger system
- Cell inserts AQP2 water pores into apical membrane
- Water is absorbed by osmosis in the blood
Slide 9 lecture 26
Where are the 2 places AQP2 water pores are found?
How does vasopressin affect these pores?
AQP2 is found:
On the apical membrane facing the tubule
In the membrane of cytoplasmic storage vesicles
When vasopressin levels/water permeability levels low, collecting duct has few water pores but stores them in cytoplasmic storage vesicles
When vasopressin arrives at collecting duct it binds to its V2 receptors on the basolateral side of cell, exocytosis inserts AQP2 water pores into apical membrane
What is the short term regulation of water permeability?
AVP via cAMP causes water channel containing vesicles from a subapical pool to fuse with the membrane
Number of channels and water permeability sharply increase
Slide 11 lecture 26
What is the long term regulation of water permeability?
AVP by enhancing transcription of the AQP2 gene increases the abundance of AQP2 protein
Slide 11 lecture 26
Study the steps in these two scenarios:
If we were so overhydrated we had no ADH
If we were so dehydrated we had maximal ADH
Slide 12 lecture 26
Okay
What does vasopressin do to urea?
Vasopressin increases urea reabsorption
Vasopressin increases permeability of the inner medullary portion of the collecting duct to urea by increasing the activity of apical UT-A1 urea transporters
Results in increase reabsorption and high interstitial urea
Slide 13 lecture 26
Study the graphs of no vasopressin and max vasopressin effect on slide 14 lecture 26
Okay
What is central (neurogenic) diabetes insipidus?
Inability to produce or release ADH from posterior pituitary
Distal tubular segments cannot reabsorb water in absence of ADH
Results in formation of large volume of dilute urine, thirst mechanisms are activated when excessive water is lost
Can be caused by brain tumour, trauma, infection, brain surgery
Treat with vasopressin analog desmopressin (DDAVP)
Slide 15 lecture 26
What is primary (psychogenic) polydipsia?
Compulsive water drinking
Synthesis, secretion, nephron sensitivity to ADH and osmoreceptor response all intact
Seen in some patients with severe mental illness
Water intoxication
Slides 16-17 lecture 26
What is regulatory volume increase (RVI)?
A hyperosmolal extracellular solution exerts an osmotic force that draws water out of a cell
The cell continues to shrink until the osmolality inside and out becomes the same
Many types of cells respond to this shrinkage by activating different types of solute uptake processes to increase cell solute and water content in a response known as RVI
Slide 1 lecture 27