ADH FA Flashcards
how is called ADH?
vasopresin
what neurophysin for ADH?
Neurophysin II.
what neurophysin for oxytocin?
neurophysin I
what nucleus for ADH?
supraoptic
what nucleus for oxytocin?
paraventricular
posterior pituitary origin?
neuroectoderm
where are supraoptic and paraventricular nuclei?
hypothalamus
ADH regulates what?2
serum osmolality (V2) and blood pressure (V1)
what is primary ADH function?
osmolality regulation
osmolality receptor?
V2
blood pressure receptor?
V1
ADH on serum and urine osmolality?
decr. serum osmol., incr. urine osmol
osmol. regulation is based on what?
aquapotin channel insertion in principal cells of collecting duct
what renal cells for ADH?
principal cells of collecting duct
ADH in central DI?
decreased (decr. production)
ADH in Nephr DI?
normal or increased (nera atsako inkstuose, bet production is in tact)
ADH analog?
desmopressin
use of desmopressin?
central DI or noctunal enuresis
why may be nephr DI?
drugs (pvz litis); can be caused due to mutation in V2 receptors.
ADH: osmolality vs hypovolemia?
osmolality more important
Through which secondary messenger(s) does the ADH-bound V2 receptor propagate its signal?
cAMP
cAMP what receptor?
ADH-bound V2 receptor
How does ADH increase H2O permeability of the principal cells of the late distal tubule and collecting duct?
Increased aquaporin 2 (AQP2) channels via increased cAMP
Through which secondary messenger(s) does the ADH-bound V1 receptor propagate its signal?
IP3/Ca2+
IP3/Ca2+
ADH-bound V1 receptor
What receptors sense a decrease in plasma volume, providing stimuli to increase ADH secretion?
Baroreceptor
baroreceptor in hypovolemia and ADH?
receptors sense a decrease in plasma volume, providing stimuli to increase ADH secretion
incr. serum osmolality is sensed where?
sensed by osmoreceptors in the anterior hypothalamus
incr. osmolality - what receptors?
osmoreceptors
decr. volume - what recetors?
baroreceptors
hypovolemia -> baroreceptors -> further signal send where and via what?
information transmitted through the vagus nerve to the hypothalamus
What effect does pain, nausea, hypoglycemia, and opiates have on ADH secretion?
increase ADH
low volume AND low osmolarity, what ADH?
volume > osmol, and ADH is secreted
high volume AND high osmolarity, what ADH?
volume > osmol, and ADH is NOT secreted
What effect does alcohol, atrial natriuretic peptide, and α-adrenergic agonists have on ADH secretion?
inhibits ADH
Nephrogenic diabetes insipidus is treated with thiazide diuretics. results in decreased Na+ reabsorption and water excretion & increased water reabsorption. Cia mazdaug gaunasi realityvi hipovolemia, todel skatinama vandens reabsorbcija
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