L10: Osmoregulation Flashcards

1
Q

What is ADH also known as

A

Vasopressin

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2
Q

Where is ADH Synthesised

A

In the hypothalamus

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3
Q

Where is ADH stored and released from

A

The posterior pituitary gland

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4
Q

Where is osmolality in the brain detected

A

Anterioventral third ventricle (AV3)

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5
Q

What does the AV3 region contain

A

Neurones that synthesis ADH

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6
Q

Which protein is ADH released with

A

Neurophysin

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7
Q

What is the half life of ADH

A

Short

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8
Q

Which receptors does ADH act on in the kidneys

A

V2 receptors

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9
Q

What type of receptors are V2 receptors

A

GPCRs with Gi attached

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10
Q

What happens when ADH binds to V2 receptors

A

Gi stimulates adenylyl cyclase
Adenyly cyclase produces CAMP
CAMP increases the synthesis of AQP2 in the collecting duct
CAMP activates PKA which causes the insertion of AQP2 into the apical membrane

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11
Q

What receptors do ADH bind to in the veins

A

V1 receptors

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12
Q

What does ADH/vasopressin cause in the veins

A

Vasoconstriction

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13
Q

What is the structure of Aquporins

A

4 subunits

Each subunit has a pore for water= 4 pores

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14
Q

What other hormone does the posterior pituitary gland release

A

Oxytocin

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15
Q

What is the role of oxytocin

A

Trigger milk production

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16
Q

Which receptors do oxytocin act on

A

V1 and V2 receptors

17
Q

What does less water intake do to the osmolality

A

Increase it

18
Q

When do we get a decreased osmolality

A

When we have a great intake of water

19
Q

What happens to ADH levels when there is a decreased osmolality

A

ADH levels are suppressed

20
Q

With max ADH what is the volume of urine we produce a day

A

300-400ml

21
Q

When there is no ADH what is the volume of urine we produce a day

A

25 litres

22
Q

What is the concentration of urine like when there is max ADH

A

Concentrated

23
Q

What is the concentration of urine like when there is no ADH

A

Dilute

24
Q

What is the max urine osmolality we can produce

A

1400 mosmkg-1

25
Q

Why can we not drink sea water

A

The osmolality of sea water is high and to get rid of this high osmolality we lose water

26
Q

Which 2 ions area big impact on osmolality

A

Sodium

Potassium

27
Q

Why is sodium important in osmolality

A

Sodium stays in the extracellular space for a long time and does not get taken up into cells
Therefore sodium is the main contributor to osmolality because it is not taken up into cells

28
Q

Does potassium stay in the body more or it is secreted

A

Mostly secreted

29
Q

In diabetes mellitus why do patients drink lots of water

A

An increase in glucose increases osmolality

This increased osmolality induces thirst and patient drink more

30
Q

Why do patients with diabetes mellitus have confusion

A

When they are thirsty due to an increase in glucose
ADH is released
This reabsorbed water and sodium concentration falls leading to hyponatremia
This results in seizures and confusion

31
Q

When does osmoregulation regulate the concentration

A

When we change the solute content

32
Q

When does osmoregulation correct the volume change

A

When we change the water content of the body

33
Q

Overall what are the roles of osmoregulation i.e ADH

A

Correct body volume

Correct solute content