Lec 4 - PPG + vasopressin Flashcards

1
Q

what does vasopressin doo

A

pormote reabsorption of water back into circulation, so less is lost in urine

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2
Q

where does vasopressin act in the nephron

A
  • Distal convulated tubule
  • collecting duct
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3
Q

how does adh increase water reabsorp

A

stim synthesis of aquaporins
and their insertion into membrane of kidney tubule cells

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4
Q

what do aquaporins do

A

transport solute free water through tubular cells of kidney back into blood

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5
Q

what would a decrease in plasma osmolality be

A

DILUTION of the blood
(which in turn means increased osmolality of the urine - yelow pee)

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6
Q

what receptors does vasopressin bind to on kidney tubule cells

A

V2 receptors
(a Gs GPCR)

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7
Q

what pathway does vasopressin stimulate

A

adenylate cyclase -> cAMP -> PKA activated

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8
Q

which aquaporin specifically is synthesised when vasopressin present

A

AQP-2
gets inserted into APICAL membrane

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9
Q

which aquaporins are constituently present in basolateral membrane

A

AQP 3 and 4

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10
Q

what is increased osmolality in the blood detected by

A

hypothalamic osmoreceptors
which stim secretion of vasopressin from hypothalamic neurons

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11
Q

how are baroreceptors involved in vasopressin secretion

A

barorec in aortic arch, left atrium and carotid sinus detect drop in blood vol
- stim adh release

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12
Q

negative feedback in adh release

A

a decrease in plasma osmolality
or
an increase in plasma volume
negatively feeds back and reduces adh release

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13
Q

what external pressures can increase adh secretion

A

basically anything bad
- angiotensin
- pain
- anxiety
- nausea
- vomiting
- haemorrhage
- drugs e.g. nicotin, morphine

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14
Q

what external things can decrease adh secretion

A

ethyl alcohol
caffiene

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15
Q

how can adh affet vascular system

A
  • not much in humans, but other species
  • high conc of adh causes constric of arterioles
  • increases arterial pressure
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16
Q

how is thirst linked to adh secretion

A
  • osmotic threshold for adh secretion is much lower
  • before thirst appears, adh will have already been released and in full effect
17
Q

what is some possible overlap of adh and oxytocin, interms of secondary effects of adh

A
  • memory formation/learning
  • anti fever and pain relief properties
  • social = fatherly behaviour (this is wehre it possibly overlaps)
18
Q

2 types of diabetes insipidus

A
  • hypothalamic (central) DI
  • nephrogenic DI
19
Q

what could hypothalamic DI be caused by

A
  • head trauma
  • infections
  • tumours
    that involve the hypothalamus
20
Q

what could nephrogenic DI be caused by

A
  • renal disease
  • mutated vasopressin receptor gene
  • mutated AQP-2 gene
21
Q

how could DI be treated

A
  • exogenous vasopressin (only for hypothalamic)
  • nephrogenic only treated with enough water intake, otherwise nothing else
22
Q

symptom of DI

A

excessive urine production

23
Q
A