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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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588<br />

Chapter | 18 Pituitary Function<br />

VP secretion through hemodynamic influences ( Wang and<br />

Goetz, 1985 ). In dogs, 24 h <strong>of</strong> fluid deprivation increases<br />

plasma VP because <strong>of</strong> changes in both extracellular volume<br />

and tonicity, but the increase in tonicity plays a greater role<br />

than the reduction in volume ( Wade et al. , 1983 ).<br />

It has been proposed that hemodynamic influences<br />

modulate VP secretion by raising or lowering the osmostat<br />

( Robertson, 1978 ). According to this concept, a decrease in<br />

plasma volume or pressure will permit normal osmoregulation<br />

<strong>of</strong> VP, but the threshold for release will be lowered<br />

by an amount proportional to the degree <strong>of</strong> hypovolemia or<br />

hypotension, associated with increased sensitivity <strong>of</strong> the VP<br />

response to rising plasma osmolality. Conversely, hypervolemia<br />

or hypertension increases the threshold and decreases<br />

the sensitivity <strong>of</strong> release (Quillen and Cowley, 1983) .<br />

There are numerous other factors that may influence<br />

VP secretion. Of these, nausea/vomiting ( Rascher<br />

et al. , 1986 ), insulin-induced hypoglycemia ( Vokes and<br />

Robertson, 1985b ), and stress ( Jorgensen et al. , 2002 ) are<br />

the most potent. The effects <strong>of</strong> opiates and opioid peptides<br />

on VP secretion have been studied for many years and<br />

have been the subject <strong>of</strong> some controversy. Both stimulatory<br />

and inhibitory effects have been reported. Apart from<br />

the substances, doses, and routes <strong>of</strong> administration used,<br />

the animal species is an important factor ( Van Wimersma<br />

Greidanus, 1987 ). Intracerebroventricular administration<br />

<strong>of</strong> β -END in conscious rats decreases basal and stimulated<br />

VP release ( ten Haaf et al. , 1986 ). An opioid inhibition <strong>of</strong><br />

dehydration-induced VP release has been reported in dogs<br />

( Wade, 1985 ). However, Hellebrekers et al. , (1988) could<br />

not confirm this endogenous opioid modulation <strong>of</strong> osmolality-regulated<br />

VP release in conscious dogs subjected to<br />

hypertonic saline infusion. In contrast, sharp increases in<br />

plasma VP have been found in conscious dogs after intravenous<br />

administration <strong>of</strong> the μ -type opiate receptor agonist<br />

methadone ( Hellebrekers et al. , 1987 ).<br />

In addition, a large number <strong>of</strong> drugs and hormones,<br />

among which are glucocorticoids (inhibitory effect), angiotensin<br />

II, and corticotropin-releasing factor (stimulatory<br />

effect), influence VP secretion ( Berl and Robertson, 2000 ).<br />

4 . VP Action and Aquaporin-2<br />

The biological effects <strong>of</strong> VP are mediated by three receptor<br />

subtypes: V1 receptors on blood vessels, V2 receptors<br />

on renal collecting duct epithelia, and V3 receptors (also<br />

termed V1b) responsible for the stimulation <strong>of</strong> adrenocorticotropin<br />

from the AL ( Birnbaumer, 2000 ; Robinson and<br />

Verbalis, 2003 ).<br />

The major role <strong>of</strong> VP is to regulate body fluid homeostasis<br />

by affecting water resorption. An increase in plasma VP<br />

results in increased water retention, which maintains plasma<br />

osmolality between narrow limits. The antidiuretic effect is<br />

achieved by promoting the reabsorption <strong>of</strong> solute-free water<br />

in the distal and collecting tubules <strong>of</strong> the kidney. In the<br />

absence <strong>of</strong> VP, this portion <strong>of</strong> the nephron is not permeable<br />

to water and the hypotonic filtrate <strong>of</strong> the ascending limb <strong>of</strong><br />

Henle’s loop passes unmodified through the distal tubule and<br />

collecting duct. In this condition urine osmolality decreases<br />

to around 80 mOsm/kg. Binding <strong>of</strong> VP to its V2 receptor in<br />

collecting duct cell membranes initiates a signal transduction<br />

cascade leading to an intracellular increase in cAMP<br />

( Jard, 1983 ), activation <strong>of</strong> protein kinase A ( Deen et al. ,<br />

2000 ), and subsequent phosphorylation <strong>of</strong> the water channel<br />

protein, the so-called aquaporin-2. In the plasma membranes<br />

<strong>of</strong> highly water-permeable cells, aquaporins (AQPs), a family<br />

<strong>of</strong> integral membrane proteins, function as water-selective<br />

channels ( Agre et al. , 2002 ; Deen et al. , 2000 ; Nielsen<br />

et al. , 1995 ). Seven different renal AQPs (AQP 1-4, 6-8)<br />

have been defined thus far, correlating with well-defined<br />

segmental permeabilities in the nephron ( King and Yasui,<br />

2002 ). Aquaporin-2 has been characterized as the major<br />

VP-regulated water channel and is predominantly localized<br />

in the apical membrane and the intracellular vesicles <strong>of</strong> collecting<br />

duct principal cells ( Nielsen et al. , 1993 ). In the presence<br />

<strong>of</strong> these water-selective channels, water can move passively<br />

along an osmotic gradient—that is, from the distal and collecting<br />

duct tubules to the hypertonic renal medulla. After<br />

VP withdrawal, aquaporin-2 is redistributed into the cell and<br />

water permeability decreases ( Nielsen et al. , 1995 ). Urinary<br />

excretion <strong>of</strong> AQP2 closely parallels changes in VP exposure<br />

and has been proposed as a reliable marker for collecting<br />

duct responsiveness to VP in various physiological states <strong>of</strong><br />

water homeostasis as well as disorders <strong>of</strong> water homeostasis.<br />

As in humans, urinary AQP2 excretion in dogs closely<br />

reflects changes in VP exposure, elicited by water loading,<br />

hypertonic saline infusion, and intravenous desmopressin<br />

administration and is proposed as a marker for collecting<br />

duct responsiveness to VP ( van Vonderen et al. , 2004c ).<br />

Besides this well-known role in the regulation <strong>of</strong> fluid<br />

homeostasis, VP exerts a large variety <strong>of</strong> effects. Among<br />

these is the vasopressor effect, which is mediated by V1<br />

receptors ( Liard, 1986 ). In addition, VP increases glucogenolysis<br />

by liver cells, increases ACTH release by adenohypophysis<br />

( Lowry et al. , 1987 ), and has several effects on<br />

animal behavior ( de Wied and Versteeg, 1979 ). The extrarenal<br />

effects on hepatocytes and vascular smooth muscle<br />

are exerted through cAMP-independent, calcium-dependent<br />

V1 receptors ( Jard, 1983 ).<br />

There is some evidence that in birds AVT, apart from<br />

its established antidiuretic action, also has oxytocic properties<br />

and participates in normal oviposition ( Shimada et al. ,<br />

1986, 1987 ). MT does not seem to function in oviposition<br />

and its release was found to be negatively correlated with<br />

plasma osmolality ( Koike et al. , 1986 ).<br />

5 . Disease<br />

Disorders <strong>of</strong> the hypothalamic-neurohypophyseal system<br />

resulting in deficiency or excess <strong>of</strong> VP are known to occur

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