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Pathophysiological roles of arginine vasopressin and aquaporin-2 in impaired water excretion and hyponatremia

Research Project

Project/Area Number 13671160
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Endocrinology
Research InstitutionJichi Medical School

Principal Investigator

ISHIKAWA San-e  Jichi Medical School, Professor, Department of Medicine, 医学部, 教授 (70112620)

Co-Investigator(Kenkyū-buntansha) NAGASAKA Shoichiro  Jichi Medical School, Assistant Professor, Department of Medicine, 医学部, 講師 (00296112)
KUSAKA Ikuyo  Jichi Medical School, Instructor, Department of Medicine, 医学部, 助手 (30285788)
SAITO Takako  Jichi Medical School, Instructor, Department of Medicine, 医学部, 助手 (90296103)
Project Period (FY) 2001 – 2002
Project Status Completed (Fiscal Year 2002)
Budget Amount *help
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2002: ¥1,600,000 (Direct Cost: ¥1,600,000)
Fiscal Year 2001: ¥1,900,000 (Direct Cost: ¥1,900,000)
KeywordsVasopressin / Aquaporin-2 / Hyponatremia / Transcription / SIADH / Osmolality / プロモーター活性 / 遺伝子発現
Research Abstract

We examined the alteration in aquaporin-2 (AQP-2) water channel in pathological state of arginine vasopressin (AVP)-dependent hyponatremia. First, SIADH model was prepared in Sprague-Dawley rats by giving liquid diet and subcutaneous infusion of dDAVP. Serum Na level was decreased to below 120 mmol/l in the experimental SIADH rats, and urinary osmolality remained as low as 800-900 mmol/kg, that was significantly lower than that of 3,000-3,200 mmol/kg in the control rats. Thus, urinary concentrating defect was found, which is called as AVP escape phenomenon. There were marked reduction in AVP receptor binding and AVP V_2 receptor mRNA expression, but they were not different between the two groups. The expression of AQP-2 mRNA in kidney was upregulated in the SIADH rats, and its expression was significantly attenuated as compared to that in the dDAVP-excess rats, which were given solid diet and subcutaneous infusion of dDAVP. Similar results were obtained with kidney AQP-2 protein expression and urinary excretion of AQP-2. These in vivo studies indicate that either extracellular volume expansion or hypoosmolality may directly inhibit kidney AQP-2 mRNA expression, resulting in AVP escape in SIADH. Following in vitro study was carried out to examine whether osmolality directly regulate transcription of 5'-flanking region of AQP-2. The AQP-2 promoter gene (-9.5 kb) was obtained, and its activity was determined by luciferase assay. Cyclic AMP responsive element (CRE) was present until -1.1 kb. Hypertonic pressure of 600 mmol/kg increased the luciferase activity by approximately 2-fold in the AQP-2 promoter (-9.5〜-1.1 kb). Further study determined two osmolality responsive sites in the AQP-2 promoter gene (-9.5〜-7.7 kb and -6.0〜-4.2 kb).

Report

(3 results)
  • 2002 Annual Research Report   Final Research Report Summary
  • 2001 Annual Research Report
  • Research Products

    (26 results)

All Other

All Publications (26 results)

  • [Publications] Ishikawa, S.: "Pathophysiological roles of arginine vasopressin and aquaporin-2 in impaired water excretion"Clin. Endocrinol.. (in press).

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Nakamura, T.: "Decrease in urinary excretion of aquaporin-2 associated with impaired urinary concentrating ability in..."Nephron. 92(2). 445-448 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kusaka, I.: "Urinary excretion of aquaporin-2 water channel in diabetic ketoacidosis"Nephron. 92(1). 167-169 (2002)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Saito, T.: "Role of aquaporin-2 gene expression in hyponatremic rats with chronic vasonressin-induced antidiuresis"Kidney Int.. 60(4). 1266-1276 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishikawa, S.: "Close association of urinary excretion or aquaporin-2 with appropriate and inappropriate arginine...."J. Clin. Endocrinol. Metab.. 86(4). 1665-1671 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Saito, T.: "Urinary excretion of the aquaporin-2 water channel in pathological states of impaired water excretion"Clin. Endocrinol.. 55(2). 217-221 (2001)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Saito,T., Higashiyama,M., Nagasaka,S., Sasaki,S., Saito,T., Ishikawa,S.: "Role of aquaporin-2 gene expression in hyponatremic rats with chronic vasopressin-induced antidiuresis"Kidney Int.. 60(4). 1266-1276 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishikawa,S., Saito,T., Fukagawa,A., Higashiyama,M., Nakamura,T., Kusaka,I., Nagasaka,S., Honda,K., Saito,T.: "Close association of urinary excretion of aquaporin-2 with appropriate and inappropriate arginine vasopressin-dependent antidiuresis in hyponatremia in elder subjects"J.Clin.Endocrinol.Metab.. 86(4). 1665-1671 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Saito,T., Higashiyama,M., Nakamura,T., Kusaka,I., Nagasaka,S., Saito,T., Ishikawa,S.: "Urinary excretion of the aquaporin-2 water channel exaggerated in pathological states of impaired water excretion"Clin.Endocrinol.. 55(2). 217-221 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Radetti,G., Paganini,C., Rigon,F., Gentili,L., Gebert,U., Ishikawa,S.: "Urinary aquaporin-2 excretion in nocturnal enuresis"Eur.J.Endocrinol.. 145(4). 435-438 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Fukagawa,A., Ishikawa,S., Saito,T., Kusaka,I., Nakamura,T., Higashiyama,M., Nagasaka,S., Kusaka,G., Masuzawa,T., Saito,T.: "Chronic hypernatremia derived from hypothalamic dysfunction : Impaired secretion of arginine vasopressin and enhanced renal water handling"Endocr.J.. 48(2). 233-239 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Tanaka,Y., Sugita,K., Saito,T., Muroya,K., Ishikawa,S., Awazu,M., Ogata,T.: "Impaired urinary water excretion in a three-generation family"Pediatr.Nephrol.. 16(10). 820-822 (2001)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Kusaka,I., Saito,T., Nakamura,T., Nagasaka,S., Ishibashi,S., Ishikawa,S.: "Urinary excretion of aquaporin-2 water channel in diabetic ketoacidosis"Nephron. 92(1). 167-169 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Nakamura,T., Saito,T., Kusaka,I., Higashiyama,M., Nagasaka,S., Ishibashi,S., Ishikawa,S.: "Decrease in urinary excretion of aquaporin-2 associated with impaired urinary concentrating ability in diabetic nephropathy"Nephron. 92(2). 445-448 (2002)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2002 Final Research Report Summary
  • [Publications] Ishikawa, S.: "Pathophysiological roles of arginine vasopressin and aquaporin-2 in impaired water excretion"Clin. Endocrinol.(Oxford). (in press).

    • Related Report
      2002 Annual Research Report
  • [Publications] Nakamura, T.: "Decrease in urinary excretion of aquaporin-2 associated with impaired urinary concentrating ability in diabetic"Nephron. 92(2). 445-448 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Kusaka, I.: "Urinary excretion of aquaporin-2 water channel in diabetic ketoacidosis"Nephron. 92(1). 167-169 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Ichiki, K.: "An endocrinopathy characterized by dysfunction of the pituitary-adrenal axis and alopecia universalis"Eur. J. Endocrinol.. 147(3). 357-361 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Nishida, Y.: "SG, SI and EGP of exercise-trained middle-aged men estimated by a two-compartment labeled minimal model"Am. J. Physiol.. 283(4). E809-E816 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Ando, F.: "Obesity is a critical factor for worsening of glucose tolerance in a family with the mutant insulin receptor"Diabetes Care. 25(8). 1484-1485 (2002)

    • Related Report
      2002 Annual Research Report
  • [Publications] Saito T.: "Role of aquaporin-2 gene expression in hyponatremic rats with chronic vasopressin-induced antidiuresis..."Kidney Int.. 60(4). 1266-1276 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Ishikawa S.: "Close association of urinary excretion of aquaporin-2 with appropriate and inappropriate arginine vasopressin..."J. Clin. Endocrinol. Metab.. 86(4). 1665-1671 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Saito T.: "Urinary excretion of the aquapprin-2 water channel exaggerated in pathological states of impaired"Clin. Endocrinol.. 55(2). 217-221 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Radetti G.: "Urinary aquaporin-2 excretion in noctural enuresis"Eur. J. Endocrinol.. 145(4). 435-438 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Tanaka Y.: "Impaired urinary water excretion in a three-generation family"Pediatr. Nephrol.. 16(10). 820-822 (2001)

    • Related Report
      2001 Annual Research Report
  • [Publications] Fukagawa A.: "Chronic hypernatremia derived from hypothalamic dysfunction : Impaired secretion of arginine vasopressin"Endocr. J.. 48(2). 233-239 (2001)

    • Related Report
      2001 Annual Research Report

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Published: 2001-04-01   Modified: 2016-04-21  

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