Elsevier

Neuroscience

Volume 129, Issue 4, 2004, Pages 897-904
Neuroscience

From finch to fish to man: Role of aquaporins in body fluid and brain water regulation

https://doi.org/10.1016/j.neuroscience.2004.06.043Get rights and content

Abstract

Charles Darwin, in his Origin of the Species, noted that different species of finches on the Galapagos Islands had adapted their beak size based on where they sought their food. Homer Smith, in his book From Fish to Philosopher, discussed the evolution of the nephron from a single conduit in salt water vertebrates, to nephrons with large glomerular capillaries and proximal and distal tubules in fresh water vertebrates, to smaller glomerular capillaries in amphibians, to nephrons with loops of Henle to allow for urinary concentration and dilution in mammals. The kidney with its million nephrons has emerged as the vital organ for regulating body fluid composition and volume. With the recent discovery of aquaporin water channels, our understanding of volume regulation has been greatly enhanced. This article reviews current knowledge regarding: 1) the unifying hypothesis of body fluid volume regulation; 2) brain aquaporins and their role in pathophysiologic states; and 3) function and regulation of renal aquaporins in the syndrome of inappropriate antidiuretic hormone secretion (SIADH).

Section snippets

Unifying hypothesis of body fluid volume regulation

Body fluid volume regulation by the kidney relies on the complex interaction of numerous factors (Table 1). Clinically maladaptive responses can occur when extrarenal factors override the “innate wisdom” of the kidney (Starling, 1909). For example, in patients with cardiac failure or liver disease and in pregnant women, the normal kidney continues to retain sodium and water despite expanded blood, plasma, and extracellular fluid (ECF) volumes. Such fluid retention may ultimately lead to

Acknowledgments

This work was supported by the National Institute of Health (DK19928). Yung-Chang Chen was supported by a grant from the Chang Gung Memorial Hospital (Taipei, Taiwan).

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