Long-term regulation of aquaporins in the kidney. Marples, David, J_rgen, Fr_kiaer & S_ren Nielsen. Department of Physiology, University of Leeds, Leeds LS2 9NQ, England; _Institute of Experimental Clinical Research, and _Department of Cell Biology, Institute of Anatomy, University of Aarhus, DK-8000 Aarhus, Denmark.
APStracts 5:0216F, 1998.
The discovery of the aquaporin family of water channels has greatly improved our understanding of how water crosses epithelial cells, particularly in the kidney. The study of the mechanisms involved in the regulation of collecting duct water permeability, in particular, has advanced very rapidly since the identification and characterisation of aquaporin 2 in 1993. One of the more surprising findings has been the dramatic long-term changes that are seen in the abundance of this protein, and the recognition that these changes represent a way of modulating the acute antidiuretic effects of vasopressin. Furthermore, such changes seem to be of aetiological and pathological significance in a number of clinical disorders of water balance. This review focusses on the various conditions in which aquaporin-2 expression is altered (either increased or decreased), and on what this can tell us about the signals and mechanisms controlling these changes. Ultimately, this may be of great value in the clinical management of water balance disorders. Evidence is also now beginning to emerge that there are similar changes in the expression of other renal aquaporins, which had previously been thought to provide an essentially constitutive water permeability pathway, suggesting that they too should be considered as regulatory factors in the control of body water balance.

Received 17 December 1998; accepted in final form 17 December
1998.
APS Manuscript Number F329-8.
Article publication pending Am. J. Physiol. (Renal Physiology).
ISSN 1080-4757 Copyright 1998 The American Physiological Society.
Published in APStracts on 18 December 1998