PMID- 15458431 OWN - NLM STAT- MEDLINE DCOM- 20050225 LR - 20220330 IS - 0085-2538 (Print) IS - 0085-2538 (Linking) VI - 66 IP - 4 DP - 2004 Oct TI - Urinary excretion of aquaporin-2 water channel exaggerated dependent upon vasopressin in congestive heart failure. PG - 1387-92 AB - BACKGROUND: Impaired water excretion occurs in patients with congestive heart failure. The present study was undertaken to determine whether urinary excretion of aquaporin-2 (AQP-2) water channel is exaggerated in patients with congestive heart failure dependent upon arginine vasopressin (AVP). METHODS: Sixty-five patients with congestive heart failure and eight age- and gender-matched control subjects were examined. The patients were divided into four groups according to the criteria of New York Heart Association (NYHA). Plasma AVP levels, urinary excretion of AQP-2, and cardiac index were determined. RESULTS: Plasma AVP levels were progressively increased following the severity of NYHA class in the patients with congestive heart failure. Cardiac index was inversely decreased, and there was a negative correlation between plasma AVP levels and cardiac index (r=-0.430, P < 0.02). Urinary excretion of AQP-2 was 187.3 +/- 50.2 fmol/mg creatinine in the control subjects. It was markedly increased in the patients. Urinary excretion of AQP-2 was elevated to 1144.4 +/- 257.5 and 990.5 +/- 176.0 fmol/mg creatinine in the patients with NYHA class III and class IV, respectively, values significantly greater than the control subjects (P < 0.05). Urinary excretion of AQP-2 had a positive correlation with plasma AVP levels (r= 0.280, P < 0.02). CONCLUSION: The present study indicates that exaggerated urinary excretion of AQP-2 is dependent on baroreceptor-mediated release of AVP in patients with congestive heart failure. FAU - Funayama, Hiroshi AU - Funayama H AD - Department of Medicine, Jichi Medical School, Omiya Medical Center, Saitama, Japan. FAU - Nakamura, Tomohiro AU - Nakamura T FAU - Saito, Takako AU - Saito T FAU - Yoshimura, Akio AU - Yoshimura A FAU - Saito, Muneyasu AU - Saito M FAU - Kawakami, Masanobu AU - Kawakami M FAU - Ishikawa, San-E AU - Ishikawa SE LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Kidney Int JT - Kidney international JID - 0323470 RN - 0 (AQP2 protein, human) RN - 0 (Aquaporin 2) RN - 0 (Aquaporins) RN - 113-79-1 (Arginine Vasopressin) RN - 9NEZ333N27 (Sodium) SB - IM MH - Adult MH - Aged MH - Aged, 80 and over MH - Aquaporin 2 MH - Aquaporins/*urine MH - Arginine Vasopressin/*blood MH - Female MH - Heart Failure/*metabolism MH - Humans MH - Male MH - Middle Aged MH - Osmolar Concentration MH - Pressoreceptors/physiology MH - Sodium/blood EDAT- 2004/10/02 05:00 MHDA- 2005/02/26 09:00 CRDT- 2004/10/02 05:00 PHST- 2004/10/02 05:00 [pubmed] PHST- 2005/02/26 09:00 [medline] PHST- 2004/10/02 05:00 [entrez] AID - S0085-2538(15)50205-6 [pii] AID - 10.1111/j.1523-1755.2004.00902.x [doi] PST - ppublish SO - Kidney Int. 2004 Oct;66(4):1387-92. doi: 10.1111/j.1523-1755.2004.00902.x.