Fundamental to the maintenance of water balance in humans isthe rate at which the kidneys excrete free water, which is primarilyregulated by arginine vasopressin. The antidiuretic action ofarginine vasopressin requires the binding of the hormone tothe renal-type (V2) vasopressin receptor, which results in theactivation of adenylate cyclase, the generation of cyclic AMP(cAMP), and increased reabsorption of water across the apicalmembrane of the cells of the renal collecting duct1.
Congenital nephrogenic diabetes insipidus is a rare hereditarydisorder in which renal responsiveness to arginine vasopressinis impaired. In some families, the disorder is . . . [Full Text of this Article]
Methods
Subjects
Screening for Mutations
PCR Amplification and Subcloning
PCR-Based Mutation Analysis
Direct PCR Sequencing
Linkage Analysis
Results
DNA Sequencing and PCR Analysis of the Mutation
Correlation of the Mutation with the Disorder
Discussion
Source Information
From the Renal Unit, Massachusetts General Hospital, and the Department of Medicine, Harvard Medical School, Boston (E.J.H., L.F.K., D.A.A.), and the Division of Nephrology, Children's Hospital, and the Department of Pediatrics, Harvard Medical School, Boston (H.W.H., L.M.G.-W., B.B.).
Address reprint requests to Dr. Harris at the Department of Pediatrics, Harvard Medical School, 300 Longwood Ave., Boston, MA 02115.
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