Apelin and Vasopressin: The Yin and Yang of Water Balance

Apelin, a (neuro)vasoactive peptide, plays a prominent role in controlling body fluid homeostasis and cardiovascular functions. Experimental data performed in rodents have shown that apelin has an aquaretic effect via its central and renal actions. In the brain, apelin inhibits the phasic electrical...

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Autores principales: Pierre-Emmanuel Girault-Sotias, Romain Gerbier, Adrien Flahault, Nadia de Mota, Catherine Llorens-Cortes
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Publicado: Frontiers Media S.A. 2021
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spelling oai:doaj.org-article:8bf2bd456ac14242904795752046d9972021-11-22T06:30:25ZApelin and Vasopressin: The Yin and Yang of Water Balance1664-239210.3389/fendo.2021.735515https://doaj.org/article/8bf2bd456ac14242904795752046d9972021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fendo.2021.735515/fullhttps://doaj.org/toc/1664-2392Apelin, a (neuro)vasoactive peptide, plays a prominent role in controlling body fluid homeostasis and cardiovascular functions. Experimental data performed in rodents have shown that apelin has an aquaretic effect via its central and renal actions. In the brain, apelin inhibits the phasic electrical activity of vasopressinergic neurons and the release of vasopressin from the posterior pituitary into the bloodstream and in the kidney, apelin regulates renal microcirculation and counteracts in the collecting duct, the antidiuretic effect of vasopressin occurring via the vasopressin receptor type 2. In humans and rodents, if plasma osmolality is increased by hypertonic saline infusion/water deprivation or decreased by water loading, plasma vasopressin and apelin are conversely regulated to maintain body fluid homeostasis. In patients with the syndrome of inappropriate antidiuresis, in which vasopressin hypersecretion leads to hyponatremia, the balance between apelin and vasopressin is significantly altered. In order to re-establish the correct balance, a metabolically stable apelin-17 analog, LIT01-196, was developed, to overcome the problem of the very short half-life (in the minute range) of apelin in vivo. In a rat experimental model of vasopressin-induced hyponatremia, subcutaneously (s.c.) administered LIT01-196 blocks the antidiuretic effect of vasopressin and the vasopressin-induced increase in urinary osmolality, and induces a progressive improvement in hyponatremia, suggesting that apelin receptor activation constitutes an original approach for hyponatremia treatment.Pierre-Emmanuel Girault-SotiasRomain GerbierAdrien FlahaultNadia de MotaCatherine Llorens-CortesFrontiers Media S.A.articleapelinvasopressinapelin receptormetabolically stable apelin-17 analogsdiuresisosmolalityDiseases of the endocrine glands. Clinical endocrinologyRC648-665ENFrontiers in Endocrinology, Vol 12 (2021)
institution DOAJ
collection DOAJ
language EN
topic apelin
vasopressin
apelin receptor
metabolically stable apelin-17 analogs
diuresis
osmolality
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
spellingShingle apelin
vasopressin
apelin receptor
metabolically stable apelin-17 analogs
diuresis
osmolality
Diseases of the endocrine glands. Clinical endocrinology
RC648-665
Pierre-Emmanuel Girault-Sotias
Romain Gerbier
Adrien Flahault
Nadia de Mota
Catherine Llorens-Cortes
Apelin and Vasopressin: The Yin and Yang of Water Balance
description Apelin, a (neuro)vasoactive peptide, plays a prominent role in controlling body fluid homeostasis and cardiovascular functions. Experimental data performed in rodents have shown that apelin has an aquaretic effect via its central and renal actions. In the brain, apelin inhibits the phasic electrical activity of vasopressinergic neurons and the release of vasopressin from the posterior pituitary into the bloodstream and in the kidney, apelin regulates renal microcirculation and counteracts in the collecting duct, the antidiuretic effect of vasopressin occurring via the vasopressin receptor type 2. In humans and rodents, if plasma osmolality is increased by hypertonic saline infusion/water deprivation or decreased by water loading, plasma vasopressin and apelin are conversely regulated to maintain body fluid homeostasis. In patients with the syndrome of inappropriate antidiuresis, in which vasopressin hypersecretion leads to hyponatremia, the balance between apelin and vasopressin is significantly altered. In order to re-establish the correct balance, a metabolically stable apelin-17 analog, LIT01-196, was developed, to overcome the problem of the very short half-life (in the minute range) of apelin in vivo. In a rat experimental model of vasopressin-induced hyponatremia, subcutaneously (s.c.) administered LIT01-196 blocks the antidiuretic effect of vasopressin and the vasopressin-induced increase in urinary osmolality, and induces a progressive improvement in hyponatremia, suggesting that apelin receptor activation constitutes an original approach for hyponatremia treatment.
format article
author Pierre-Emmanuel Girault-Sotias
Romain Gerbier
Adrien Flahault
Nadia de Mota
Catherine Llorens-Cortes
author_facet Pierre-Emmanuel Girault-Sotias
Romain Gerbier
Adrien Flahault
Nadia de Mota
Catherine Llorens-Cortes
author_sort Pierre-Emmanuel Girault-Sotias
title Apelin and Vasopressin: The Yin and Yang of Water Balance
title_short Apelin and Vasopressin: The Yin and Yang of Water Balance
title_full Apelin and Vasopressin: The Yin and Yang of Water Balance
title_fullStr Apelin and Vasopressin: The Yin and Yang of Water Balance
title_full_unstemmed Apelin and Vasopressin: The Yin and Yang of Water Balance
title_sort apelin and vasopressin: the yin and yang of water balance
publisher Frontiers Media S.A.
publishDate 2021
url https://doaj.org/article/8bf2bd456ac14242904795752046d997
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