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The mechanism of polyuria in rats pretreated with lithium studies by in vitro microperfusion.

Abstract
The collecting ducts in papillae taken from normal rats have a measurable increase in diffusional tritiated water (THO) permeability with ADH 5 mu unit/ml and this increase is maximal with antidiuretic hormone (ADH) 100 mu unit/ml added to media. The presence of plasma from rats pretreated with lithium to make them polyuric inhibited the response to ADH. The lowest concentration of ADH that caused a measurable increase in diffusional water permeability was 50 mu unit/ml and the increase was maximal with ADH 2000 mu unit/ml. The maximum response to ADH did not differ whether plasma from control or lithium pretreated rats was used. However, the dose-response curve to ADH was shifted to the right by the plasma from lithium-pretreated rats. Lithium added to the plasma from control rats did not alter the response to ADH. It is proposed that lithium given to rats causes a circulatory factor to be produced that inhibits in a competitive fashion the response of the collecting duct to ADH. Such an effect would explain many features of the impairment of water excretion associated with lithium use.
AuthorsC Ray, T Morgan, S Carney
JournalClinical and experimental pharmacology & physiology (Clin Exp Pharmacol Physiol) 1983 Mar-Apr Vol. 10 Issue 2 Pg. 153-60 ISSN: 0305-1870 [Print] Australia
PMID6872333 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Vasopressins
  • Lithium
Topics
  • Animals
  • Body Water (drug effects)
  • Diabetes Insipidus (metabolism)
  • Diuresis (drug effects)
  • Kidney (drug effects)
  • Lithium (pharmacology)
  • Male
  • Perfusion
  • Permeability
  • Rats
  • Rats, Inbred Strains
  • Vasopressins (pharmacology)

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