Osmotic threshold and sensitivity for vasopressin release and fos expression by hypertonic NaCl in ovine fetus

In adults, hyperosmolality stimulates central osmoreceptors, resulting in arginine vasopressin (AVP) secretion. Near-term fetal sheep have also developed mechanisms to respond to intravascular hypertonicity with stimulation of in utero AVP release. However, prior studies demonstrating fetal AVP secretion have utilized plasma tonicity changes greater than those required for adult osmotically induced AVP stimulation. We sought to examine near-term fetal plasma osmolality threshold and sensitivity for stimulation of AVP secretion and to correlate plasma hormone levels with central neuronal responsiveness. Chronically instrumented ovine fetuses (130 +/- 2 days) and maternal ewes simultaneously received either isotonic or hypertonic intravascular NaCl infusions. Maternal and fetal plasma AVP and angiotensin II (ANG II) levels were examined at progressively increasing levels of plasma hypertonicity. Intravenous hypertonic NaCl gradually elevated plasma osmolality and sodium levels. Both maternal and fetal plasma AVP increased during hypertonicity, whereas ANG II levels were not changed. Maternal AVP levels significantly increased with a 3% increase in plasma osmolality, whereas fetal plasma AVP significantly increased only at higher plasma osmolality levels (over 6%). Thus the slope of the regression of AVP vs. osmolality was greater for ewes than for fetuses (0.232 vs. 0.064), despite similar maternal and fetal plasma osmolality thresholds for AVP secretion (302 vs. 304 mosmol/kg). Hyperosmolality induced Fos immunoreactivity (FOS-ir) in the circumventricular organs of the fetal brain. FOS-ir was also demonstrated in the fetal supraoptic and paraventricular nuclei (SON and PVN), and double labeling demonstrated that AVP-containing neurons in the SON and PVN expressed Fos in response to intravenous NaCl. These results demonstrate that, in the ovine fetus at 130 days of gestation, neuroendocrine responses to cellular dehydration are functional, although they evidence a relatively reduced sensitivity for AVP secretion compared with the adult.     

Osmolality and volume factors in salt gland control of pekin ducks after adaptation to chronic salt loading

Summary Pekin ducks were adapted to permanent osmotic stress by rearing them on a NaCl solution of increasing concentration up to 2% as drinking water. Their salt and water balance was compared with that of non-adapted ducks maintained on tap water. Amounts and osmolalities of salt gland secretion and cloacal discharges, plasma osmolality and electrolytes were measured during stepwise osmotic loading by intravenous infusion of NaCl solution of about 740 mosm·kg^–1, at rates of 0.25, 0.45 and 0.65 ml·min^–1. Before loading, the plasma osmolality of the adapted ducks was about 22 mosm·kg^–1 higher than in non-adapted animals. The initial step of loading induced salt gland secretion in the adapted ducks after an average rise of plasma osmolality of 3.6 mosm·kg^–1 and in the non-adapted animals after a rise of 7.8 mosm·kg^–1. The method of osmotic loading enabled both groups of animals to balance their water input and output. However, only the adapted ducks were able to balance NaCl input and output, predominantly by salt gland secretion, thus maintaining a stable plasma osmolality. The nonadapted ducks retained 42% of the salt load which resulted in a rise of plasma osmolality of 49 mosm·kg^–1, more salt being excreted by the kidneys than by the salt glands.In the salt-adapted ducks, salt gland activity, plasma osmolality and Na⁺ concentration did not correlate during balanced states of salt input and output. The involvement of tonicity receptors in salt gland control was confirmed by the stimulating effects of various hypertonic solutions. On the other hand, continuous loading by a constant infusion of NaCl solution of 1,300 mosm·kg^–1 induced a steady salt gland secretion at a rising plasma osmolality and thus suggested that a volume factor is involved in salt gland control. Inhibition of salt gland activity by withdrawing blood and activation by blood infusion confirmed this assumption. While a direct cause and effect relationship between volume changes and salt gland secretion cannot be demonstrated, the results indicate that volume changes in one or more extracellular compartments do affect salt gland secretion.Supported by Deutsche Forschungsgemeinschaft (Si 320/2)     

Hypoalbuminaemic hyponatraemia: a new syndrome?

Six patients with severe hyponatraemia had neurological features of hyponatraemia and pronounced hypoalbuminaemia. All had biochemical features typical of the syndrome of inappropriate secretion of antidiuretic hormone with low serum osmolality and an inappropriately high urinary osmolality. All were given infusions of whole plasma or albumin solution, or both, to restore their plasma albumin concentrations to normal, which led to a dramatic increase in plasma sodium concentrations and serum osmolality, with a concomitant fall in urinary osmolality in all patients. Neurological features were reversed in four patients. It is suggested that severe hypoalbuminaemia is an important cause of appreciable hyponatraemia; infusions of plasma and albumin in such patients may reverse the biochemical and clinical features and should form the basis of management.     

Low-set osmotic threshold for vasopressin release in a patient with prolactinoma

This report describes a 38-year-old patient with prolactinoma, without adrenal or thyroid insufficiency, with syndrome of inappropriate secretion of vasopressin due to downward resetting of the hypothalamic osmoreceptors. Random measurements of plasma and urine osmolality revealed an inappropriately high urine osmolality for a given plasma osmolality. Simultaneous plasma vasopressin levels were within normal limits. Urine dilution after water load was normal. During infusion of hypertonic saline, the osmotic threshold was demonstrated at plasma osmolality of 267 mosmol/kg, which is markedly lower than the normal 287.3 +/- 3.3 mosmol/kg. Thirst sensation seemed to be intact. The defect in the osmoreceptor function might have been induced by the tumor mass or by chronic hyperprolactinemia.     

Effects of caecal ligation and saline acclimation on plasma concentration and organ mass in male and female Pekin ducks,Anas platyrhynchos

Summary The intestinal caeca reabsorb urinary sodium chloride (NaCl) and water (Rice and Skadhauge 1982). Free water may be generated if the reabsorbed NaCl is secreted via salt gland secretion (Schmidt-Nielsen et al. 1958). Therefore ceacal ligation should (a) reduce hingut NaCl and water reabsorption, (b) enhance the increase in plasma osmolality during saline acclimation, and (c) affect drakes more than ducks. Twelve Pekin drakes and 13 Pekin ducks, Anas platyrhynchos, were caecally ligated or sham operated before acclimation to 450 mmol · 1 NaCl. Body mass, hematocrit, plasma osmolality, and inonic concentrations of plasma, cloacal fluid, and salt gland secretion were measured after each increase in drinking water salinity. Osmoregulatory organ masses were determined. Caecal ligation did not effect plasma osmolality or ion concentrations of plasma, cloacal fluid, or salt gland secretion, but reduced salt gland size in ducks. Drakes and ducks drinking fresh water had the same hematocrit, plasma osmolality, and plasma concentrations of Na⁺ and Cl^–. In both sexes exposure to 75 mmol · 1^-1 NaCl significantly decreased plasma [Na⁺] and doubled cloacal fluid [Na⁺]. Exposure to 450 mmol · 1^-1 NaCl decreased body mass and increased hematocrit, plasma [Na⁺], [Cl^–], and plasma osmolality (more in drakes than in ducks); cloacal fluid osmolality nearly doubled compared to freshwater-adapted ducks, due mainly to osmolytes other than Na⁺ and Cl^–. The [Cl^–] in salt gland secretion only slightly exceeded drinking water [Cl^–].Abbreviations AVT antiduretic hormone - CF cloacal fluid - ECFV extraoellular fluid volume - FW freshwater acclimated - Hct hematocrit - MDWE mean daily water flux - [Na ⁺]_cf cloacal fluid sodium concentration - [Na ⁺]_pl plasma sodium concentration - Osm _cf cloacal fluid osmolality - Osm _pl plasma osmolality - SGS salt gland secretion - TBW total body water     

Effects of Osmolality and Ionic Strength on Secretion from Adrenal Chromaffin Cells Permeabilized with Digitonin

Hyperosmotic solutions inhibit exocytosis of catecholamine from adrenal chromaffin cells at a step after Ca2+ entry into the cells. The possibility that the inhibition resulted from an inability of shrunken secretory granules to undergo exocytosis was investigated in cells with plasma membranes permeabilized by digitonin. The osmoticants and salts used in this study rapidly equilibrated across the plasma membrane and bathed the intracellular organelles. When sucrose was the osmoticant, secretion was not significantly inhibited unless the osmolality was raised above 1,000 mOs. When the osmolality was raised with the tetrasaccharide stachyose or a low-molecular-weight maltodextrin fraction (average size a tetrasaccharide), one-half maximal inhibition occurred at 900-1,000 mOs. Prior treatment of permeabilized cells with Ca2+ in hyperosmotic solution did not result in enhanced secretion when cells were restored to normal osmolality. Increased concentrations of potassium glutamate or sodium isethionate were more potent than carbohydrate in inhibiting secretion. Half-maximal inhibition occurred at 600-700 mOs or when the ionic strength was approximately doubled. The inhibition by elevated potassium glutamate also occurred when the osmolality was kept constant with sucrose. Increasing the ionic strength did not alter the Ca2+ sensitivity of the secretory response. Reducing the ionic strength by substituting sucrose for salt reduced the Ca2+ concentration required for half-maximal stimulated secretion from approximately 1.2 microM to 0.5 microM. Chromaffin granules, the secretory granules, are known to shrink in hyperosmotic solution. The experiments indicate that shrunken chromaffin granules can undergo exocytosis and suggest that in intact cells elevated ionic strength rather than chromaffin granule shrinkage contributes to the inhibition of secretion by hyperosmotic solutions.(ABSTRACT TRUNCATED AT 250 WORDS)     

The syndrome of inappropriate antidiuretic hormone secretion

The syndrome of inappropriate antidiuretic hormone secretion (SIADH) is the commonest form of normovolaemic or dilutional hyponatraemia. The diagnosis of SIADH should be considered if the five cardinal criteria are fulfilled (hypotonic hyponatraemia, natriuresis, urine osmolality in excess of plasma osmolality, absence of oedema and volume depletion, normal renal and adrenal function). The clinical features are principally neuro-muscular and gastro-intestinal, the severity of which is related to both the absolute serum sodium concentration and its rate of fall, particularly if greater than 0.5 mmol/1/h. The dilutional hyponatraemia of SIADH develops due to persistent detectable or elevated plasma arginine vasopressin (AVP) concentrations in the presence of continued fluid intake. Osmoregulated inhibition of thirst failures to curb fluid intake. The major groups of causes of SIADH are: (i) neoplasia, (ii) neurological diseases, (iii) lung diseases and (iv) a wide variety of drugs. Inappropriate infusion of hypotonic fluids in the post-operative state remains a common cause. Four categories of osmoregulated AVP secretion have been described: (i) erratic AVP release, (ii) reset osmostat, (iii) persistent AVP release at low plasma osmolality and (iv) normal osmoregulated AVP secretion. For symptomatic patients with chronic SIADH, the mainstay of therapy remains fluid restriction. New antagonists to the antidiuretic action of AVP offer a new therapeutic approach.     

Mathematical simulation of the body fluid regulating system in dog

A mathematical model of body fluid volume and osmolality regulation was developed which incorporated the major nonlinearities of fluid assimilation, exchange, distribution and excretion. The non-linear differential equations define compartmental material balances for water, urea, sodium, protein and antidiuretic hormone (ADH). The parameters of these equations were calculated using analytical solutions and available steady-state experimental data. The model was used to simulate the renal response to five input forcings: (1) intraesophageal water infusion; (2) water ingestion; (3) intravenous ADH injection; (4) intravenous water infusion; and (5) intermittent water loading. The model yielded continuous simulation curves which agreed reasonably well with the available transient and steady-state experimental data. The model predicted that stimulating volume receptors via changes in left atrial pressure accounts for only 15–20% of changes in ADH secretion rate, whereas stimulation of the osmotic receptors via changes in plasma osmolality accounts for the remaining 80–85% of changes. Thus, it appears that regulation of ADH secretion is largely dependent upon plasma osmolality during forcings which do not appreciably alter the cardiovascular blood volume.     

Plasma hyperosmolality stimulates leptin secretion acutely by a vasopressin-adrenal mechanism

Glucose administration to rodents acutely stimulates leptin secretion. To investigate the mechanism, rats were infused intravenously with various concentrations of glucose, and plasma leptin concentrations were measured with time. The osmolality of the infusates was equalized with various concentrations of carbohydrates that are not metabolized. Hyperosmolar glucose stimulates leptin secretion in a dose-dependent manner, with peak plasma leptin concentrations occurring approximately 3 h after the end of the glucose infusion. Hypertonic infusions of galactose, mannitol, and sodium chloride independently stimulate leptin secretion with approximately one-half the strength of equivalent osmolar concentrations of glucose. Peak plasma leptin concentrations occur approximately 4 h after the end of the hypertonic solution infusion. Hypertonic solutions of mannitol do not stimulate leptin secretion in vasopressin-deficient or in adrenalectomized animals. In conclusion, intravenous infusions of hypertonic glucose and hypertonic mannitol independently stimulate leptin secretion. Hyperosmolality stimulates leptin secretion by a vasopressin-adrenal mechanism.     

Influence of opioid peptides on release from vasopressin and oxytocin neurones of the hypothalamoneurohypophyseal system: effects of naloxone in the conscious rat

We examined the effects of acute and chronic treatments with naloxone on release of vasopressin and oxytocin from the hypothalamoneurohypophyseal system (HNS) in conscious, chronically instrumented Long-Evans rats. Plasma concentrations of vasopressin-associated neurophysin and oxytocin-associated neurophysin were evaluated before and during an intravenous infusion of 18% saline at 100 microL.kg-1 body weight.min-1 for 60 min. Acute treatment with naloxone (2.75 mumol/kg, intravenous) did not measurably alter basal plasma osmolality or vasopressin-associated neurophysin concentration, but it caused a three-fold rise in basal plasma oxytocin-associated neurophysin concentration (16 +/- 2 to 46 +/- 3 fmol/mL, p less than 0.005). Chronic treatment with naloxone (13.75 mumol/day, subcutaneous pellets) increased plasma osmolality (292 +/- 1 to 300 +/- 2 mosmol/kg H2O, p less than 0.01) by day 5, but it had no measurable effects on basal vasopressin- or oxytocin-associated neurophysin concentration. There were also no significant differences in plasma sodium concentration (144.8 +/- 1.1 vs. 142.2 +/- 1.4 mequiv./L) under both conditions. Acute and chronic treatments with naloxone accompanied by salt loading produced a five- and four-fold decrease in the rates that plasma concentration of vasopressin-associated neurophysin changed with plasma osmolality, compared with untreated salt-loaded control rats. For oxytocin secretion from the HNS, both treatments accompanied by salt loading substantially decreased the threshold for changes in relation to plasma osmolality; the rise in plasma concentration of oxytocin-associated neurophysin was similar at all levels of hyperosmotic stimulation.(ABSTRACT TRUNCATED AT 250 WORDS)     

Osmoregulatory responses of glaucous-winged gulls (Larus glaucescens) to dehydration and hemorrhage

The effects of dehydration and hemorrhage on plasma ionic, osmotic, and antidiuretic hormone (arginine vasotocin) concentrations and of hemorrhage on salt gland secretion and glomerular filtration rate were evaluated in glaucous-winged gulls, Larus glaucescens. Dehydration for 24 h did not affect plasma ionic, osmotic or arginine vasotocin concentrations; 72 h dehydration significantly elevated plasma osmolality, plasma sodium and chloride concentrations, and plasma arginine vasotocin concentration, but did not affect plasma potassium concentration. Constant infusion of 0.8 mol·l^-1 NaCl increased plasma arginine vasotocin concentration and produced salt gland secretion in seven gulls; four secreted well, while three secreted less well. Removal of 20% blood volume during saline infusion immediately reduced (P<0.001) salt gland secretion rate in all gulls. After bleeding, good secretors maintained glomerular filtration rate and urine flow rate; the poorer secretors increased glomerular filtration rate and became diuretic. Blood replacement returned salt gland secretion rate to the prebleeding level (P<0.05) without affecting salt gland secretions sodium concentration in gulls which secreted well, but did not restimulate salt gland secretion in gulls which secreted poorly. Reinfusion of blood had no effect on glomerular filtration rate. Bleeding and blood replacement did not affect plasma arginine vasotocin concentration.Abbreviations AVT arginine vasotocin - ECF extracellular fluid - ECFV extracellular fluid volume - EDTA ethylenediaminetetra-acetate - EWL evaporative water loss - GFR glomerular filtration rate - Hct hematocrit - LB large blood sample - [Na⁺]_pl plasma sodium concentration - Osm_pl plasma osmolality - PEG polyethylene glycol - RH relative humidity - RIA radioimmunoassay - SB small blood sample - SGS salt gland secretion - T _a ambient temperature - TFA trifluoroacetic acid - UFR urine flow rate     

Quantitative prediction of vasopressin secretion using a computational population model of rat magnocellular neurons

The goal of this study was to create a realistic and quantitative simulation of vasopressin (AVP) secretion under iso-osmotic and short-term challenged plasma osmolality. The relationship between AVP concentration ([AVP]) and plasma osmolality was computed using a sophisticated and integrated model that chronologically simulates (1) the overall firing rate of the hypothalamus’ magnocellular neuronal (MCN) population, (2) the propagation of the spike activity down the axons, (3) the fatigue and facilitation mechanisms of AVP release at the axon terminals and (4) the [AVP] pharmacodynamics based on the trains of AVP release. This global simulation predicted that the differential MCN sensitivity to dynorphin would be the most critical mechanism underlying the individual variability of MCN firing behaviors (silence, irregular, phasic and continuous firing patterns). However, at the level of the MCN population, the simulation predicted that the dynorphin factor must be combined with the distribution of the resting membrane potentials among the MCNs to obtain a realistic overall firing rate in response to a change in osmolality. Moreover, taking advantage of the integrated model, the simulation predicted that the selective removal of the frequency-dependent facilitation of AVP secretion has a major impact on the overall [AVP]-to-osmolality relationship (mean absolute change of 2.59?pg/ml); the action potential propagation failure, while critical, has a smaller quantitative impact on the overall [AVP] (0.58?pg/ml). The present integrated model (from a single MCN to a quantitative plasma [AVP]) improves our knowledge of the mechanisms underlying overall MCN firing and AVP excitation-secretion coupling.     

Vasopressin and oxytocin release evoked by NaCl loads are selectively blunted by area postrema lesions

The present study investigated the effect of area postrema lesions (APX) on stimulated neurohypophysial secretion of vasopressin (VP) and oxytocin (OT) in conscious rats. Blunted increases in plasma levels of both pituitary hormones were observed when rats with APX were infused intravenously with 1 M NaCl solution (2 ml/h for 6 h). In contrast, plasma VP and OT increased normally in rats with APX when equivalent increases in plasma osmolality (but not plasma Na(+)) resulted from intravenous infusion of an equiosmotic solution of 1 M mannitol and 0.5 M NaCl. Furthermore, APX did not affect increases in plasma VP and OT stimulated by plasma volume deficits, nor did APX disrupt OT secretion stimulated by intravenous injection of cholecystokinin. These findings suggest that the area postrema plays an important role in mediating secretion of VP and OT in response to an NaCl load, but not in response to an equiosmotic load that does not cause substantial hypernatremia, and not in response to other stimuli of neurohypophysial hormone secretion. Together with previous reports, these results suggest that APX impairs Na(+) regulation in rats.     

Urinary excretion of aquaporin-2 and inappropriate secretion of vasopressin in hyponatremic patients after cerebral infarction.

Aquaporin-2, a water-channel protein, is known to increase water permeability due to vasopressin binding to V2 receptors at the renal collecting duct and is excreted into the urine. It is still unclear whether a hyponatremic state is caused by vasopressin-dependent aquaporin-2 in patients clinically diagnosed with the syndrome of inappropriate secretion of antidiuretic hormone. To determine this, we measured urinary aquaporin-2 and vasopressin by radioimmunoassay in normonatremic or hyponatremic patients after cerebral infarction and in healthy controls. In the normonatremia group, urinary aquaporin-2 and plasma AVP levels were higher than in controls. In the hyponatremia group, plasma AVP was relatively high despite low plasma osmolality in each patient. However, urinary aquaporin-2 in hyponatremia was significantly increased when compared with the other two groups. In conclusion, AQP-2 increment does not directly reflect non-osmotic AVP secretion in a hyponatremic state. This result indicates that the urinary excretion of AQP-2 is not only AVP-dependent in hyponatremic states.     

Effect of short term exposure to the anaesthetic 2-phenoxyethanol on plasma osmolality of juvenile dusky kob, Argyrosomus japonicus (Sciaenidae)

The plasma osmolality of early juvenile dusky kob, Argyrosomus japonicus , exposed to 2-phenoxyethanol and control fish that were pithed prior to sampling, was investigated. Exposure to 2-phenoxyethanol, after 2, 4, 6, 8 and 10 min, did not alter plasma osmolality (Friedman test; P = 0.976). There was no significant relationship between the size of fish within the range 133–170 mm SL (40–85 g) and plasma osmolality. Finally, there was no significant difference in plasma osmolality between anaesthetized fish and the control group that were pithed directly after removal from the tanks. Anaesthetizing juvenile dusky kob with 2-phenoxyethanol prior to blood sampling did not affect plasma osmolality.     

The Na+, K+, 2Cl- cotransporter of estuarine pufferfishes (Sphoeroides testudineus and S. greeleyi) in hypo- and hyper-regulation of plasma osmolality

The pufferfishes Sphoeroides testudineus and Sphoeroides greeleyi are estuarine species that osmoregulate efficiently, but S. testudineus tolerates seawater dilution to a much higher degree than S. greeleyi. This study aimed at testing whether NKCC is involved with their differential tolerance of seawater dilution, through the analysis of in vivo furosemide (NKCC inhibitor) injection both on hypo-regulation (in 35 per thousand salinity) and hyper-regulation (in 5 per thousand salinity). After exposure for 6 h or 5 days to both salinities, blood samples were obtained for determination of plasma osmolality, chloride, sodium and hematocrit, and muscle samples for determination of water content. Furosemide injection led to increased plasma osmolality and sodium in 35 per thousand and decreased osmolality and chloride in 5 per thousand, when compared to saline-injected controls. Furosemide injection led to hematocrit reduction in both salinities, and muscle water content increase in 5 per thousand and decrease in 35 per thousand in S. testudineus. The results are compatible with NKCC working in branchial NaCl secretion in 35 per thousand, in both species, and a higher role in cell volume regulation in blood and muscle cells of S. testudineus, in both salinities, which could partially explain the stronger capacity of S. testudineus to tolerate seawater dilution during low tide.     

Fluid-electrolyte shift and renin-aldosterone responses to exercise under hypoxia

In order to describe fluid-electrolyte shift and endocrine response to exercise under moderate acute hypoxia, 8 healthy male subjects (24 +/- 3 years old) were evaluated at 40, 60, 80 and 100% VO2 max in normoxic (N) and hypoxic (H) conditions (14.5% O2). VO2 max decreased from 55.5 +/- 1.3 to 45.8 +/- 1.4 ml/kg X min in H condition. Plasma volume reductions with increasing relative workloads were similar in N (9.4%) and H (9.9%) conditions. The rise in plasma osmolality was in part related to blood lactate accumulation which occurred in both conditions. However, variations in plasma solute content and osmolality suggested that exercise under hypoxia results in a greater electrolyte loss from vascular space and in a greater K+ loss from working skeletal muscles. Increase in catecholamine concentrations were similar in normoxic and hypoxic conditions except for lower maximal norepinephrine concentration under hypoxia. Finally, although plasma renin activity increased with workload in both conditions, plasma aldosterone did not significantly change. This dissociation between renin and aldosterone suggest that aldosterone release during exercise might depend upon other factors. However, changes in plasma potassium concentration do not appear as an important stimulus for aldosterone secretion during exercise.     

Plasma osmolality, urine composition and tissue water content of the toad Bufo viridis Laur. in nature and under controlled laboratory conditions

The compositions of plasma and urine were studied in toads (Bufo viridis) which were collected from three locations in Israel, and compared with toads which were kept under constant laboratory conditions for nearly 2 years. Plasma osmolality was rather constant (over 310 mOsm kg-1 H2O) during the whole year in the active toads. Urea was the most variable osmolyte in the plasma, and accounted for the higher osmolality in southern population. Urine osmolality fluctuated in a circannual fashion both in freshly captured and in the toads under constant laboratory conditions. Water content of the tissues was constant throughout the year, independent of the plasma osmolality. It is concluded that high plasma urea concentration and the excretory system (kidneys and the urinary bladder) are important in sustaining constant plasma osmolality in active toads. Both mechanisms change annually and form the basis for the high terrestriality of this species.     

Neurophysins as markers of vasopressin and oxytocin release. A study in carcinoma of the lung

Vasopressin-neurophysin (hNpI), oxytocin-neurophysin (hNpII) and blood osmolality were assayed before any treatment in basal conditions in 35 patients suffering from lung carcinoma (20 oat cell, 6 undifferentiated and 9 well-differentiated epidermoid cell carcinomas). Plasma vasopressin (antidiuretic hormone, ADH) was also assayed in 7 of the 20 patients suffering from oat cell carcinoma. We found a close correlation (r = 0.98) between plasma ADH and hNpI levels in the 7 patients. Further, hNpI was elevated in 13 out of the 20 oat cell carcinoma patients and in none of the epidermoid-cell carcinoma group; however, searching for an abnormality of ADH secretion as reflected by a detectable plasma hNpI level together with subnormal plasma osmolality revealed 2 additional positive results in the oat cell carcinoma group, and 2 out of the 6 in the undifferentiated-cell carcinoma group. hNpII was increased together with an increase in hNpI in 6 oat cell carcinoma patients; it was specifically increased without hNpI increment in 2 additional oat cell carcinoma patients and in 2 patients of the undifferentiated-cell carcinoma group (different from the 2 positive for the hNpI-osmolality ratio). hNpI and hNpII were normal in the majority of undifferentiated and all of the differentiated epidermoid-cell carcinoma group. Hence, our results show that simultaneous measurements of hNpI, hNpII, and blood osmolality could detect abnormalities in 17 out of 20 oat cell carcinoma patients, in 4 of the 9 undifferentiated-cell carcinoma patients, but in none of the differentiated epidermoid-cell carcinoma patients, suggesting that the neurophysin assay can be used for the early detection of oat cell- and possibly other neuroendocrine-derived carcinomas.     

Reason for the discrepancy between blood plasma osmolality and its Na+ concentration during cold stress in rats

The body temperature decrease to 24 degrees C or intraperitoneal injection of adrenaline (0.3 mg per 100 g body mass) to rats entailed the increased plasma osmolality and reduction in it of Na+ concentration. All plasma samples were ultracentrifuged. Osmolality was reduced and sodium concentration was increased in the internatant of the same samples where the maximal alterations were recorded. Experiments with the blood plasma of the lamprey which is rich under natural conditions in nonesterified fatty acids demonstrated analogous changes in osmolality and Na+ concentration in the plasma and plasma internatant. No significant changes were discovered in breast milk in which the percentage of high density lipoproteins is minimal. The authors assume that high density lipids are involved in the regulation of blood osmolality, with these lipids changing the solvent water activity and thereby lowering or raising blood plasma osmolality.