Antidiuretic hormone (ADH), also known as vasopressin, is an important hormone produced by the hypothalamus and released by the posterior pituitary gland. It maintains water balance by increasing water reabsorption in the kidneys. ADH plays a great role in homeostasis, controlling blood volume and osmotic pressure. It is one of the major scoring chapters in biology in CBSE class 11. It accounts for 2-4% of total marks in entrance exams such as NEET, AIIMS, nursing, paramedical, and pharmacy.
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Although the posterior pituitary lobe, or neurohypophysis, does not synthesize hormones, it does store and secrete two peptide hormones, namely oxytocin and vasopressin.
Antidiuretic Hormone is one of the two neurohormones synthesized by the neurosecretory cells present in the hypothalamus and carried to the neurohypophysis along the nerve fibres, where it is stored along with oxytocin.
Specialized neurons of the hypothalamus with the ability to secrete known as “neurosecretory cells,” synthesize these hormones, which are then transported axonally via neurohypophysial capillaries to the posterior lobe.
Thus, the antidiuretic hormone (ADH or vasopressin hormone) is secreted into the bloodstream by the posterior lobe of the pituitary gland present at the base of the brain.
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The release of Antidiuretic Hormone into the bloodstream is regulated by various factors. These include:
Factors | Antidiuretic Hormone release affects |
Blood pressure | It is detected by receptors present in large blood vessels and the heart which increases antidiuretic hormone secretion. |
Salt concentration | This is detected by neurosecretory cells present in the hypothalamus and hence results in increasing antidiuretic hormone secretion. |
High adh due to medical complications | This can be due to the effects of drugs, pulmonary conditions, and, in severe cases, cancers such as leukaemia and lymphoma. |
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High ADH levels |
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Some of the major functions of Antidiuretic Hormone is discussed below:
The antidiuretic hormone causes vasoconstriction and clot formation.
The antidiuretic hormone plays a significant role in regulating the biological clock.
ADH maintains the body's homeostasis, blood volume & the smooth and proper flow of urine from the kidneys.
Apart from this adh also maintains an appropriate volume of water in the spaces surrounding the cells inside the body.
The antidiuretic hormone also aids in smooth cellular functions.
The Antidiuretic Hormone mechanism of action can be explained as follows-
Antidiuretic Hormone exerts an antidiuretic action by enhancing the reabsorption of water from the kidneys back into circulation. Antidiuretic or vasopressin affects V1 and V2 receptors to produce its effects.
Aspect | Mechanism |
Receptor action | Acts upon V1 and V2 receptors to activate their effects. |
V2 receptors |
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V1 receptors |
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ADH causes constriction of blood vessels and raises blood volume or blood pressure, which is why it is called vasopressin.
Effect of Antidiuretic Hormone | Explanation |
Blood vessel constriction | It helps in increasing blood pressure and blood volume, and this results in constriction of the blood vessels. |
Contraction of smooth muscles | Helps some contracting smooth muscles of the body such as the small intestine, large intestine, gallbladder, urinary bladder, and blood vessels. |
Maintenance of homeostasis | Also helps in the maintenance of body homeostasis and proper cellular functions. |
Water reabsorption | Acts upon proximal renal tubules that are responsible for water reabsorption. Also reduces urine volume by concentrating it. |
Regulation of the circadian cycle | Antidiuretic hormone maintains the body's circadian cycle by regulating it. |
Excess secretion of Antidiuretic Hormone can also lead to some major side effects in the body. Some of them are mentioned below:
A low level of ADH in the blood results in diabetes insipidus, where the reabsorption of water is reduced.
This results in excessive water loss through dilute urine.
Antidiuretic hormone often lowers blood pressure and increases urine volume.
Hyposecretion of adh also causes damage to the hypothalamus and pituitary gland.
A high adh level causes the blood to dilute and the plasma to be low in sodium.
Hypersecretion of adh can result in acute conditions with symptoms such as nausea, headache, dehydration, vomiting, etc.
A hyper or hypo secretion of ADH often results in several disorders.
These are as follows-
Insomnia
Head injuries
Delayed puberty
Frequent urination
Change in appetite etc.
Here are some quick tips, tricks, and strategies to remember the role of ADH (antidiuretic hormone) or vasopressin:
"Anti-diuretic" = Less Uretic
"Anti" means opposing, so ADH reduces urination by retaining water in the body.
Vasopressin = Vessel Pressure
Vasopressin is another name for ADH. It presses the blood vessels, leading to an increase in blood pressure.
Remember: Vasopressin = Vessel pressure rises.
V2 = Water Reabsorption
V2 receptors in the kidneys help in water reabsorption.
Tip: Think of H2O to remember V2's role with water.
V2 = Very Thirsty
When ADH acts on the kidneys, water is reabsorbed, reducing thirst and maintaining hydration.
During preparation for different exams, students may face different questions on the topic of antidiuretic hormone
Exam type | Types of questions asked |
Definition of Antidiuretic hormones, explanation of their role, effects of adh on blood pressure, and difference between adh and other hormones. | |
Mechanism of action of Antidiuretic hormone, implications of Antidiuretic hormones, case studies related to Antidiureutic hormones disorder. | |
Paramedical Entrance Exams | Managing the disorders. |
The table which is given below contains the overall weightage of the topic of antidiuretic hormone in different exams. This will help in increasing concentration on the topic as per the weightage.
Entrance Exam | Weightage (Approximate) |
---|---|
NEET (National Eligibility cum Entrance Test) | 1-2 Questions |
AIIMS (All India Institute of Medical Sciences) | 1-2 Questions |
JIPMER (Jawaharlal Institute of Postgraduate Medical Education and Research) | 1 Question |
PGIMER (Postgraduate Institute of Medical Education and Research) | 2-3 Questions |
KVPY (Kishore Vaigyanik Protsahan Yojana) | 0-1 Question |
ICMR JRF (Indian Council of Medical Research Junior Research Fellowship) | 1-2 Questions |
GATE (Life Sciences) | 1 Question |
AIAPGET (All India AYUSH Post Graduate Entrance Test) | 1 Question |
As we have gone through the details of antidiuretic hormone, its action, its regulatory pathway, and clinical significance it becomes important for us to understand why it is important for our body.
It is essential to recognize the implications for our health homeostasis and also the various physiological effects of ADH on our body. This is one of the underrated integrated relationships between our hormones and overall health.
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ADH full form in medical science reads for antidiuretic hormone. This naturally occurring nonapeptide hormone is also termed vasopressin hormone, arginine vasopressin (AVP), or pitressin.
Vasopressin hormone is also called ADH because it is effective against diuresis. (a medical condition of excessive urine production)
The synthesis of ADH takes place in the supraoptic and paraventricular nuclei present in the hypothalamus, not in the posterior pituitary.
Since ADH causes constriction of blood vessels, it is also called vasopressin.
A low level of antidiuretic hormone in the blood refers to Diabetes insipidus where reabsorption of water gets reduced resulting in excessive water loss through dilute urine. This often lowers blood pressure and increases urine volume.
Antidiuretic hormone is secreted by the hypothalamus present in the brain whereas it is stored in the posterior pituitary gland. It is one of the important hormones that helps in regulating electrolyte balance, water balance concentration of urine blood pressure, and also regulates the water reabsorption rate in kidneys.
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