Antidiuretic Hormone (ADH)

Antidiuretic Hormone (ADH)

Edited By Irshad Anwar | Updated on Oct 03, 2024 06:29 PM IST

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.

This Story also Contains
  1. Synthesis and Storage of Antidiuretic Hormone
  2. Factors Affecting the Regulation of Antidiuretic Hormone
  3. Antidiuretic Hormone Functions
  4. Mechanism of Action Antidiuretic Hormone
  5. Functions of Antidiuretic Hormones
  6. Side Effects Of Antidiuretic Hormones
  7. Antidiuretic Hormonal Disorders
  8. Tips, Tricks, And Strategies To Prepare For ADH Hormone
  9. Types of Questions Asked on Antidiuretic Hormone in Different Exams
  10. Weightage of Antidiuretic Hormone in Different Entrance Exams
  11. Recommended Video On ADH Hormone

Synthesis and Storage of Antidiuretic Hormone

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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Factors Affecting the Regulation of Antidiuretic Hormone

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.

Alcohol consumption

  • Restricts the release of ADH.

  • Results in severe dehydration.

High ADH levels

  • Lower the salt levels and increase water retention in the body.

  • Also dilutes the blood.


Antidiuretic Hormone Functions

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.

Mechanism of Action Antidiuretic Hormone

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

  • Increases cyclic amp which is responsible for raising water permeability into kidney tubules

  • This increases the overall water reabsorption rate in the body.

V1 receptors

  • It is stimulated by smooth muscle contraction.

  • This works for the cardiovascular system and kidneys.



Vasopressin Mechanism of Action

Functions of Antidiuretic Hormones

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.


Side Effects Of Antidiuretic Hormones

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.

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Antidiuretic Hormonal Disorders

A hyper or hypo secretion of ADH often results in several disorders.

These are as follows-

Tips, Tricks, And Strategies To Prepare For ADH Hormone

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.

Types of Questions Asked on Antidiuretic Hormone in Different Exams

During preparation for different exams, students may face different questions on the topic of antidiuretic hormone

Exam type

Types of questions asked

CBSE

Definition of Antidiuretic hormones, explanation of their role, effects of adh on blood pressure, and difference between adh and other hormones.

NEET

Mechanism of action of Antidiuretic hormone, implications of Antidiuretic hormones, case studies related to Antidiureutic hormones disorder.

Paramedical Entrance Exams

Managing the disorders.


Weightage of Antidiuretic Hormone in Different Entrance Exams

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 ExamWeightage (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

Conclusion

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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Recommended Video On ADH Hormone



Frequently Asked Questions (FAQs)

1. What is the full form of ADH? List alternative names for it.

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.

2. Why is the Vasopressin hormone called ADH?

Vasopressin hormone is also called ADH because it is effective against diuresis. (a medical condition of excessive urine production)

3. Where does the synthesis of ADH take place?

The synthesis of ADH takes place in the supraoptic and paraventricular nuclei present in the hypothalamus, not in the posterior pituitary.

4. Why is ADH called Vasopressin?

Since ADH causes constriction of blood vessels, it is also called vasopressin.

5. What do you mean by diabetes insipidus?

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.

6. What is Antidiuretic Hormone and its function?

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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