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Salt, water and nephron: Mechanisms of action and link to hypertension and chronic kidney disease
Author(s) -
Qian Qi
Publication year - 2018
Publication title -
nephrology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.752
H-Index - 61
eISSN - 1440-1797
pISSN - 1320-5358
DOI - 10.1111/nep.13465
Subject(s) - medicine , nephron , vasopressin , homeostasis , maladaptation , kidney disease , kidney , sodium , endocrinology , disease , physiology , chemistry , organic chemistry , psychiatry
ABSTRACT Our knowledge on sodium and water homeostasis and regulation continues to evolve. A considerable amount of new information in this area has emerged in recent years. This review summarizes existing and new literature and discusses complex multi‐organ effects of high‐salt and low‐water intake and role of arginine vasopressin in this process, as well as the potential clinical significance of non‐osmotic sodium storage pool and rhythmicity of urine sodium excretion. It has become clear that sodium and water dysregulation can exert profound effects on kidney and vascular health, far greater than previously recognized. Maladaptation to a combined high‐salt and low‐water intake can be linked to the growing epidemic of hypertension and chronic kidney disease.