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Regulation of Extracellular Volume: Critical Evaluation of Natriuretic Hormones

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Endocrine Regulation of Electrolyte Balance

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Abstract

In a recent editorial entitled “Natriuretic hormones: At last bottled in bond?”, Grantham and Edwards [1] imply that the long and frustrating search for the elusive natriuretic hormone has finally come to an end. In point of fact, although the chemical structures of the recently identified atrial natriuretic factors have been elucidated [2], little is yet known of their physiological significance. Conversely, the chemical structure of the “other” natriuretic hormone, which I shall term the hypothalamic-renal factor, has thus far eluded successful identification, but much information has been gathered on its physiological role in health and disease. Other hormone systems known to enhance salt excretion include the prostaglandins, particularly prostacyclin and prostaglandin E2, the renal kallikrein-kinin system and dopamine In this review, I shall attempt to place in perspective the relative contributions of each of these systems to renal sodium handling, and, as far as possible, comment on their interactions.

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  1. Division of Nephrology, Cedars-Sinai Medical Center and School of Medicine, University of California, 8700 Beverly Blvd., Los Angeles, CA, 90048, USA

    H. C. Gonick

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  1. Medizinische Universitäts-Poliklinik, Wilhelmstraße 35-37, 5300, Bonn 1, Federal Republic of Germany

    F. Krück

  2. Physiologisches Institut der Universität München, Pettenkoferstraße 12, 8000, München 2, Federal Republic of Germany

    K. Thurau

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Gonick, H.C. (1986). Regulation of Extracellular Volume: Critical Evaluation of Natriuretic Hormones. In: Krück, F., Thurau, K. (eds) Endocrine Regulation of Electrolyte Balance. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-71405-4_11

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  • DOI: https://doi.org/10.1007/978-3-642-71405-4_11

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