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Am J Physiol Renal Physiol (November 25, 2003). doi:10.1152/ajprenal.00122.2003
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Submitted on March 27, 2003
Accepted on October 27, 2003

Antidiuretic Hormone (ADH) Resistance in the Neonatal Cortical Collecting Tubule is Mediated in Part by Elevated Phosphodiesterase Activity

Raymond Quigley1*, Sumana Chakravarty1, and Michel Baum2

1 Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA
2 Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA; Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, TX, USA

* To whom correspondence should be addressed. E-mail: raymond.quigley{at}utsouthwestern.edu.

Neonates cannot concentrate their urine to the same degree as adults. One of the key factors in concentrating the urine is the renal collecting duct osmotic water permeability (Pf) response to antidiuretic hormone (ADH). Neonatal cortical collecting ducts have a blunted Pf response to ADH compared to adult tubules (Pf : 119.0 ± 12.5 µm/sec vs 260.1 ± 29.5 µm/sec, p<0.05). We found that the phosphodiesterase activity in the neonatal collecting ducts was higher than that in the adult collecting ducts (3,970 ± 510 vs 2,440 ± 220 cpm/µg tubular protein/20 minutes, p<0.05). After pretreatment of in vitro microperfused tubules with the nonspecific phosphodiesterase inhibitor, isobutylmethylxanthine (IBMX, 10-6. M in the bath), the Pf response to ADH in neonatal collecting ducts was 271.4 ± 51.7 µm/sec which was identical to that of the adult collecting duct (315.3 ± 31.3 µm/sec, p=NS). Rolipram, a specific type IV phosphodiesterase inhibitor, lowered the elevated phosphodiesterase activity in the neonatal tubules to that of the adult tubules (2,460 ± 210 vs 2,160 ± 230 cpm/µg tubular protein/20 minutes, p=NS). Neonatal tubules pretreated with rolipram (10-5 M) in the bath also had a Pf response to ADH that was comparable to that of the adult tubules (258.2 ± 17.0 µm/sec vs 271.4 ± 32.6 µm/sec, p=NS). Thus, the elevated phosphodiesterase activity in the neonatal tubules appears to be due to an increase in type IV phosphodiesterase activity. Thus, one of the key factors in the decreased ability of neonates to concentrate their urine is overactivity of phosphodiesterase in the cortical collecting duct that blunts the neonatal collecting duct Pf response to ADH.




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