Arginine vasopressin (AVP) and treatment with arginine vasopressin receptor antagonists (vaptans) in congestive heart failure, liver cirrhosis and syndrome of inappropriate antidiuretic hormone secretion (SIADH)

被引:40
作者
Gassanov, Natig [1 ]
Semmo, Nasser [2 ]
Semmo, Mariam [3 ]
Nia, Amir M. [1 ]
Fuhr, Uwe [4 ]
Er, Fikret [1 ]
机构
[1] Univ Cologne, Dept Internal Med 3, D-50937 Cologne, Germany
[2] Univ Hosp Freiburg, Dept Med 2, Freiburg, Germany
[3] Univ Hosp Freiburg, Dept Nephrol, Freiburg, Germany
[4] Univ Cologne, Dept Pharmacol, D-50937 Cologne, Germany
关键词
Vasopressin; Vaptans; Hyponatremia; Heart failure; SIADH; LEFT-VENTRICULAR DYSFUNCTION; PLACEBO-CONTROLLED TRIAL; V-2-RECEPTOR ANTAGONIST; ORAL TOLVAPTAN; SERUM SODIUM; DOUBLE-BLIND; INTRAVENOUS CONIVAPTAN; HYPONATREMIC PATIENTS; SYSTOLIC DYSFUNCTION; ENDOTHELIAL-CELLS;
D O I
10.1007/s00228-011-1006-7
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Arginine vasopressin (AVP) is the major physiological regulator of renal water excretion and blood volume. The AVP pathways of V1aR-mediated vasoconstriction and V2R-induced water retention represent a potentially attractive target of therapy for edematous diseases. Experimental and clinical evidence suggests beneficial effects of AVP receptor antagonists by increasing free water excretion and serum sodium levels. This review provides an update on the therapeutic implication of newly developed AVP receptor antagonists in respective disorders, such as chronic heart failure, liver cirrhosis and syndrome of inappropriate antidiuretic hormone secretion.
引用
收藏
页码:333 / 346
页数:14
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