Antidiuretic hormone (ADH), also known as vasopressin, is a hormone produced by the hypothalamus and released by the pituitary gland. Its primary function is to regulate the body's water balance by controlling the amount of water reabsorbed by the kidneys and the concentration of urine produced.
ADH acts on the kidneys to increase the reabsorption of water, which helps to conserve body fluids and prevent dehydration. It does this by making the walls of the collecting ducts and distal convoluted tubules of the kidneys more permeable to water, allowing more water to be reabsorbed back into the bloodstream. As a result, the urine produced becomes more concentrated, helping to conserve water in the body.
The release of ADH is tightly regulated by the body's internal water balance. When the body senses a decrease in blood volume or an increase in blood osmolarity (concentration of solutes), the hypothalamus signals the pituitary gland to release ADH. This triggers the kidneys to reabsorb more water, reducing the amount of urine produced and helping to maintain proper fluid balance in the body.
Imbalances in ADH levels can lead to various disorders. For example, insufficient production or release of ADH can result in diabetes insipidus, a condition characterized by excessive urination and thirst. On the other hand, excessive ADH secretion can lead to syndrome of inappropriate antidiuretic hormone (SIADH), causing the body to retain too much water and leading to low sodium levels in the blood.