The Endocrine Kidney: Local and Systemic Actions of Renal Hormones

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

The myriad physiologic functions of the kidneys are heavily regulated by the endocrine system. While extrarenal hormones exert well-recognized actions in the urinary system, in recent decades a host of intrinsic, renal hormones, with powerful effects on renal hemodynamics, glomerular filtration, and tubular electrolyte and water handling has been identified. Renal microcirculation, glomerular mesangium, and tubular epithelium produce angiotensin II, the natriuretic peptide urodilatin, vasoconstrictors endothelin-1 and urotensin II, and vasodilators adrenomedullin and intermedin. In addition, new details are emerging regarding the complex regulation of renal calcitriol production. The hematopoietic renal hormone erythropoietin has been found to mitigate ischemic injury to the kidneys, heart, and central nervous system. This chapter presents these products of the endocrine kidney and discusses their renal and systemic physiologic functions, their beneficial versus maladaptive contributions to renal diseases, and their potential exploitation to treat clinical disorders of the kidneys and other organs.

Original languageEnglish
Title of host publicationHormonal Signaling in Biology and Medicine
Subtitle of host publicationComprehensive Modern Endocrinology
PublisherElsevier
Pages445-460
Number of pages16
ISBN (Electronic)9780128138151
ISBN (Print)9780128138144
DOIs
StatePublished - 23 Oct 2019

Keywords

  • Adrenomedullin
  • Calcitriol
  • Endothelin
  • Erythropoietin
  • Intermedin
  • Natriuretic peptide
  • Renin
  • Urodilatin
  • Urotensin

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  • Cite this

    Mallet, R. T., & Ma, R. (2019). The Endocrine Kidney: Local and Systemic Actions of Renal Hormones. In Hormonal Signaling in Biology and Medicine: Comprehensive Modern Endocrinology (pp. 445-460). Elsevier. https://doi.org/10.1016/B978-0-12-813814-4.00019-5