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of the ACTH precursor, pro-opiomelanocortin (POMC) ( 1 ). Results from our mechanistic animal study suggested that during sepsis-induced critical illness, preserved hypothalamic corticotropin-releasing hormone (CRH) and arginine vasopressin (AVP
Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España
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Servicio de Endocrinología y Nutrición. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
Centro de Investigación Biomédica en Red de Diabetes y Enfermedades Metabólicas Asociadas (CIBERDEM), Madrid, España
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Servicio de Endocrinología y Nutrición. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
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Servicio de Endocrinología y Nutrición. Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), Hospital Clínico San Carlos, Madrid, España
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levels can be insufficient to compensate for this loss in mineralocorticoid function. UNa+ loss ensues, and marked hypovolemia can develop. As a low ECV stimulates baroreceptor-mediated release of arginine vasopressin (AVP), hyponatremia will follow. HH
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range of physiological functions. As part of the hypothalamic–pituitary–adrenal axis, ACTH is secreted by pituitary corticotrophs into the systemic circulation under the control of hypothalamic corticotropin-releasing hormone (CRH) and arginine