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Human Body & Health

If a desert hiker, severely dehydrated and with elevated plasma osmolality, develops a mutation that completely disables aquaporins in the collecting ducts of their kidneys, which consequence follows?

A)Increased sodium and potassium retention
B)Profound and rapid water loss
C)Immediate decrease in plasma osmolality
D)Significant urea reabsorption increase

💡 Explanation

In dehydration, elevated plasma osmolality triggers ADH release, which normally increases aquaporin expression in the collecting ducts to enhance water reabsorption. If aquaporins are non-functional, this compensatory mechanism fails, because the collecting ducts cannot reabsorb water, therefore profound water loss occurs, rather than water retention or osmotic balance restoration.

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