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Human Body & Health

If a patient's dehydration increases plasma osmolality, and ADH secretion is suppressed due to a rare collecting duct aquaporin-2 mutation, which consequence follows?

A)Increased distal tubule water reabsorption
B)Elevated urine specific gravity levels
C)Reduced thirst mechanism activation
D)Inadequate water reabsorption, profuse diuresis

💡 Explanation

The collecting duct's aquaporin-2 channels mediate water reabsorption driven by ADH. Because the mutation impairs this mechanism despite increased plasma osmolality, water reabsorption fails, leading to excessive diuresis, therefore resulting in dilute urine, rather than concentrated urine due to normal ADH function.

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