Diuresis used to increase urine output and decrease extracellular fluid volume. Substances in the circulation can also increase the amount of circulating fluid by increasing the osmolarity of the blood. This has the effect of pulling water from the interstitial space, making more water available in the blood and causing the kidney to compensate by removing it as urine. In hypotension, often colloids are used intravenously to increase circulating volume in themselves, but as they exert a certain amount of osmotic pressure, water is therefore also moved, further increasing circulating volume. As blood pressure increases, the kidney removes the excess fluid
Subcommissural organ neuronal cell bodies within the subcommissural organ, although the specialized cells receive some innervation from outside neurons. Ependymal cells secrete high molecular mass glycoproteins into the cerebrospinal fluid, in which the bulk of them condense to form a filamentous structure named Reissner’s fiber. The subcommissural organ/Reissner’s fiber complex is thought to be involved in the reabsorption and circulation of the cerebrospinal fluid, and with functions related to electrolyte and water balance. One of the proteins secreted by the subcommissural organ, and which is present in Reissner’s fiber, is spondin. SCO-spondin is a “giant” (5000 amino acids) glycoprotein (thrombospondin superfamily) found