Sladek CD, Johnson AK. Integration of thermal and osmotic regulation of water homeostasis: the role of TRPV channels. Am J Physiol Regul Integr Comp Physiol 305: R669 -R678, 2013. First published July 24, 2013 doi:10.1152/ajpregu.00270.2013.-Maintenance of body water homeostasis is critical for preventing hyperthermia, because evaporative cooling is the most efficient means of dissipating excess body heat. Water homeostasis is achieved by regulation of water intake and water loss by the kidneys. The former is achieved by sensations of thirst that motivate water acquisition, whereas the latter is regulated by the antidiuretic action of vasopressin. Vasopressin secretion and thirst are stimulated by increases in the osmolality of the extracellular fluid as well as decreases in blood pressure and/or blood volume, signals that are precipitated by water depletion associated with the excess evaporative water loss required to prevent hyperthermia. In addition, they are stimulated by increases in body temperature. The sites and molecular mechanisms involved in integrating thermal and osmotic regulation of thirst and vasopressin secretion are reviewed here with a focus on the role of the thermal and mechanosensitive transient receptor potential-vanilloid (TRPV) family of ion channels. thirst; TRPV; vasopressin; hypothalamus MAINTENANCE of a constant body temperature by homeotherms is critically dependent on body water homeostasis, because evaporative cooling is the most efficient means that homeotherms have for dissipating excess body heat. Even at rest, heat is generated as a by-product of basal cellular metabolism and the ongoing muscle activity of the heart beating, respiration, and gastrointestinal motility. For a typical 70-kg man the resting (basal) rate of metabolic heat production is about 80 kcal/h, but intense exercise can increase heat production to 400 -600 kcal/h. Thus the body must have efficient mechanisms for dissipating heat to prevent hyperthermia. In humans, body heat is dissipated by passive transfer of heat from the skin to the air. The heat generated by muscles and internal organs is transferred to the skin by the blood flowing through epidermal capillaries. Thus heat loss can be increased by increasing skin blood flow and by increasing the movement of air next to the skin by removing clothing and standing near a fan or in a breeze. However, evaporative cooling significantly augments heat loss from the skin, because evaporation of 1 gram of water from the skin dissipates 0.6 kcal. Thus a sweat rate of 1 l/h could theoretically remove 600 kcal/h from the body. Furcovered mammals also rely heavily on evaporative cooling for maintaining body temperature with increased body temperature promoting panting, increased salivation, and saliva spreading in dogs, cats, and rats. However, water loss of the magnitude required in many instances to adequately dissipate excess body heat must be compensated to prevent electrolyte imbalance and preserve blood volume for adequate cardiovascular function. Thus mechanis...