It is now well established that the antidiuretic response to vasopressin is modulated by changes in aquaporin-2 (AQP2) expression in response to hydration status. While vasopressin itself is one signal driving expression, other signals also play a part. In this study, we planned to investigate whether prostaglandins, known to modulate AQP2 trafficking, may play a role in this process. Male Wistar rats were kept in metabolic cages, with either free access to water and food, or were given 15 g of food gelled with water, such that they were fluid restricted or fluid loaded. The effects of oral administration of two structurally different NSAIDs, indomethacin and ibuprofen, and a COX-2-selective NSAID, meloxicam, on urine output and AQP2 expression were investigated in kidneys removed under terminal anesthesia. All the NSAIDs decreased AQP2 expression significantly in water-restricted rats but did not significantly alter PGE excretion. In water-loaded rats, the effects were less marked, and meloxicam had no significant effect. Consistent with this, ibuprofen prevented the increase in AQP2 expression seen in response to dehydration. These results demonstrate that NSAIDs decrease AQP2 protein abundance, particularly during adaptation during dehydration. This may be of particular significance in older and critically ill patients, who are prone to dehydration.antidiuresis; vasopressin; collecting duct IT IS NOW WELL ESTABLISHED that the acute antidiuretic action of vasopressin depends on the exocytic insertion of aquaporin-2 (AQP2) water channels from a store in intracellular vesicles to the apical plasma membrane of collecting duct principal cells (13,24,29,34), the so-called "shuttle" mechanism. Furthermore, there is now clear evidence that this acute response is modulated by changes in the total amount of AQP2 present in the cells. Such changes occur in response to chronic alterations in hydration, with water loading causing a decrease in AQP2 expression, while dehydration increases the AQP2 levels (28). Changes in AQP2 expression are also found in association with a variety of pathological conditions associated with either excess water loss (1,7,11,12,23,25) or water retention (2,30,31,39).The signals associated with changes in AQP2 expression are currently being sought. One signal is vasopressin, which causes an increase in AQP2 expression when given as a chronic infusion to either Brattleboro rats (which lack endogenous vasopressin) (5) or normal rats (8,9). This effect is thought to be mediated by cAMP and protein kinase A, which also plays a pivotal role in the acute shuttling response, via phosphorylation of a CRE-binding protein, which then binds to the promoter of the AQP2 gene (38). However, it is now clear that vasopressin-independent pathways also play a role, since decreases in AQP2 are seen in association with the ability to lose water in the urine despite ongoing vasopressin infusion (vasopressin escape phenomenon) (8, 9). This escape phenomenon has been shown to depend on both nitric oxide and prostagl...