Apelin is a neuropeptide that co-localizes with vasopressin (AVP) in magnocellular neurons and is involved in body fluid homeostasis. Osmotic stimuli have opposite effects on the regulation of apelin and AVP secretion in animal models, but whether this is true in humans is unknown. This study investigated the relationship among osmolality, apelin, and AVP in 10 healthy men after infusion of hypertonic saline or loading with water to increase and decrease plasma osmolality, respectively. Increasing plasma osmolality was accompanied by a parallel, linear increase in plasma AVP concentration and by a decrease in plasma apelin concentration. In contrast, decreasing plasma osmolality by water loading reduced plasma AVP concentration and rapidly increased plasma apelin concentration. These findings suggest that regulation of apelin secretion contributes to the maintenance of body fluid homeostasis. The osmotic pressure of body fluids is maintained within a remarkably narrow range in healthy adults. Body fluid homeostasis depends on neuronal pathways bearing very sensitive osmoreceptors, 1 located along the lamina terminalis, including the circumventricular organs, such as the subfornical organ and the organum vasculosum of the lamina terminalis as well as the median preoptic nucleus. 2 The subfornical organ and organum vasculosum of the lamina terminalis are neuronally interconnected with each other as well as with the median preoptic nucleus and the hypothalamic paraventricular and supraoptic nuclei. 3 These neuronal pathways convert small changes in osmolality into a neuronal signal to neurons that influence sensations of thirst and systemic arginine vasopressin (AVP) release, 2 thereby adjusting the intake or output of water to counteract changes in solute concentration. 4,5 A recently discovered peptide, apelin, may also play a major role in the maintenance of body fluid homeostasis. Apelin, initially isolated from bovine stomach extracts, 6 is the endogenous ligand of the human orphan G protein-coupled receptor APJ (putative receptor protein related to the angiotensin receptor AT1). 6,7 It is a 36 -amino acid peptide (apelin 36) derived from a single 77-amino acid precursor, proapelin. 6,8,9 Proapelin has a fully conserved C-terminal 17-amino acid sequence, apelin 17 (K17F), including the pyroglutamyl form of apelin 13 (pE13F). K17F and pE13F both are present in rat brain and plasma, 10 and apelin 36 is present in testis and uterus. 11 All peptides exhibit a high affinity for the human 8,12,13 and the rat apelin receptors. 14 Apelin possesses various cardiovascular functions (for reviews, [15][16][17] ). Apelin and its receptor have been detected in the endothelial cells of large conduit arteries, coronary vessels, and the endocar-