“…That is, the bulk flow of water movement between two compartments is determined by the Starling equation J V = L P (Dp -sÁDp), where Jv is the bulk flow of fluid, Lp is the water permeability of the compartment boundary, Dp is the hydrostatic gradient, Dp is the osmotic gradient of each solute, such as K + , Na + , and Cl -, and s is the reflection coefficient for each solute at each boundary. Although it is thought that dDAVP treatment mainly changes Lp via changes in the expression of V2 receptors and AQP2 channels, it would be difficult to estimate the direction of bulk water flow without knowing the details of the reflection coefficients (s) of each boundary (although valiant efforts to determine these properties have been previously performed [17]). A difference in the reflection coefficient of solutes could easily result in a force that drives water out of one compartment into another compartment, even causing water to flow out of a compartment that is hypo-osmotic.…”