The permeability of the collecting duct can be altered by hormones
1. Osmoreceptors in hypothalamus detect changes in blood water potential
2. When low, osmoreceptors shrink, causing ADH to be released
3. ADH binds to receptors on surface of collecting duct and activates phosphorylase
4. Causes vesicles containing aquaporins to be embedded in cell surface membrane
5. Increases water permeability and urea permeability
6. Urea leaves collecting duct, causing water to leave and be reabsorbed in the blood