Aquaporins are members of a large family of pore-forming intrinsic membrane
proteins, the MIP family. Based on their permeability properties they are
now further subdivided into aquaporins, with real water-selective pores, an
d aquaglyceroporins with slightly less selective pores. Aquaporins are expr
essed in a large variety of tissues throughout the body but in most situati
ons it is not clear whether their presence is necessary for the proper phys
iological function of these tissues. This review focuses on recent insight
into the physiological relevance of aquaporins gained from studying aquapor
in knockout mouse models and from diseases, on new surprising findings rela
ted to gating and selectivity, and on the consequences of tetramerization f
or routing and the genetics of nephrogenic diabetes insipidus. The active f
luid transport in proximal tubules and in salivary glands is seriously comp
romised by aquaporin deletion. This is in contrast to lung, airways and sto
mach, where active fluid transport proceeds unhindered in the face of great
ly reduced water permeabilities due to aquaporin deletion. Therefore, aquap
orins seem to be a necessity at extreme high rates of active fluid transpor
t but appear to be more of a luxury at medium or low fluid transport rates.