Water scarcity and conservation and their role in obesity in nature and in humans.

IF 9.2 2区 医学 Q1 MEDICINE, GENERAL & INTERNAL
Richard J Johnson, Johanna Painer-Gigler, Szilvia Kalgeropoulu, Sylvain Giroud, Paul G Shiels, Mehmet Kanbay, Ana Andres-Hernando, Bernardo Rodriguez-Iturbe, Miguel A Lanaspa, Peter Stenvinkel, Laura G Sánchez-Lozada
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Abstract

Increasing temperatures and water scarcity pose threats to animals living in the wild and humans. Here, we review biological mechanisms animals use to prevent dehydration. Fat and glycogen generate water during metabolism that can be used by many animals as a source of water. In hibernating animals, fat production is stimulated in the autumn by a vasopressin-dependent, carbohydrate-based metabolism that leads to thirst, increased water intake, and storage of glycogen and fat. As fall advances, the animals switch to fat-based metabolism with falling vasopressin levels, and actual entrance into torpor can be triggered when water becomes unavailable and/or unpredictable. Once in torpor, metabolic water is generated by fat metabolism along with a suppression of vasopressin and fall in serum osmolality that blocks thirst. We suggest that water production from fat does not keep up with demands, and that respiratory acidosis also develops as a consequence of hypoventilation, and this leads to the necessity of interbout arousals (IBA), in which the animal rewarms with a switch to carbohydrate metabolism that causes a rapid increase in water availability from the breakdown of glycogen that facilitates the ventilation needed to correct the acidemia. The animal then drops its metabolic rate again, allowing fat metabolism to continue. The observation that water deficit may be a stimulus for fat storage in hibernation carries significance for human obesity, especially in response to salt and sugar, as it suggests that hydration may be protective. These studies also provide an understanding of how glucagon-like peptide-1 agonists may cause weight loss.

水资源短缺和保护及其在自然界和人类肥胖中的作用。
气温升高和水资源短缺对野生动物和人类构成了威胁。在这里,我们回顾了动物用来防止脱水的生物学机制。脂肪和糖原在新陈代谢过程中产生水,可以被许多动物用作水的来源。在冬眠的动物中,脂肪的产生在秋季受到抗利尿激素依赖性、以碳水化合物为基础的代谢的刺激,导致口渴、水的摄入量增加、糖原和脂肪的储存。随着秋天的到来,动物们会随着抗利尿激素水平的下降而转向以脂肪为基础的新陈代谢,当水变得不可用或不可预测时,就会真正进入休眠状态。一旦处于休眠状态,代谢水是由脂肪代谢产生的,伴随着抗利尿激素的抑制和血清渗透压的下降,从而阻止口渴。我们认为,脂肪产生的水分不能满足需求,呼吸性酸中毒也会因换气不足而发生,这导致了回合间唤醒(IBA)的必要性,在这种情况下,动物通过转换到碳水化合物代谢来恢复体温,糖原分解导致水分供应迅速增加,从而促进了纠正酸血症所需的换气。然后,动物再次降低代谢率,使脂肪代谢继续进行。观察到水分不足可能是冬眠中脂肪储存的刺激因素,这对人类肥胖具有重要意义,尤其是对盐和糖的反应,因为它表明水合作用可能具有保护作用。这些研究也提供了胰高血糖素样肽-1激动剂如何导致体重减轻的理解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Internal Medicine
Journal of Internal Medicine 医学-医学:内科
CiteScore
22.00
自引率
0.90%
发文量
176
审稿时长
4-8 weeks
期刊介绍: JIM – The Journal of Internal Medicine, in continuous publication since 1863, is an international, peer-reviewed scientific journal. It publishes original work in clinical science, spanning from bench to bedside, encompassing a wide range of internal medicine and its subspecialties. JIM showcases original articles, reviews, brief reports, and research letters in the field of internal medicine.
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