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Water suppressing vasopressin could be an effective treatment for metabolic syndrome

Tue, 12/15/2020 - 15:37
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Researchers at the University of Colorado Anschutz Medical Campus conducting studies in mice have discovered that fructose stimulates the release of vasopressin, a hormone linked to obesity and diabetes but water can suppress the hormone and alleviate these conditions.

"The clinical significance of this work is that it may encourage studies to evaluate whether simple increases in water intake may effectively mitigate obesity and metabolic syndrome," said the study's lead author, Dr Miguel A Lanaspa, an associate professor at the University of Colorado School of Medicine specialising in renal disease and hypertension.

Lanaspa and his colleague, Dr Richard Johnson, also a professor at the CU School of Medicine, wanted to understand why vasopressin, which maintains the body's water levels, was elevated in those with obesity and diabetes. They fed mice sugar water, specifically fructose, and found that it stimulated the brain to make vasopressin. The vasopressin in turn stored the water as fat causing dehydration which triggered obesity. Treating the mice with non-sugary water reduced the obesity.

According to Lanaspa, this is the first time scientists have shown how vasopressin acts on dietary sugar to cause obesity and diabetes.

"We found that it does this by working through a particular vasopressin receptor known as V1b," he said. "This receptor has been known for a while but no one has really understood its function. We found that mice lacking V1b were completely protected from the effects of sugar. We also show that the administration of water can suppress vasopressin and both prevent and treat obesity."

The researchers, Who reported the outcomes in the paper, ‘Vasopressin mediates fructose-induced metabolic syndrome by activating the V1b receptor', published in JCI Insight. also discovered that dehydration can stimulate the formation of fat.

"This explains why vasopressin is so high in desert mammals as they do not have easy access to water," explained Johnson. "So vasopressin conserves water by storing it as fat."

This data fits with observations showing that obese people often have signs of dehydration. It also explains why high salt diets may also cause obesity and diabetes. The researchers found that water therapy effectively protected against metabolic syndrome.

"The best way to block vasopressin is to drink water," said Lanaspa. "This is hopeful because it means we may have a cheap, easy way of improving our lives and treating metabolic syndrome. Sugar drives metabolic syndrome in part by the activation of vasopressin. Vasopressin drives fat production likely as a mechanism for storing metabolic water," he said. "The potential roles of hydration and salt reduction in the treatment of obesity and metabolic syndrome should be considered."