Metabolic and Kidney Diseases in the Setting of Climate Change, Water Shortage, and Survival Factors

Climate change (global warming) is leading to an increase in heat extremes and coupled with increasing water shortage, provides a perfect storm for a new era of environmental crises and potentially, new diseases. We use a comparative physiologic approach to show that one of the primary mechanisms by...

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Published inJournal of the American Society of Nephrology Vol. 27; no. 8; pp. 2247 - 2256
Main Authors Johnson, Richard J, Stenvinkel, Peter, Jensen, Thomas, Lanaspa, Miguel A, Roncal, Carlos, Song, Zhilin, Bankir, Lise, Sánchez-Lozada, Laura G
Format Journal Article
LanguageEnglish
Published United States American Society of Nephrology 01.08.2016
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Abstract Climate change (global warming) is leading to an increase in heat extremes and coupled with increasing water shortage, provides a perfect storm for a new era of environmental crises and potentially, new diseases. We use a comparative physiologic approach to show that one of the primary mechanisms by which animals protect themselves against water shortage is to increase fat mass as a means for providing metabolic water. Strong evidence suggests that certain hormones (vasopressin), foods (fructose), and metabolic products (uric acid) function as survival signals to help reduce water loss and store fat (which also provides a source of metabolic water). These mechanisms are intricately linked with each other and stimulated by dehydration and hyperosmolarity. Although these mechanisms were protective in the setting of low sugar and low salt intake in our past, today, the combination of diets high in fructose and salty foods, increasing temperatures, and decreasing available water places these survival signals in overdrive and may be accelerating the obesity and diabetes epidemics. The recent discovery of multiple epidemics of CKD occurring in agricultural workers in hot and humid environments may represent harbingers of the detrimental consequences of the combination of climate change and overactivation of survival pathways.
AbstractList Climate change (global warming) is leading to an increase in heat extremes and coupled with increasing water shortage, provides a perfect storm for a new era of environmental crises and potentially, new diseases. We use a comparative physiologic approach to show that one of the primary mechanisms by which animals protect themselves against water shortage is to increase fat mass as a means for providing metabolic water. Strong evidence suggests that certain hormones (vasopressin), foods (fructose), and metabolic products (uric acid) function as survival signals to help reduce water loss and store fat (which also provides a source of metabolic water). These mechanisms are intricately linked with each other and stimulated by dehydration and hyperosmolarity. Although these mechanisms were protective in the setting of low sugar and low salt intake in our past, today, the combination of diets high in fructose and salty foods, increasing temperatures, and decreasing available water places these survival signals in overdrive and may be accelerating the obesity and diabetes epidemics. The recent discovery of multiple epidemics of CKD occurring in agricultural workers in hot and humid environments may represent harbingers of the detrimental consequences of the combination of climate change and overactivation of survival pathways.
Author Jensen, Thomas
Roncal, Carlos
Stenvinkel, Peter
Bankir, Lise
Johnson, Richard J
Sánchez-Lozada, Laura G
Lanaspa, Miguel A
Song, Zhilin
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  organization: Division of Renal Diseases and Hypertension, University of Colorado Denver, Aurora, Colorado
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  givenname: Carlos
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  givenname: Lise
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  organization: Laboratory of Renal Physiopathology, Instituto Nacional de Cardiologia Ignacio Chávez, Mexico City, Mexico
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Issue 8
Keywords chronic kidney disease
metabolism
osmolality
obesity
vasopressin
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Snippet Climate change (global warming) is leading to an increase in heat extremes and coupled with increasing water shortage, provides a perfect storm for a new era...
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StartPage 2247
SubjectTerms Animals
Climate Change
Dehydration - complications
Dehydration - metabolism
Fructose - metabolism
Humans
Kidney Diseases - complications
Kidney Diseases - epidemiology
Kidney Diseases - etiology
Kidney Diseases - metabolism
Medicin och hälsovetenskap
Metabolic Diseases - complications
Metabolic Diseases - epidemiology
Metabolic Diseases - etiology
Metabolic Diseases - metabolism
Survival
Up Front Matters
Water Supply
Title Metabolic and Kidney Diseases in the Setting of Climate Change, Water Shortage, and Survival Factors
URI https://www.ncbi.nlm.nih.gov/pubmed/27283495
https://pubmed.ncbi.nlm.nih.gov/PMC4978060
http://kipublications.ki.se/Default.aspx?queryparsed=id:134366099
Volume 27
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