COMPENSATORY BEHAVIORAL RESPONSES TO COMBINED CHALLENGES TO BODY SODIUM AND FLUID BALANCE By KIMBERLY JEAN LUCIA Bachelor of Science in Biology Pennsylvania State University State College, Pennsylvania 2008 Submitted to the Faculty of the Graduate College of the Oklahoma State University in partial fulfillment of the requirements for the Degree of MASTER OF SCIENCE December, 2010 COMPENSATORY BEHAVIORAL RESPONSES TO COMBINED CHALLENGES TO BODY SODIUM AND FLUID BALANCE Thesis Approved: Kathleen S. Curtis, PhD Thesis Adviser Alexander J. Rouch, PhD Bruce A. Benjamin, PhD Mark E. Payton, PhD Dean of the Graduate College ii TABLE OF CONTENTS Chapter Page I. INTRODUCTION .......................................................................................... 1 II. REVIEW OF LITERATURE ......................................................................... 4 Osmotic Thirst ............................................................................................ 6 Volemic Thirst ............................................................................................ 8 Sodium Appetite ......................................................................................... 8 Combined Thirst and Sodium Appetite ..................................................... 10 Goals ........................................................................................................ 12 III. METHODOLOGY ..................................................................................... 13 Animals .................................................................................................... 13 Experimental Groups ............................................................................... 13 Experiment 1 ............................................................................................ 14 Experiment 2 ............................................................................................ 15 Experiment 3 ............................................................................................ 17 iii Chapter Page IV. FINDINGS ................................................................................................ 19 Experiment 1 ............................................................................................ 19 Experiment 2 ............................................................................................ 25 Experiment 3 ............................................................................................ 28 V. CONCLUSION ......................................................................................... 33 Experiment 1 ............................................................................................ 34 Experiment 2 ............................................................................................ 36 Experiment 3 ............................................................................................ 37 General Discussion .................................................................................. 39 REFERENCES .............................................................................................. 44 iv LIST OF TABLES Table Page 1. Mean body weight and percent change in body weight from day 1 for rats from Experiment 1 ................................................................................... 20 2. Percent change in body weight from day 1 for rats from Experiment 2 .. 26 3. Percent change in body weight from day 1 for rats from Experiment 3 .. 28 4. Amount of sodium, total fluid ingested, and concentration of the ingested fluid after 3 hours for the sodium deprived groups and the sodium and water deprived groups in Experiment 1 and Experiment 3 ............................... 31 v LIST OF FIGURES Figure Page 1. Percent change in body weight from day 1 ............................................. 20 2. Cumulative hourly intakes of 0.5 M NaCl and water ............................... 22 3. Cumulative intakes of 0.5 M NaCl and water during the first hour of testing ................................................................................................................ 24 4. Blood measurements from rats maintained on standard sodium diet or sodium deficient diet with or without overnight water deprivation............ 27 5. Cumulative 0.5 M NaCl and water intake at 3 hours by rats in Experiment 3 ................................................................................................................ 29 6. Blood measurements after 3-hour 0.5 M NaCl and water intake by rats maintained on standard sodium diet or sodium deficient diet with or without overnight water deprivation ..................................................................... 32 vi CHAPTER I INTRODUCTION The maintenance of body fluid volume and osmolality within a narrow range is critical for survival. Both the internal and external environments are constantly changing and, without mechanisms to maintain body fluid homeostasis, numerous biological processes such as neural signaling, enzymatic reactions, and tissue perfusion would be compromised. Given the importance of maintaining the appropriate volume and concentration of body fluids, it is not surprising that there are multiple mechanisms for restoring body fluids to the normal range when deviations occur. Compensatory neural, hormonal, renal, and behavioral responses correct perturbations of body fluid volume or osmolality. Numerous challenges to body fluid balance, both physiological and pharmacological, can be produced experimentally, but two common physiological methods are water deprivation and dietary sodium deprivation. Water deprivation causes a decrease in body fluid volume and an osmotic movement of water from inside the cells to outside the cells to minimize the change in 1 concentration. In other words, water deprivation produces both intracellular and extracellular dehydration. Water deprivation leads to hormonal responses, notably, the release of vasopressin from the posterior pituitary and activation of the renin-angiotensin system, which increases circulating levels of angiotensin II. Angiotensin II acts at vascular receptors to cause vasoconstriction, thereby maintaining pressure in the face of fluid loss, whereas vasopressin acts to conserve water at the kidneys. In addition, behavioral responses are stimulated by the familiar feeling of “thirst” -- the desire to seek and consume water. These responses act together to correct the dehydration and restore body fluids to normal. Compensatory responses to water deprivation have been studied since the early 1900’s, but the mechanisms and central pathways that underlie the behavioral response remain poorly understood. Dietary sodium deficiency is a different physiological challenge to body fluid balance that depletes body sodium stores. As with water deprivation, dietary sodium deficiency causes compensatory neural, hormonal, renal, and behavioral responses that ultimately correct the imbalance. Similar to water deprivation leading to thirst and the consumption of water, dietary sodium deficiency causes a “sodium appetite,” the desire to seek and consume salt, and the ingestion of salt or salt solutions. While the sensation of sodium appetite may not be as familiar as thirst, it is nonetheless an important response to restore body sodium levels. Like thirst, sodium appetite has been studied for nearly a century, but there is still a considerable amount of information necessary to fully understand the signals and central pathways involved in sodium appetite. 2 It may not be surprising that progress in understanding both thirst and sodium appetite has been relatively slow given the complexity of these behavioral responses. It is largely for this reason that most investigators typically focus on thirst or sodium appetite individually rather than studying both together. However, some of the mechanisms underlying thirst and sodium appetite overlap, and thus, there is information to be gained about the control of compensatory behavioral responses by combining stimuli for thirst and sodium appetite. More specifically, better understanding of the mechanisms involved in behavioral responses to body fluid challenges may be obtained by examination of mechanisms common to thirst and sodium appetite, as well as those distinct to each. Accordingly, the goal of these studies was to assess the effect of combined overnight water deprivation and dietary sodium deficiency on water intake and salt intake. In addition, we sought to determine whether differences in fluid volume, as measured by hematocrit or plasma protein concentration, or osmolality, as measured by plasma sodium concentration, accounted for the behavioral responses observed. Finally, we wanted to assess the effect of the compensatory water intake and salt intake on fluid volume and plasma osmolality. 3 CHAPTER II REVIEW OF LITERATURE Maintenance of the appropriate volume and osmolality of body fluids within a narrow range is critical for many biological processes such as neural signaling, enzymatic reactions, and tissue perfusion. A striking example of the vital importance of adequate body sodium levels comes from a case report by Wilkins and Richter in 1940 [1], describing a three and a half year old boy who was admitted to the hospital with premature development of secondary sex characteristics. An interview with the parents revealed that the boy also had an insatiable desire to consume salt that began when he was 12 months old. The excess salt intake continued thereafter; however, upon admittance to the hospital, the boy was exclusively fed the regular hospital diet which had low levels of sodium. Seven days after being admitted, the boy died. An autopsy found adrenal pathology, most notably of the zona glomerulosa. This layer is the source of the mineralocorticoid, aldosterone, which acts at the kidneys to promote the reabsorption of sodium. Without aldosterone, a large amount of body sodium is lost in urine. It was concluded that, due to the absence of aldosterone, the boy’s need for sodium far exceeded that of a normal person with 4 functional adrenal glands. Thus, the boy’s “sodium appetite” was credited for keeping him alive since, with his adrenal insufficiency, the low salt hospital diet was inadequate and he died. The tight regulation of body fluid volume and osmolality are supported by hormonal, renal, neural, and behavioral mechanisms. In the case study described above, the lack of the hormone, aldosterone, served as a challenge that was adequately compensated by the behavioral response of consuming salt. Unfortunately, when the boy was not allowed to consume salt, he could no longer compensate for the sodium challenge and that inability proved fatal. Thus, concerted compensatory hormonal, renal, neural, and behavioral responses to challenges to body fluid volume or osmotic regulation are paramount to maintaining body fluid balance. Interestingly, more attention has focused on renal, neural, and hormonal responses than on the behavioral responses. Compensatory behaviors, also known as motivated behaviors, are goaldirected behaviors meant to satisfy a physical need in order to maintain homeostasis. The concept of motivated behaviors traces its origins to Psychology, and includes reproductive behavior and hunger, as well as the less familiar thirst and salt appetite. Studies of the latter two, thirst and sodium appetite, date back to the seminal work of Richter, a Psychobiologist at Johns Hopkins University in the early 1900’s. Richter was a pioneer in the field of sodium appetite and developed the depletion-repletion model for studying thirst and salt appetite that is still used today. This model may involve depriving an animal of dietary sodium or of water, and then observing behavioral responses 5 when sodium or water is subsequently made available. While many advances in the study of both thirst and sodium appetite have been made over the last fifty years, there is still a considerable way to go in our understanding of these complex processes. Thirst Thirst can be defined as the desire to seek and consume water, and is stimulated via two different mechanisms, osmotic or volemic. Osmotic Thirst The concentration of solutes in body fluids is maintained within a range of 1-2% [2], and deviations beyond this threshold generate signals and, subsequently, responses to correct the imbalance. When the concentration of non-permeable solutes in the extracellular fluid increases or when body water decreases, plasma osmolality increases. This increase in plasma osmolality causes an osmotic movement of water from inside the cells to outside the cells to minimize the increase in concentration. For example, it is well established that injection of a hypertonic sodium chloride solution into an animal will increase plasma osmolality and induce thirst [3]. Other studies used hypertonic solutions of sucrose or sorbitol to determine whether the signal to produce thirst was dependent on an increase in extracellular sodium concentration specifically, or if 6 solutes that are unable to traverse the cell membrane can stimulate water intake. These other solutions, which increase plasma osmolality, also produced thirst [4, 5]. In contrast, solutions containing urea or glucose, which can diffuse through the cell membrane and therefore do not increase extracellular fluid concentration, did not produce a marked thirst [4, 5]. Thus, thirst can be stimulated by increased plasma sodium or by increased plasma osmolality, in general. While it is established that changes in plasma osmolality can produce thirst, how and where changes in fluid concentration are detected to stimulate thirst is still somewhat controversial. In this regard, comprehensive reviews by Bourque [6, 7] will be summarized here. Verney first coined the term “osmoreceptor” as the specialized cell type that detects changes in fluid osmolality and stimulate thirst. It was hypothesized that these osmoreceptor cells were located in specialized areas of the brain with an incomplete bloodbrain barrier known as circumventricular organs. An incomplete blood-brain barrier enables circumventricular organs to detect changes in osmolality as well as in circulating hormone levels. Attention has focused on the forebrain organum vasculosum of the lamina terminalis (OVLT) as an important circumventricular organ that contains osmoreceptors, because lesions of this area have been found to prevent thirst after an increase in osmolality [8]. Later studies by McKinley showed that neurons within the OVLT are activated by osmotic stimuli such as hypertonic NaCl [9, 10]. 7 Volemic Thirst Decreased body fluid volume has also been implicated as a stimulus for thirst. Loss of volume causes a decrease in renal perfusion, which activates the renin-angiotensin-aldosterone system, ultimately leading to increased circulating levels of angiotensin II. In addition to acting as a vasoconstrictor, angiotensin II has been shown to be an important hormonal signal for thirst. Detection of circulating angiotensin II occurs at the subfornical organ (SFO), a forebrain circumventricular organ (see ref [11, 12] for reviews). A second mechanism for stimulating thirst in response to hypovolemia is thought to involve cardiac and arterial baroreceptor signaling. Baroreceptors are stretch-mediated receptors located in the heart and great vessels. Baroreceptor afferent signaling is detected in the nucleus of the solitary tract (NTS) in the hindbrain. It is known that the inflation of balloons at the junction of the superior vena cava and right atrium of rats stimulates baroreceptors and decreases the drinking response to hypovolemia [13], whereas lesions of the NTS increase the drinking response to hypovolemia [14]. Sodium Appetite Sodium appetite has not received as much attention as other motivated behaviors, such as hunger or reproduction, or even thirst. This could be due, in part, to the fact that humans generally consume adequate amounts of sodium in their diet, so the feeling of a “sodium appetite” is not as familiar a sensation as 8 “thirst” or “hunger”. This is especially true in the United States where a high salt diet is common. Nonetheless, sodium is of vital importance for life, and challenges to body sodium balance produce multiple hormonal, renal, and behavioral responses to restore sodium levels to normal. In regard to the behavioral response, sodium appetite can be produced by numerous experimental manipulations such as dietary sodium deficiency, treatment with desoxycorticosterone acetate (DOCA; a precursor to aldosterone), adrenalectomy, or intracerebroventricular (ICV) infusion of angiotensin II, to name only a few. Many of these experimental manipulations involve increases in angiotensin II or aldosterone, or both. Angiotensin II and aldosterone are the primary hormonal signals produced in response to challenges that decrease body sodium levels. These hormones are part of the renin-angiotensin-aldosterone system and work together to promote the retention of sodium by the kidneys, and to stimulate sodium ingestion via central actions. A study by Fluharty and colleagues [15] demonstrated a synergistic relationship between angiotensin II and aldosterone treatment, wherein ICV angiotensin II and peripheral aldosterone together produce a much greater sodium appetite in rats than either cause individually. A pronounced sodium appetite was even generated by doses of angiotensin II and aldosterone that alone would not cause sodium ingestion. In more physiological methods of stimulating sodium appetite, circulating angiotensin II is thought to act at forebrain circumventricular organs [16]. Although the site of action for 9 aldosterone remains unclear, recent studies suggest the NTS as one possibility [17, 18]. In addition to hormonal responses to body sodium challenges, cardiac and arterial baroreceptors are also important signals for sodium appetite. A study by Toth and colleagues [19] showed that inflating a balloon at the junction of the superior vena cava and the right atrium in rats also decreases sodium ingestion after a sodium appetite was produced experimentally by peritoneal dialysis with hypertonic colloid or by treatment with DOCA. A later study by De Gobbi and colleagues in 2008 [20] demonstrated that sodium ingestion was also decreased after superior vena cava-right atrial balloon inflation upon treatment with the diuretic-natriuretic furosemide and captopril (an inhibitor of angiotensinconverting enzyme). These studies demonstrate the importance of baroreceptor signaling in the compensatory behavioral responses to challenges to body sodium levels. Combined Thirst and Sodium Appetite Most studies investigate thirst and sodium appetite separately. Nonetheless, new information may be obtained from studies that combine challenges to body fluid regulation, as a number of the mechanisms that underlie thirst and sodium appetite overlap. By examining both the common and distinct mechanisms involved in thirst and sodium appetite, new insights into the pathways involved in behavioral responses to body fluid challenges may be 10 revealed. Studies that investigate thirst and sodium appetite simultaneously are not common. A series of studies by De Luca and colleagues [21-23] used water deprivation to elicit a sodium appetite in their water deprivation-partial repletion protocol. In this protocol, rats are water deprived 24 – 36 hours and are then given access to water for one hour. After the initial hour of access to only water, a bottle of hypertonic saline was added to the cages and rats consumed fairly substantial volumes. The idea is that water deprivation causes both thirst and sodium appetite, but that the “competing drive” of thirst makes detecting the sodium appetite difficult. Thus, if rats are permitted to replete their water deficit, the sodium appetite will emerge. However, these studies used a single stimuluswater deprivation- to study the various signals that cause sodium ingestion. In contrast, a study by Stricker and colleagues in 2001 [24] showed that rats that were water deprived overnight would consume hypertonic NaCl if it was the only solution available. However, despite the voluntary intake of NaCl, this would not be considered a sodium appetite in the traditional sense. These rats ingested the hypertonic NaCl and relied on their kidneys to excrete the excess sodium such that the ingested fluid could correct the dehydration. In fact, the goal of the study was to determine if the animals could correct the dehydration by consuming hypertonic saline. Thus, studies that examine the effect of combining various challenges to body fluid regulation have not yet been conducted. As a number of the underlying mechanisms of thirst are also involved in sodium appetite, an examination of combined challenges that could stimulate both of these compensatory behavioral responses will allow a better 11 understanding of the pathways involved. Both thirst and sodium appetite are elicited via complex mechanisms, but studying them together may provide useful information that would not be obtained otherwise. For example, it may be possible to determine whether one is more salient under the given challenges, or if the effects of combining challenges to body fluid balance are additive. The following experiments examine behavioral responses to combined sodium and water deprivation. The goals of these studies were to assess the behavioral consequences of these challenges, to determine whether differences in osmolality, as measured by plasma sodium concentration, or fluid volume, as measured by hematocrit or plasma protein concentration, could account for the observed behavioral outcomes, and to ascertain whether the behavioral responses allowed the rats to compensate for induced deficits in body sodium and fluid volume. 12 CHAPTER III METHODOLOGY General Methods Animals Adult male Sprague-Dawley rats (Harlan) weighing 335 – 490 g prior to the start of experiments were housed individually in plastic cages and given free access to rodent chow and water unless otherwise specified. Animals were kept in a temperature-controlled room (21 – 25°C) on a 12 :12 hour light/dark cycle with lights on at 7:00 A.M. for a minimum of seven days prior to experimental manipulation. All methods were approved by the Oklahoma State University Center for Health Sciences Animal Care and Use Committee. Experimental Groups In all the experiments to be described, there were four experimental groups. In the first group, rats were maintained on a standard sodium diet (Harlan) for ten days with ad libitum access to water (control group). A second 13 group of rats was also maintained on the standard sodium diet for ten days and, after the tenth day, was water deprived overnight (approximately 22 hours; water deprived group). The third group of animals was placed on sodium-deficient rodent chow (background sodium approximately 0.01-0.02%; Harlan) for ten days with ad libitum access to water (sodium deprived group). The fourth group of rats was placed on the sodium-deficient rodent chow for ten days and then water deprived overnight (sodium and water deprived group). Testing began at approximately 7:30 A.M. on day 11 (test day). Experiment 1: Behavioral Responses to Dietary Sodium and Water Manipulations. The goal of Experiment 1 was to assess the behavioral consequences of combined dietary sodium deprivation and overnight water deprivation using two-bottle intake tests. 1. Procedures. Prior to diet manipulations, rats were given ad libitum access to 0.5 M NaCl in graduated tubes, along with water, for two to three days to adapt them to the availability of the solution. At the conclusion of the three adaptation days, the 0.5 M NaCl was removed from the cages. Rats were then randomly assigned to one of the four experimental groups, as described (Experimental Groups), and were either placed on the sodium deficient diet or remained on the standard sodium diet. All rats were weighed prior to diet manipulations, prior to water deprivation on day 10, and on the day of testing. A subset of rats was also weighed on days 3, 5, and 7 of the diet manipulations. 14 After ten days, water bottles were removed from the cages of rats assigned to overnight water deprivation groups. On the day of testing, food and water were removed from all cages and rats were given both water and 0.5 M NaCl in 50 mL graduated centrifuge tubes. Intakes of each solution were recorded after 5, 10, 15, 30, 45, and 60 minutes and then hourly for a total of seven hours. 2. Statistics. All data are reported as group means +/- standard errors. Sodium and water intake during hours one through seven of the behavioral test each were analyzed using a three-way, repeated measures analysis of variance (ANOVA) with sodium deprivation (sodium deprived or not sodium deprived), water deprivation (water deprived or not water deprived), and time as the three factors. Significant main effects or interactions (p<0.05) were further analyzed using Student-Newman-Keuls tests. In addition, sodium and water intake in the first hour were analyzed separately for each of the four groups using a two way repeated measures ANOVA with solution (0.5M NaCl or water) and time as factors. Significant main effects or interactions (p<0.05) were analyzed using Student-Newman-Keuls tests. Experiment 2: Effect of Dietary Sodium and Water Manipulations on Blood Measurements. The goal of Experiment 2 was to determine whether group differences in hematocrit, plasma protein concentration, or plasma sodium concentration might account for any behavioral differences observed during twobottle intake tests in Experiment 1. 15 1. Procedures. A second group of rats was assigned to the four experimental groups as described (Experimental Groups). All rats were weighed prior to diet manipulations, on days four and eight of the diet manipulation, and on the day of testing. After ten days on either the standard sodium diet or the sodium deficient diet, those rats assigned to the water deprivation groups were water deprived overnight. On the day of testing, rats were deeply anesthetized with sodium pentobarbital (1.0 mL I.P.; 50 mg/mL; Fisher) and rapidly decapitated to collect trunk blood. Two microcapillary tubes were filled and centrifuged for determination of hematocrit. The remaining trunk blood was centrifuged and plasma was collected. A small sample of plasma was used to measure plasma protein concentration using a refractometer (Reichert, Depew, NY). The remaining plasma was stored at -20°C prior t o analysis of plasma sodium concentration using an ion sensitive electrode (EasyLyte). Sodium is the primary osmolyte in plasma; thus, our measures of plasma sodium concentration are indicative of osmolality. 2. Statistics. All data are reported as group means +/- standard errors. Group differences in hematocrit, plasma protein concentration, and plasma sodium concentration each were analyzed using a two-way ANOVA with sodium deprivation (sodium deprived or not sodium deprived) and water deprivation (water deprived or not water deprived) as factors. Significant main effects or interactions (p<0.05) were analyzed using Student-Newman-Keuls tests. 16 Experiment 3: Effect of Behavioral Responses on Blood Measurements. The goal of Experiment 3 was to assess the effect of salt and water consumed during the two-bottle intake test after dietary sodium and/or water manipulations on hematocrit, plasma protein concentration, and plasma sodium concentration. 1. Procedures. A third group of rats was assigned to the four experimental groups as described (Experimental Groups). Prior to diet manipulations, rats were given ad libitum access to 0.5 M NaCl for three days to adapt them to the availability of the solution. At the conclusion of the three adaptation days, the 0.5 M NaCl was removed from each cage. Rats were then placed on either the sodium deficient diet or remained on the standard sodium diet. All rats were weighed prior to diet manipulations, on days four and eight of the diet manipulation, and on the day of testing. After ten days, water bottles were removed from the cages of rats assigned to overnight water deprivation groups. On the day of testing, food and water were removed from all cages and rats were given access to water and 0.5 M NaCl in 50 mL graduated centrifuge tubes. Intakes of each solution were recorded after three hours. The amount of sodium (in mMol) consumed at three hours by the sodium deprived and the sodium and water deprived groups was calculated as (volume of 0.5 M NaCl (mL) × 0.5). The total fluid consumed at three hours was calculated as [water intake (mL) + 0.5 M NaCl intake (mL)]. The concentration of the total ingested fluid (in mMol Na /L) was also calculated for these two groups as ([(volume of 0.5 M NaCl (mL) × 0.5) / Total fluid consumed (mL)] × 1000). For purposes of comparison, we also evaluated the amount of sodium consumed, the 17 total fluid ingested, and the concentration of the total fluid consumed at three hours for the sodium deprived group and the sodium and water deprived group from Experiment 1 using these equations. At the conclusion of testing, rats were deeply anesthetized with sodium pentobarbital (1.0 mL I.P.) and rapidly decapitated to collect trunk blood. Hematocrit, plasma protein concentration, and plasma sodium concentration were measured as described in Experiment 2. 2. Statistics. All data are presented as group means +/- standard errors. Cumulative water and sodium intake each were analyzed using two-way ANOVAs with sodium deprivation (sodium deprived or not sodium deprived) and water deprivation (water deprived or not water deprived) as the two factors. Significant main effects (p<0.05) or interactions were analyzed using StudentNewman-Keuls tests. Hematocrit, plasma protein concentration, and plasma sodium concentration each were analyzed using two-way ANOVAs with the two factors being sodium deprivation (sodium deprived or not sodium deprived) and water deprivation (water deprived or not water deprived). Significant main effects or interactions (p<0.05) were analyzed using Student-Newman-Keuls tests. 18 CHAPTER IV FINDINGS Experiment 1: Body weights were measured on days 1, 10, and 11 for each animal in Experiment 1 to determine whether the sodium deficient diet had substantial effects on body weight that may have affected behavior independent of diet condition. As shown in Table 1, body weights increased from day 1 to day 10 in all groups, as reflected by the percent change. Although the groups on the sodium deficient diet appeared to have a more gradual rate of weight gain, they did not lose weight from day 1 to day 10. As expected, body weight decreased after overnight water deprivation and thus, the rate of weight gain decreased abruptly. A subset of animals was also weighed on days 3, 5, and 7. The percent changes in body weight from day 1 for the four groups are shown in Figure 1, which illustrates the steady increase in body weight from day 1 to day 10 in all groups, and the abrupt decrease after overnight water deprivation. Hourly 0.5 M NaCl intakes by the four groups are shown in Figure 2A. A 3-way repeated measures ANOVA of hourly 0.5 M NaCl intake revealed main 19 Table 1: Mean Body Weight and Percent Change in Body Weight from Day 1 for Rats from Experiment 1. Values are means ± s.e.m. Sodium Deprived (n = 8) Sodium and Water Deprived (n = 8) Day 1 455.7 ± 18.7 384.3 ± 7.5 407.5 ± 19.5 404.4 ± 16.0 Day 10 509.3 ± 16.8 443.0 ± 9.6 438.3 ± 18.4 438.9 ± 16.3 Day 11 (Test Day) 517.5 ± 17.2 417.3 ± 9.4 440.6 ± 18.2 416.8 ± 16.4 % Change Days 1-10 12.1 ± 2.0 15.2 ± 0.6 7.7 ± 0.8 8.6 ± 1.3 % Change Days 1-11 13.8 ± 1.8 8.6 ± 0.5 8.3 ± 0.9 3.1 ± 1.2 Percent Change in Body Weight from Day 1 (%) Control (n = 6) Water Deprived (n = 6) 16 Control (484 ± 8.2) 14 Water Dep (384.5 ± 11.4) 12 Sodium Dep (415.3 ± 25.7) 10 Sodium and Water Dep (406.2 ± 21.7) 8 6 4 2 0 0 1 2 3 4 5 6 7 8 9 10 11 Day of Body Weight Measurement Figure 1: Percent Change in Body Weight from Day 1 (mean ± s.e.m.). Data are from a subset of rats in Experiment 1. Diamonds represent the control group (n=4), squares represent the water deprived group (n=4), triangles represent the sodium deprived group (n=6), and circles represent the sodium and water deprived group (n=6). The numbers in the legend are the body weights (mean ± s.e.m.) on day 1 for each of the four groups. 20 effects of sodium deficiency [F(1,24) = 62.82, p<0.001], water deficiency [F(1,24) = 12.00, p<0.01], and time [F(6,144) = 29.47, p<0.001]. There was also an interaction between sodium deficiency and water deficiency [F(1,24) = 4.76, p<0.05]. Post hoc Student-Newman-Keuls tests of the interaction showed that the sodium deprived group drank more 0.5 M NaCl than did all of the other groups. The sodium and water deprived group drank significantly less 0.5 M NaCl than did the sodium deprived group, but more than both of the groups that were on the standard sodium diet. The two groups on the standard sodium diet were not different from each other. There was also an interaction between sodium deficiency and time [F(6,144) = 15.41, p<0.001]. Post hoc tests revealed that, regardless of whether they were water deprived, 0.5 M NaCl intake by sodium deprived animals increased for the first three hours and then reached an asymptote between three and four hours. Nonetheless, at all time points, sodium deprived animals consumed more 0.5 M NaCl than did animals that were on the standard sodium diet. The overall 0.5 M NaCl intake did not change at any time point for either group of animals that were on the standard sodium diet. Hourly water intakes by the four groups are shown in Figure 2B. A 3-way repeated measures ANOVA revealed main effects of sodium deficiency [F(1,24) = 22.46, p<0.001], water deficiency [F(1,24) = 99.03, p<0.001], and time [F(6,144) = 50.37, p<0.001]. There were also significant interactions between sodium deficiency and time [F(6,144) = 11.01, p<0.001] as well as between water deficiency and time [F(6,144) = 5.23, p<0.001]. Post-hoc tests on the interaction 21 A. Cumulative 0.5 M NaCl Intake (mL) 18 Control Water Dep 16 Sodium Dep 14 Sodium and Water Dep 12 10 8 6 4 2 0 0 60 120 180 240 300 360 420 300 360 420 Time (minutes) B. 45 Cumulative Water Intake (mL) Control Water Dep 40 Sodium Dep Sodium and Water Dep 35 30 25 20 15 10 5 0 0 60 120 180 240 Time (minutes) Figure 2: Cumulative Hourly Intake (mean ± s.e.m.) of 0.5 M NaCl and Water. Diamonds represent the control group (n=6), squares represent the water deprived group (n=6), triangles represent the sodium deprived group (n=8), and circles represent the sodium and water deprived group (n=8). Panel A- cumulative hourly intakes of 0.5 M NaCl. 3-way rm ANOVA revealed main effects of sodium deprivation, water deprivation, and time. There were also significant interactions between sodium deprivation and water deprivation [F(1,24) = 4.76, p<0.05] and between sodium deprivation and time [F(6,144) = 15.41, p<0.001]. Panel B- cumulative hourly intakes of water. 3-way rm ANOVA revealed main effects of sodium deprivation, water deprivation, and time. There were also significant interactions between sodium deprivation and time [F(6,144) = 11.01, p<0.001] and between water deprivation and time [F(6,144) = 5.23, p<0.001]. 22 between water deficiency and time showed that, for water deprived animals, regardless of whether they were also sodium deprived, water intake increased for the first three hours and then reached an asymptote between three and four hours. As might be expected, water deprived animals consumed more water than did animals that were not water deprived at all time points. Water intake did not change at any time point for animals that were not water deprived except between the first and second hour. To more closely evaluate the relationship between 0.5 M NaCl and water, we also compared intakes of 0.5 M NaCl and water by each of the four groups during the first hour (Figure 3A-D). A 2-way repeated measures ANOVA of 0.5 M NaCl and water intake by the control group in the first hour revealed a main effect of time [F(5,25) = 5.48, p<0.01]. Post-hoc tests revealed that, overall, fluid intake increased slightly, but significantly, over time for this group. Similar statistical analyses of intakes by the water deprived group showed main effects of both solution [F(1,5) = 121.36, p<0.001] and time [F(5,25) = 33.55, p<0.001], and an interaction between solution and time [F(5,25) = 33.80, p<0.001]. Post-hoc tests of the interaction revealed that water intake was significantly greater than 0.5 M NaCl intake at all time points for this group. Furthermore, 0.5 M NaCl intake did not change over time, whereas, water intake significantly increased at 10, 30, and 45 minutes relative to the previous time points. For the sodium deprived group, there were main effects of solution [F(1,7) = 15.16, p<0.01] and time [F(5,35) = 36.89, p<0.001]. Post-hoc tests revealed that, overall, 0.5 M NaCl intake was significantly greater than water intake, and that total fluid intake 23 A. B. 25 Cumulative Intake (mL) Cumulative Intake (mL) 15 10 5 0 * * # 15 * * # * 10 # 5 15 30 45 0 60 15 D. 25 0.5M NaCl Intake Water Intake Cumulative Intake (mL) 20 15 10 5 0 0 15 30 45 60 25 Sodium Deprived 0.5M NaCl Intake 30 Time (min) Time (min) Cumulative Intake (mL) * Water Intake 20 0 0 C. Water Deprived 0.5M NaCl Intake Water Intake 20 25 Control 0.5M NaCl Intake 45 Sodium and Water Deprived * Water Intake 20 * * * 15 # * * 10 # # 5 0 60 0 Time (min) 15 30 45 60 Time (min) Figure 3: Cumulative Intakes (mean ± s.e.m.) of 0.5 M NaCl and Water During the First Hour of Testing. Squares represent 0.5 M NaCl intake and circles represent water intake. Panel A- control group (n=6). Panel B- water deprived group (n=6). Panel C- sodium deprived group (n=8). Panel D- sodium and water deprived group (n=8). * = significantly greater than 0.5 M NaCl intake at corresponding time, # = significantly greater than preceding time point. 24 increased significantly over time. Finally, for the sodium and water deprived group, a 2-way repeated measures ANOVA revealed a main effect of solution [F(1,7) = 10.51, p<0.05] and time [F(5,35) = 24.84, p<0.001], and an interaction between solution and time [F(5,35) = 10.88, p<0.001]. Post-hoc tests of the interaction showed that water intake was significantly greater than 0.5 M NaCl intake at every time point for this group. Intake of 0.5 M NaCl changed only slightly (from approximately 2 mL to 5 mL) during the first hour, whereas water intake increased significantly at 10, 15, and 60 minutes relative to the previous time points. Experiment 2: Animals in Experiment 2 were weighed on days 1, 4, 8, and 11. As shown in Table 2, the percent change in body weight from day 1 increased in all groups, similar to that observed in Experiment 1. Specifically, the percent change was somewhat less in the groups that were sodium deprived and the rate of body weight gain decreased on day 11 for the groups that were water deprived overnight. Figure 4 shows hematocrit, plasma protein concentration, and plasma sodium concentration in the four groups; each was analyzed using a 2-way ANOVA. Analysis of group differences in hematocrit revealed no main effects and no interactions. Analysis of group differences in plasma protein concentration revealed a main effect of sodium deprivation [F(1,24) = 5.898, 25 Table 2: Percent Change in Body Weight from Day 1 for Rats from Experiment 2. Values are means ± s.e.m. Control (n = 6) Water Deprived (n = 6) Sodium Deprived (n = 8) Sodium and Water Deprived (n = 8) % Change Days 1-4 5.0 ± 0.3 4.1 ± 0.2 2.3 ± 0.4 2.5 ± 0.3 % Change Days 1-8 12.6 ± 0.9 11.5 ± 0.7 7.7 ± 1.0 8.2 ± 0.3 % Change Days 1-11 17.3 ± 1.3 8.9 ± 0.7 10.2 ± 1.1 5.0 ± 0.3 p<0.05]. Post-hoc tests of the main effect showed that, regardless of whether they were water deprived overnight, the groups on the sodium deficient diet had significantly greater plasma protein concentrations than did those on the standard sodium diet. In contrast, analysis of group differences in plasma sodium concentration revealed a main effect of water deprivation [F(1,24) = 9.931, p<0.01]. Post-hoc tests of this main effect showed that, regardless of whether they were sodium deprived, the groups that were water deprived had significantly greater plasma sodium concentrations than did those that were not water deprived. 26 A. 50 No Water Dep Water Dep Hematocrit (%) 45 40 35 30 25 Standard Sodium Diet Sodium Deficient Diet 6.5 Plasma Proteins (g/dL) B. 6 No Water Dep Water Dep 5.5 5 4.5 4 3.5 Standard Sodium Diet C. Sodium Deficient Diet Plasma Sodium (mMol/L plasma water) 160 150 No Water Dep Water Dep 140 130 120 110 100 Standard Sodium Diet Sodium Deficient Diet Figure 4: Blood Measurements from Rats Maintained on Standard Sodium Diet or Sodium Deficient Diet with or without Overnight Water Deprivation. Panel A- Hematocrit. 2-way ANOVA revealed no main effects or interactions. Panel B- Plasma protein concentrations. 2-way ANOVA revealed a main effect of sodium deprivation [F(1,24) = 5.898, p<0.05]. Panel C- Plasma sodium concentrations. 2-way ANOVA revealed a main effect of water deprivation [F(1,24) = 9.931, p<0.01]. 27 Experiment 3: Animals in Experiment 3 were weighed on days 1, 4, 8, and 11. As shown in Table 3, the percent change in body weight from day 1 was comparable to that observed in Experiments 1 and 2 with a somewhat slower rate of increase in the sodium deprived groups and a reduced rate of increase following water deprivation. Table 3: Percent Change in Body Weight from Day 1 for Rats in Experiment 3. Values are means ± s.e.m. Control (n = 7) Water Deprived (n = 6) Sodium Deprived (n = 8) Sodium and Water Deprived (n = 8) % Change Days 1-4 5.9 ± 1.0 5.3 ± 0.5 2.3 ± 0.4 2.4 ± 0.4 % Change Days 1-8 13.9 ± 1.6 11.0 ± 0.9 6.2 ± 0.6 6.4 ± 0.4 % Change Days 1-11 18.3 ± 2.3 7.7 ± 1.2 8.7 ± 0.6 3.1 ± 0.6 Figure 5 shows cumulative, 3-hour intakes of 0.5 M NaCl (A) and water (B) by the four groups. A 2-way ANOVA on group differences in the three hour 0.5 M NaCl intake revealed main effects of sodium deprivation [F(1,25) = 30.283, p<0.001] and water deprivation [F(1,25) = 5.558, p<0.05]. Specifically, regardless of whether they were water deprived, 0.5 M NaCl intake was significantly greater in groups that were sodium deprived. At the same time, 28 Cumulative 0.5 M NaCl Intake (mL) A. 16 Experiment 3 14 Experiment 1 12 10 8 6 4 2 0 Control Water Deprived Sodium Deprived Sodium and Water Deprived Cumulative Water Intake (mL) B. 40 35 Experiment 3 Experiment 1 30 25 20 15 10 5 0 Control Water Deprived Sodium Deprived Sodium and Water Deprived Figure 5: Cumulative 0.5 M NaCl and Water Intake (mean ± s.e.m.) at 3 Hours by Rats in Experiment 3. 2-way ANOVAs revealed significant main effects of sodium deprivation [F(1,25) = 30.283, p<0.001] and water deprivation [F(1,25) = 5.558, p<0.05] for 0.5 M NaCl intake and main effects of sodium deprivation [F(1,25) = 13.031, p<0.01] and water deprivation [F(1,25) = 98.686, p<0.001] for water intake. Horizontal black bars show intakes of 0.5 M NaCl and water at three hours by rats from Experiment 1 for comparison. 29 groups that were water deprived consumed significantly less 0.5 M NaCl, regardless of whether they were sodium deprived. Interestingly, however, there was no interaction between sodium deprivation and water deprivation in 0.5 M NaCl intake. A 2-way ANOVA on group differences in water intake at three hours revealed main effects of sodium deprivation [F(1,25) = 13.031, p<0.01] and water deprivation [F(1,25) = 98.686, p<0.001]. Regardless of sodium deprivation, water intake was significantly greater in groups that were water deprived. At the same time, regardless of water deprivation, groups that were sodium deprived consumed significantly more water than groups that were not sodium deprived. However, there was no interaction between sodium deprivation and water deprivation for water intake. To facilitate comparisons, horizontal black lines indicate the intake of 0.5 M NaCl (Figure 5A) and water (Figure 5B) at three hours by animals from Experiment 1. Table 4 shows the amount of sodium ingested at three hours by sodium deprived groups and the sodium and water deprived groups in Experiment 1 and Experiment 3, as well as the total volume of fluids consumed, and the concentration of the ingested fluid. Within experimental groups, the amount of sodium consumed, total fluid ingested, and the concentration of the ingested fluid were comparable in the two experiments. 30 Table 4: Amount of Sodium, Total Fluid Ingested, and Concentration of the Ingested Fluid After 3 Hours for the Sodium Deprived Groups and the Sodium and Water Deprived Groups in Experiment 1 and Experiment 3. Experiment 1 Experiment 3 Amount of Na (in mMol Na) Total Fluid Ingested (mL) Concentration (in mMol Na/L) Amount of Na (in mMol Na) Total Fluid Ingested (mL) Concentration (in mMol Na/L) Sodium Deprived 6.8 ± 0.42 27.9 ± 2.7 252.4 ± 14.8 6.3 ± 0.74 22.0 ± 1.7 289.9 ± 32.1 Sodium and Water Deprived 3.8 ± 0.66 41.1 ± 3.0 94.4 ± 17.2 3.2 ± 0.98 40.2 ± 4.5 70.3 ± 3.2 Figure 6 shows hematocrit, plasma protein concentration, and plasma sodium concentration in the four groups after 3 hours of access to 0.5 M NaCl and water. These data each were analyzed using 2-way ANOVAs. Analysis of group differences in hematocrit revealed a main effect of water deprivation [F(1,25) = 4.553, p<0.05]. Post-hoc tests showed that hematocrit was significantly greater in the groups that were water deprived compared to that in the groups that were not water deprived. In contrast, analysis of group differences in plasma protein concentration showed a main effect of sodium deprivation [F(1,25) = 14.823, p<0.001]. Post-hoc tests revealed that the groups that were not sodium deprived had significantly greater plasma protein concentrations than did groups that were sodium deprived. Finally, analyses of group differences in plasma sodium concentration revealed no main effects and no interactions. 31 A. 50 No Water Dep Water Dep Hematocrit (%) 45 40 35 30 25 Standard Sodium Diet 6.5 Plasma Proteins (g/dL) B. 6 Sodium Deficient Diet No Water Dep Water Dep 5.5 5 4.5 4 3.5 Standard Sodium Diet Sodium Deficient Diet Plasma Sodium (mMol/L plasma water) C. 160 No Water Dep Water Dep 150 140 130 120 110 100 Standard Sodium Diet Sodium Deficient Diet Figure 6: Blood Measurements After 3-Hour 0.5 M NaCl and Water Intake by Rats Maintained on Standard Sodium Diet or Sodium Deficient Diet with or without Overnight Water Deprivation. A- Hematocrit. 2-way ANOVA revealed a main effect of water deprivation [F(1,25) = 4.553, p<0.05]. B- Plasma protein concentrations. 2-way ANOVA revealed a main effect of sodium deprivation [F(1,25) = 14.823, p<0.001]. C- Plasma sodium concentrations. 2-way ANOVA revealed no main effects or interactions. 32 CHAPTER V CONCLUSION There is a large body of literature on the behavioral consequences of sodium deprivation alone, as well as of water deprivation alone (see ref [12, 25, 26] for reviews). However, very little work has been done to investigate the outcome of combining these two challenges to body fluid balance. In a series of studies by De Luca and colleagues [21-23], it was found that 24-36 hours of water deprivation elicits a sodium appetite in rats if thirst is first eliminated by providing rats with water for one hour before access to a hypertonic NaCl solution. However, the goal of those studies was to use water deprivation as a stimulus that allowed the investigators to examine diverse signals that drive sodium intake. Stricker's group [24] also found that rats will drink hypertonic NaCl after overnight water deprivation if they are given only hypertonic NaCl to drink. However, the goal of those studies was to determine whether consumption of the hypertonic NaCl solution would correct dehydration. Thus, these investigators looked at thirst and/or sodium appetite after water deprivation, rather than addressing the question about the combined effect of water and sodium deprivation. The goals of the present study were to combine 33 dietary sodium deprivation and overnight water deprivation to assess the behavioral consequences of these challenges, to determine whether differences in plasma sodium concentration or volume status could account for the observed behavioral outcomes, and to ascertain whether the behavioral responses allowed the rats to compensate for induced deficits in body sodium and fluid volume. Experiment 1: The results of Experiment 1 revealed that there was not a large disparity in either the mean body weights (Table 1) or percent change in body weight (Figure 1) among the four groups. All rats gained weight steadily throughout the protocol. Clearly, the rate of weight gain decreased after water deprivation, both in rats on the standard sodium diet and in rats on the sodium deficient diet, as rats lose body fluid volume and may also decrease food intake during water deprivation. Animals on the sodium deficient diet seemed to gain weight more gradually than did the animals on the standard sodium diet, but dietary sodium deficiency did not cause the animals to lose weight. Thus, we conclude that consequences of the different diets on body weight did not contribute to the behaviors seen on test day. In two-bottle intake tests (Figure 2A-B), the control group drank very little fluid during seven hours, as expected. Not surprisingly, the water deprived group drank large volumes of water [27] and very little 0.5 M NaCl on test day. In contrast, the sodium deprived group drank large volumes of 0.5 M NaCl and 34 similar volumes of water [28]. The combined intake of 0.5 M NaCl and water yielded a hypertonic solution by the end of the drinking test, which is consistent with previous finding [27]. Rats that were both sodium and water deprived drank significantly more water and significantly less 0.5 M NaCl than did animals that were only sodium deprived. In fact, the combination of 0.5 M NaCl and water ingested by the sodium and water deprived group yielded a slightly hypotonic solution by the end of the test. Nonetheless, the sodium and water deprived group drank significantly more 0.5 M NaCl than did the two groups on the standard sodium diet. To more closely evaluate the effect of the experimental manipulations on 0.5 M NaCl and water intake, we also assessed the patterns of drinking by the four groups during the first hour (Figure 3A-D). The sodium deprived group drank 0.5 M NaCl first; only later in the test did water intake increase and eventually surpass 0.5 M NaCl consumption. This pattern is consistent with previous studies of sodium deprived rats [28], but is unlike the pattern that was seen for rats that were both sodium and water deprived. The sodium and water deprived group drank significantly more water than 0.5 M NaCl throughout the first hour of testing. In fact, the pattern of intake for the sodium and water deprived group in the first hour more closely resembled that of the water deprived group except, of course, that the sodium and water deprived group drank a greater amount of 0.5 M NaCl. 35 Experiment 2: Percent changes in body weight observed in Experiment 2 (Table 2) were similar to those in Experiment 1. Thus, the experimental manipulations produced consistent effects on body weight and reinforce the idea that differences in the behaviors seen on test day in Experiment 1 were not attributable to differences in body weight or in body weight changes. There were no differences in hematocrit (Figure 4A) among the groups, which could lead one to surmise that volume status did not contribute to the observed behaviors. However, there were differences in plasma protein concentration (Figure 4B) among the groups. Animals on the sodium deficient diet had greater plasma protein concentrations than did animals on the standard sodium diet, which could be the result of sodium deprived animals excreting greater volumes of urine to conserve plasma sodium and overall plasma osmolality during sodium deprivation. In any case, it is unlikely that volume status was solely responsible for the behavioral outcomes on test day. If it had been, one would have expected the two groups on the sodium deficient diet to consume similar amounts of both 0.5 M NaCl and water during the intake test since they had similar plasma protein values prior to the drinking test. Following this logic, one might make the unreasonable prediction that the two groups on the standard sodium diet would also have consumed similar amounts of both solutions due to similar plasma protein concentrations. Clearly, the four groups behaved very differently on test day, which leads to the conclusion that, although 36 differences in volume status may contribute to the behavioral responses, they were not the only signal that elicited the behaviors. The results from Experiment 2 also revealed that, regardless of whether rats were sodium deprived, animals that were water deprived overnight had greater plasma sodium concentrations than did animals that were not water deprived (Figure 4C). On the surface, this finding may seem counterintuitive as one would have expected the difference to be reduced plasma sodium concentration in the sodium deprived groups. However, others have shown a normalization of plasma sodium concentration with prolonged dietary sodium deprivation in rats [29] and only a slight, albeit significant, decrease in plasma sodium in humans [30]. Moreover, depriving animals of water decreases body fluid volume, which likely accounts for the apparent increase in plasma sodium concentration. In any case, if decreased plasma osmolality (as measured by plasma sodium concentration) was the primary signal, we would have expected the groups that were water deprived to behave similarly on test day. Clearly, this was not observed. Thus, neither changes in volume status nor plasma osmolality was solely responsible for the observed behavioral outcomes. It is, however, possible that a combination of these two signals, and/or signals related to sodium or water deprivation such as angiotensin II or aldosterone, led to the differences in behavioral responses seen on test day. Experiment 3: 37 Percent changes in body weight observed in Experiment 3 (Table 3) were comparable to those in both Experiment 1 and Experiment 2, with the sodium deprived groups having a more gradual rate of weight gain and the water deprived groups having a decreased rate of weight gain after water deprivation. Both sodium and water intake by rats in Experiment 3 (Figure 5 A and B) were similar to those by rats in Experiment 1. In fact, the amount of sodium consumed, total fluid ingested, and the overall fluid concentrations at three hours were comparable within the two experiments (Table 4). Thus, the ingestion of both 0.5 M NaCl and water are reliable and reproducible responses to the experimental manipulations. The results from the blood measurements in Experiment 3 (Figure 6) showed that, regardless of whether the animals were sodium deprived, rats that were water deprived had greater hematocrit than those that were not water deprived. Since the water deprived groups consumed large volumes of fluids in three hours (~25 mL total fluid by rats that were water deprived; ~41 mL total fluid by rats that were both water and sodium deprived), this difference could result from the water deprived groups excreting more of the ingested fluid than did the groups that were not water deprived. Somewhat counterintuitive, then, is the observation that plasma protein concentrations did not show a similar trend. Rather, rats that were sodium deprived had a lower plasma protein concentration than did rats that were not sodium deprived, regardless of water deprivation. However, differences in the sensitivity of the methods used to measure hematocrit and plasma protein concentration may account for the discrepancies 38 observed, particularly when plasma volume and sodium concentration may be influenced by rapid ingestion of large volumes of water and concentrated NaCl. Given that red blood cell volume likely is affected by the rapid influx of volume and/or sodium into systemic circulation upon absorption of the ingested fluids, hematocrit measurements may be more variable, and thus, plasma protein concentration may more accurately reflect changes in volume. More interesting, however, are the measurements of plasma sodium concentrations, which did not differ among the four groups. Therefore, it seems that the ultimate effect of the behavioral responses was to restore normal plasma sodium concentration, even if more variability in body fluid volume occurred as a result. General Discussion: Each of the four experimental conditions produced different behavioral outcomes during the two-bottle intake tests (Figure 2, 3, 5). The control group ingested very little fluid on the test day, while rats that were water deprived drank large volumes of water and very little 0.5 M NaCl. In contrast, rats that were sodium deprived drank large quantities of 0.5 M NaCl and comparable volumes of water. Rats that were both sodium and water deprived drank significantly more water and significantly less 0.5 M NaCl than did the sodium deprived group, but significantly more 0.5 M NaCl than did the control and water deprived groups. Clearly, then, the behavioral consequences of combined water and sodium 39 deprivation differ from those observed with either water or sodium deprivation alone. In fact, while the sodium and water deprived group did not ‘ignore’ sodium deprivation, these animals responded very quickly and drank large volumes of water when fluids were made available, suggesting that water deprivation is the more potent stimulus. Alternatively, the behavioral responses may be due to an additive effect of combining the two challenges. Given that water deprived rats drank approximately 30 mL of water and negligible amounts of 0.5 M NaCl (<2 mL) during the seven hour test, and that sodium deprived rats drank ~20 mL of water and 15 mL of 0.5 M NaCl, one would predict that rats that were both sodium and water deprived would drink ~50 mL of water and 15 mL of 0.5 M NaCl (i.e., water intake and 0.5 M NaCl intake in approximately a 3.3:1 ratio) if the two challenges were simply additive. However, the sodium and water deprived group drank approximately 42 mL of water and 9 mL of 0.5 M NaCl. Although these volumes both are somewhat less than would be predicted, the water intake is proportionally greater, as reflected by the water intake:0.5 M NaCl intake ratio of ~4.7:1. Similarly, the concentration of the fluid ingested by the sodium and water deprived group was ~88.2 mMol Na/L vs ~115 mMol Na/L that would be yielded by the predicted volumes. Finally, the pattern of intake in the first hour for the sodium and water deprived group differed markedly from the pattern observed for the sodium deprived group, and actually more closely resembled the pattern seen for the water deprived group. Together, these observations suggest that thirst is the more salient of the two drives during 40 combined sodium and water deprivation. Nonetheless, we cannot rule out the possibility that decreases in body fluid volume and body sodium that occur during the combination of dietary sodium deficiency and overnight water deprivation somehow prevented these rats from consuming greater volumes of both solutions, thereby masking the additive effect of combined water and sodium deprivation. On the surface, it may seem surprising that the ingestion of water and 0.5 M NaCl observed on the test day were so poorly predicted by changes in volume or by changes in plasma osmolality. Given the complexity of the changes in body fluid volume and plasma osmolality that occurred during our experimental manipulations, it is possible that the combination of these two factors led to the observed behaviors. Alternatively, an entirely different set of signals may have stimulated the behaviors. Hormones such as angiotensin II and aldosterone are released in response to decreased body fluid volume or body sodium and are well known to stimulate the intake of water and salt [15, 31]. Another possibility is altered baroreceptor signaling, such as may occur during decreased fluid volume, which also has been implicated in the stimulation of both water intake [13] and sodium intake [19]. Finally, we cannot discount the possibility that these signals may work in concert to dictate the behavioral responses to combined water and sodium deprivation, with the specific response determined by the relative weight of each. Regardless of the specific signal(s) that produced the behaviors observed on the test day, it is clear that, as a result, plasma sodium concentrations were 41 comparable in all four groups whereas body fluid volume was more variable. The observation that a wide range of behavioral responses all led to similar plasma sodium levels underscores the importance of body sodium regulation, and dramatically illustrates the effectiveness of the repertoire of compensatory responses that includes behaviors like water intake and NaCl intake, as well as hormonal and renal mechanisms. Nonetheless, it was surprising that hematocrit and plasma protein concentration varied so widely. The obvious interpretation of these findings is that body fluid volume is less tightly regulated. Though there may be truth to this position, it cannot be ignored that hematocrit and plasma protein concentrations are indirect measures of plasma volume. Direct measurement of body fluid volume (e.g., using dye dilution methods) will provide more accurate assessment of the volume status of these animals and help to resolve uncertainty about assessment of body fluid volume based on hematocrit and plasma protein concentration measurements. In summary, previous studies have typically focused on the signals and behavioral responses to sodium deprivation or water deprivation alone, while those studies that have integrated thirst and sodium appetite [21-24] did so for reasons different from the goals of the present study. We sought to determine the effect of combined water and sodium deprivation on water and 0.5 M NaCl intake, and have demonstrated reliable and reproducible behavioral responses. We also have begun to deduce the signals that underlie these motivated behaviors, by showing that neither changes in plasma osmolality, as indicated by plasma sodium concentration, nor changes in fluid volume, as indicated by 42 hematocrit and plasma protein concentration, alone could account for the behavioral responses. Additional studies are needed to further investigate hormonal signals such as angiotensin II and aldosterone, as well as the role of neural input from baroreceptors and/or the kidneys. Finally, it will be important to measure urine volume and urine sodium concentration to more fully understand the compensatory responses that promote the maintenance of appropriate plasma sodium concentration in the face of combined challenges to body fluid volume and sodium. 43 REFERENCES 1. Wilkins, L. and C.P. Richter, A great craving for salt by a child with corticoadrenal insufficiency. J Am Med Assoc, 1940. 114(10): p. 866-868. 2. 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Kaufman, Cardiac control of salt appetite. Am J Physiol, 1987. 252(5 Pt 2): p. R925-9. 20. De Gobbi, J.I., et al., Right atrial stretch alters fore- and hind-brain expression of c-fos and inhibits the rapid onset of salt appetite. J Physiol, 2008. 586(Pt 15): p. 3719-29. 21. De Luca, L.A., Jr., et al., Water deprivation-induced sodium appetite. Physiol Behav, 2010. 100(5): p. 535-44. 45 22. De Luca, L.A., Jr., et al., Water deprivation and the double- depletion hypothesis: common neural mechanisms underlie thirst and salt appetite. Braz J Med Biol Res, 2007. 40(5): p. 707-12. 23. De Luca, L.A., Jr., et al., Water deprivation-induced sodium appetite: humoral and cardiovascular mediators and immediate early genes. Am J Physiol Regul Integr Comp Physiol, 2002. 282(2): p. R552-9. 24. Stricker, E.M., et al., Osmoregulation in water-deprived rats drinking hypertonic saline: effect of area postrema lesions. Am J Physiol Regul Integr Comp Physiol, 2001. 280(3): p. R831-42. 25. Geerling, J.C. and A.D. Loewy, Central regulation of sodium appetite. Exp Physiol, 2008. 93(2): p. 177-209. 26. Johnson, A.K. and R.L. Thunhorst, The neuroendocrinology of thirst and salt appetite: visceral sensory signals and mechanisms of central integration. Front Neuroendocrinol, 1997. 18(3): p. 292-353. 27. Curtis, K.S., et al., Gestational and early postnatal dietary NaCl levels affect NaCl intake, but not stimulated water intake, by adult rats. Am J Physiol Regul Integr Comp Physiol, 2004. 286(6): p. R1043-50. 28. Stricker, E.M., E. Thiels, and J.G. Verbalis, Sodium appetite in rats after prolonged dietary sodium deprivation: a sexually dimorphic phenomenon. Am J Physiol, 1991. 260(6 Pt 2): p. R1082-8. 29. Jo, H., et al., Gene expression of central and peripheral renin-angiotensin system components upon dietary sodium intake in rats. Regul Pept, 1996. 67(2): p. 115-21. 30. Brown, J.J., et al., Raised plasma angiotensin II and aldosterone during dietary sodium restriction in man. Lancet, 1972. 2(7787): p. 1106-7. 31. Johnson, A.K., et al., Plasma angiotensin II concentrations and experimentally induced thirst. Am J Physiol, 1981. 240(3): p. R229-34. 46 VITA Kimberly Jean Lucia Candidate for the Degree of Master of Science Thesis: COMPENSATORY BEHAVIORAL RESPONSES TO COMBINED CHALLENGES TO BODY SODIUM AND FLUID BALANCE Major Field: Biomedical Sciences Biographical: Education: Completed the requirements for the Master of Science in Biomedical Sciences at Oklahoma State University Center for Health Sciences, Tulsa, Oklahoma in December, 2010. Completed the requirements for the Bachelor of Science in Biology at Pennsylvania State University, State College, Pennsylvania in May, 2008. Name: Kimberly Jean Lucia Date of Degree: December, 2010 Institution: Oklahoma State University Location: Tulsa, Oklahoma Title of Study: COMPENSATORY BEHAVIORAL RESPONSES TO COMBINED CHALLENGES TO BODY SODIUM AND FLUID BALANCE Pages in Study: 46 Candidate for the Degree of Master of Science Major Field: Biomedical Sciences Scope and Method of Study: To determine the effect of combined dietary sodium deficiency and overnight water deprivation on 0.5 M NaCl and water intake by rats, and to begin to characterize the signals that underlie these behavioral responses by measuring changes in both fluid volume, as indicated by hematocrit and plasma protein concentration, and plasma osmolality, as indicated by plasma sodium concentration. Findings and Conclusions: The sodium and water deprived group drank significantly more water and significantly less 0.5 M NaCl than the sodium deprived group, but significantly more 0.5 M NaCl than the control and water deprived groups. In addition, the sodium and water deprived rats responded very quickly and ingested large volumes of water when fluids were made available. The pattern of intake in the first hour by rats in the sodium and water deprived group more closely resembled the pattern of intake by water deprived rats. Thus, it is possible that water deprivation is the more salient of the two stimuli. Neither changes in fluid volume nor plasma osmolality alone could account for the observed behaviors. While the behavioral responses led to greater variability in volume measurements, plasma sodium concentration was restored to normal levels. These findings demonstrate the importance of body sodium regulation, and dramatically illustrate the effectiveness of the repertoire of compensatory responses that includes behaviors like water intake and NaCl intake. ADVISER’S APPROVAL: Kathleen S. Curtis, PhD
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