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Increased thirst and drinking in Huntington's disease and the R6/2 mouse.

Abstract
While Huntington's disease (HD) is a condition that primarily involves the basal ganglia, there is evidence to suggest that the hypothalamus is also affected. Because the osmoreceptors regulating thirst are situated in the circumventricular region of the hypothalamus, we were interested in whether altered thirst is a part of the HD phenotype. We used the LABORAS behavioural monitoring system and water consumption to show that drinking behaviour was abnormal in R6/2 mice. By 10 weeks of age, R6/2 mice spent significantly more time drinking and drank a greater volume than their wild-type (WT) littermates. The numbers of immunoreactive vasopressin neurons in the paraventricular nucleus (PVN) of the hypothalamus in R6/2 mice were significantly decreased from 8 weeks of age, suggesting that the change in drinking behaviour may be the result of hypothalamic dysfunction. We gave a xerostomia (dry mouth) questionnaire to HD patients and control subjects, and also measured their urine osmolality and serum vasopressin. The mean total xerostomia score was significantly higher in HD patients than in controls, indicating greater thirst in HD patients. Urine osmolality was unaffected in HD patients up to clinical stage III, and none of the patients had diabetes. However, serum vasopressin was increased, suggesting a dysregulation in the control of hypothalamic vasopressin release. A dry mouth can affect taste, mastication and swallowing, all of which may contribute to the significant weight loss seen in both HD patients and R6/2 mice, as can dehydration. We suggest that increased thirst may be an important and clinically relevant biomarker for the study of disease progression in HD.
AuthorsNigel I Wood, Anna O G Goodman, Jorien M M van der Burg, Véronique Gazeau, Patrik Brundin, Maria Björkqvist, Asa Petersén, Sarah J Tabrizi, Roger A Barker, A Jennifer Morton
JournalBrain research bulletin (Brain Res Bull) Vol. 76 Issue 1-2 Pg. 70-9 (May 15 2008) ISSN: 1873-2747 [Electronic] United States
PMID18395613 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Vasopressins
Topics
  • Animals
  • Behavior, Animal (physiology)
  • Disease Models, Animal
  • Disease Progression
  • Drinking
  • Female
  • Humans
  • Huntington Disease (physiopathology)
  • Mice
  • Mice, Inbred C57BL
  • Mice, Transgenic
  • Osmolar Concentration
  • Paraventricular Hypothalamic Nucleus (cytology, metabolism)
  • Surveys and Questionnaires
  • Thirst
  • Urine (chemistry)
  • Vasopressins (metabolism)
  • Xerostomia

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