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Publication : High salt intake causes leptin resistance and obesity in mice by stimulating endogenous fructose production and metabolism.

First Author  Lanaspa MA Year  2018
Journal  Proc Natl Acad Sci U S A Volume  115
Issue  12 Pages  3138-3143
PubMed ID  29507217 Mgi Jnum  J:261290
Mgi Id  MGI:6147928 Doi  10.1073/pnas.1713837115
Citation  Lanaspa MA, et al. (2018) High salt intake causes leptin resistance and obesity in mice by stimulating endogenous fructose production and metabolism. Proc Natl Acad Sci U S A 115(12):3138-3143
abstractText  Dietary guidelines for obesity typically focus on three food groups (carbohydrates, fat, and protein) and caloric restriction. Intake of noncaloric nutrients, such as salt, are rarely discussed. However, recently high salt intake has been reported to predict the development of obesity and insulin resistance. The mechanism for this effect is unknown. Here we show that high intake of salt activates the aldose reductase-fructokinase pathway in the liver and hypothalamus, leading to endogenous fructose production with the development of leptin resistance and hyperphagia that cause obesity, insulin resistance, and fatty liver. A high-salt diet was also found to predict the development of diabetes and nonalcoholic fatty liver disease in a healthy population. These studies provide insights into the pathogenesis of obesity and diabetes and raise the potential for reduction in salt intake as an additional interventional approach for reducing the risk for developing obesity and metabolic syndrome.
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