Had Enough Water? Brain’s Thirst Centers Make a Gut Check

Summary: Hydration signals from the gut travel via the vagus nerve to activate thirst neurons in the SFO. These neurons signal to cells in the median preoptic nucleus, driving animals to drink and the kidneys to conserve water in the bloodstream.

Source: UCSF

Water bottles are everywhere these days, along with all kinds of advice about exactly how much water you should be drinking. But how does your brain actually know when you’ve had enough and can stop feeling thirsty? A new UC San Francisco study — published March 27, 2019, in Nature — may have the answer.

Until recently, scientists believed that a brain region called the hypothalamus makes us thirsty when it detects a drop in the hydration of our blood. But UCSF neuroscientist Zachary Knight, PhD, an associate professor of physiology and Howard Hughes Medical Institute Investigator, realized that this couldn’t be the whole story — in particular, because a refreshing beverage begins to quench our thirst almost as soon as it touches our lips, despite taking 10 minutes or more to actually change our overall hydration.

In a 2016 study, Knight lab graduate student Christopher Zimmerman helped to explain this phenomenon by showing that sensory signals from the mouth and throat make thirst neurons in the hypothalamus shut down immediately when mice take a drink. These sensors appear to predict how hydrating a drink will be, based on the volume of liquid an animal swallows, and they are particularly attuned to cold fluids, which may explain why an icy drink is so refreshing.

“This fast signal from the mouth and throat appears to track how much you drink and match that to what your body needs,” Zimmerman said. “But we also knew that this fast signal couldn’t explain everything.”

In particular, the researchers wondered how the brain knows exactly how hydrating a drink will be. After all, seawater doesn’t quench thirst, but it would activate many of the same receptors in the mouth and throat as ice water from the fridge.

In their new study, Zimmerman and colleagues used flexible optical fibers implanted near the hypothalamus to watch the activity of thirst neurons as mice drank salty water. In agreement with the team’s earlier results, these neurons did go quiet as soon as the thirsty animals took a drink, but then quickly switched back on, as if some other sensors were testing the water the animal had just drunk and alerting the brain: “Too salty — stay thirsty!”

To see whether these signals could be coming from the gut, the researchers infused liquid directly into the stomachs of thirsty mice while watching the activity of their thirst neurons. They found that infusing fresh water deactivated these cells just as well as taking a drink does, but after infusions of salt water thirst, neurons remained active. When mice were given a salt infusion and then allowed drink pure water, their thirst neurons initially went quiet as they drank, but soon switched back on, as if signaling the need to drink more to make up for the added salt in their stomachs.

These results suggest that the sensors in the mouth and throat that Zimmerman discovered in 2016 let the brain temporarily quench thirst to reward animals for taking a drink, but that the thirst neurons then review this decision based on the second level of sensors in the gut (probably at the beginning of the small intestine, the authors suggest) that predict how well the drink will rehydrate the animal and tell it whether it needs to keep drinking.

“Interestingly, infusing salt water into the stomach didn’t drive drinking in well-hydrated mice, just in mice who were already thirsty,” Zimmerman said. “This suggests that signals from the gut are needed to quench thirst, but that you actually need to become dehydrated to trigger thirst in the first place.”

The researchers showed that the gut’s hydration signals travel via the vagus nerve to activate thirst neurons. Using a technique called optogenetics, which lets scientists activate or shut down particular groups of neurons using beams of light, the researchers showed how these cells — which are located in the hypothalamus’s subfornical organ (SFO) — pass messages to the nearby median preoptic nucleus (MnPO), which can respond by driving animals to drink and telling the kidney to conserve water in the bloodstream.

The researchers were intrigued to discover that a subset of individual neurons in the MnPO appeared to respond to and integrate drinking signals from the mouth and throat, satiation signals from the gut, and information about an animal’s overall hydration level from the bloodstream. Other nearby cells also encoded other information like an animal’s stress level or the availability of water sources.

“This is the first time we’ve been able to watch in real time as single neurons integrate signals from different parts of the body to control behavior like drinking,” Knight said. “This opens the door to studying how all these signals interact, such as how stress or body temperature influences thirst and appetite.”

In addition to studying the normal function of the SFO and MnPO thirst neurons, the researchers hope to use these insights to understand whether defects in how these neurons regulate fluid balance within the body could explain the origins of diseases like high blood pressure.

thirst neurons in the hypothalamus
Thirst neurons in the hypothalamus (green and red) monitor how hydrating a drink will be based on signals from the gut. The image is credited to Knight lab / UCSF.

“The hypothalamus is a critical center for keeping our physiology within a healthy range, whether its hydration, appetite, making sure we’re the right temperature, or controlling blood pressure — and all of these needs compete with and modify one another,” Knight said. “It has been difficult to study how all of these factors interact in the brain of a living animal, but studies like this are beginning to allow us to investigate this critical question.”

Funding: The research was supported by the National Institutes of Health (NIH R01-DK106399, R01-NS094781, DP2-DK109533, F31-HL137383), the National Science Foundation (NSF DGE-1144247), the Howard Hughes Medical Institute, the Genentech Foundation, the New York Stem Cell Foundation, the American Diabetes Association, the Rita Allen Foundation, the McKnight Foundation, the Alfred P. Sloan Foundation, the Brain and Behavior Research Foundation, the Esther A. and Joseph Klingenstein Foundation, the UCSF Program for Breakthrough Biomedical Research, the UCSF Diabetes Center, the UCSF Nutrition Obesity Research Center, and a UCSF Discovery Fellowship.

About this neuroscience research article

Media Contacts:
Nicholas Weiler – UCSF
Image Source:
The image is credited to Knight lab / UCSF.

Original Research: Closed access.
“A gut-to-brain signal of fluid osmolarity controls thirst satiation”
Christopher A. Zimmerman, Erica L. Huey, Jamie S. Ahn, Lisa R. Beutler, Chan Lek Tan, Seher Kosar, Ling Bai, Yiming Chen, Timothy V. Corpuz, Linda Madisen, Hongkui Zeng & Zachary A. Knight
Nature (2019) doi:10.1038/s41586-019-1066-x


A gut-to-brain signal of fluid osmolarity controls thirst satiation

Satiation is the process by which eating and drinking reduce appetite. For thirst, oropharyngeal cues have a critical role in driving satiation by reporting to the brain the volume of fluid that has been ingested. By contrast, the mechanisms that relay the osmolarity of ingested fluids remain poorly understood. Here we show that the water and salt content of the gastrointestinal tract are precisely measured and then rapidly communicated to the brain to control drinking behaviour in mice. We demonstrate that this osmosensory signal is necessary and sufficient for satiation during normal drinking, involves the vagus nerve and is transmitted to key forebrain neurons that control thirst and vasopressin secretion. Using microendoscopic imaging, we show that individual neurons compute homeostatic need by integrating this gastrointestinal osmosensory information with oropharyngeal and blood-borne signals. These findings reveal how the fluid homeostasis system monitors the osmolarity of ingested fluids to dynamically control drinking behaviour.

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