Steiner Alexandre A, Hunter John C, Phipps Sean M, Nucci Tatiane B, Oliveira Daniela L, Roberts Jennifer L, Scheck Adrienne C, Simmons Daniel L, Romanovsky Andrej A
Systemic Inflammation Laboratory, Trauma Research, St. Joseph's Hospital and Medical Center, 350 W. Thomas Road, Phoenix, AZ 85013, USA.
Am J Physiol Regul Integr Comp Physiol. 2009 Aug;297(2):R485-94. doi: 10.1152/ajpregu.91026.2008. Epub 2009 Jun 10.
Systemic inflammation is associated with either fever or hypothermia. Fever, a response to mild systemic inflammation, is mediated by cyclooxygenase (COX)-2 and not by COX-1. However, it is still disputed whether COX-2, COX-1, neither, or both mediate(s) responses to severe systemic inflammation, and, in particular, the hypothermic response. We compared the effects of SC-236 (COX-2 inhibitor) and SC-560 (COX-1 inhibitor) on the deep body temperature (T(b)) of rats injected with a lower (10 microg/kg i.v.) or higher (1,000 microg/kg i.v.) dose of LPS at different ambient temperatures (T(a)s). At a neutral T(a) (30 degrees C), the rats responded to LPS with a polyphasic fever (lower dose) or a brief hypothermia followed by fever (higher dose). SC-236 (2.5 mg/kg i.v.) blocked the fever induced by either LPS dose, whereas SC-560 (5 mg/kg i.v.) altered neither the febrile response to the lower LPS dose nor the fever component of the response to the higher dose. However, SC-560 blocked the initial hypothermia caused by the higher LPS dose. At a subneutral T(a) (22 degrees C), the rats responded to LPS with early (70-90 min, nadir) dose-dependent hypothermia. The hypothermic response to either dose was enhanced by SC-236 but blocked by SC-560. The hypothermic response to the higher LPS dose was associated with a fall in arterial blood pressure. This hypotensive response was attenuated by either SC-236 or SC-560. At the onset of LPS-induced hypothermia and hypotension, the functional activity of the COX-1 pathway (COX-1-mediated PGE(2) synthesis ex vivo) increased in the spleen but not liver, lung, kidney, or brain. The expression of splenic COX-1 was unaffected by LPS. We conclude that COX-1, but not COX-2, mediates LPS hypothermia, and that both COX isoforms are required for LPS hypotension.
全身炎症与发热或体温过低有关。发热是对轻度全身炎症的一种反应,由环氧化酶(COX)-2介导,而非COX-1。然而,对于COX-2、COX-1、两者都不介导或两者都介导对严重全身炎症的反应,尤其是低温反应,仍存在争议。我们比较了SC-236(COX-2抑制剂)和SC-560(COX-1抑制剂)对在不同环境温度(Ta)下注射较低剂量(10微克/千克静脉注射)或较高剂量(1000微克/千克静脉注射)脂多糖(LPS)的大鼠深部体温(Tb)的影响。在中性Ta(30℃)时,大鼠对LPS的反应是多相发热(较低剂量)或短暂体温过低后发热(较高剂量)。SC-236(2.5毫克/千克静脉注射)可阻断两种LPS剂量诱导的发热,而SC-560(5毫克/千克静脉注射)既不改变对较低LPS剂量的发热反应,也不改变对较高剂量反应的发热成分。然而,SC-560可阻断较高LPS剂量引起的初始体温过低。在亚中性Ta(22℃)时,大鼠对LPS的反应是早期(70 - 90分钟,最低点)剂量依赖性体温过低。两种剂量的低温反应均被SC-236增强,但被SC-560阻断。对较高LPS剂量的低温反应与动脉血压下降有关。这种低血压反应被SC-236或SC-560减弱。在LPS诱导的体温过低和低血压开始时,COX-1途径的功能活性(体外COX-1介导的PGE2合成)在脾脏中增加,但在肝脏、肺、肾或脑中未增加。脾脏COX-1的表达不受LPS影响。我们得出结论,COX-1而非COX-2介导LPS诱导的体温过低,并且两种COX同工型都是LPS诱导低血压所必需的。