Systemic hypoglycemia following central injection of endotoxin in mice.

Intracerebroventricular microinjection of endotoxin in mice resulted in powerful hypoglycemia. The effect was reproduced by the biologically active moiety of endotoxin, lipid A, and prevented by coadministration of the polycationic peptide antibiotic polymyxin B (PMB) or by detoxification of endotoxin by means of mild alkaline hydrolysis. Central treatment with PMB also attenuated the hypoglycemic response to systemic administration of endotoxin or lipid A. These results suggest a direct role of the CNS in the mechanism of endotoxin hypoglycemia.