Shapiro L, Zhang X X, Rupp R G, Wolff S M, Dinarello C A
Department of Medicine, Tuffs University School of Medicine, Boston, MA.
Proc Natl Acad Sci U S A. 1993 Sep 15;90(18):8614-8. doi: 10.1073/pnas.90.18.8614.
Fever is initiated by the action of polypeptide cytokines called endogenous pyrogens, which are produced by the host during inflammation, trauma, or infection and which elevate the thermoregulatory set point in the hypothalamus. Ciliary neurotrophic factor (CNTF) supports the differentiation and survival of central and peripheral neurons. We describe the activity of CNTF as intrinsically pyrogenic in the rabbit. CNTF induced a monophasic fever which rose rapidly (within the first 12 min) following intravenous injection; CNTF fever was blocked by pretreatment with indomethacin. The fever induced by CNTF was not due to contaminating endotoxins. Increasing doses of CNTF resulted in prolongation of the fever, suggesting the subsequent induction of additional endogenous pyrogenic activity. After passive transfer of plasma obtained during CNTF-induced fever, endogenous pyrogen activity was not present in the circulation; CNTF also did not induce the endogenous pyrogens interleukin 1, tumor necrosis factor, or interleukin 6 in vitro. Nevertheless, a second endogenous pyrogen may originate within the central nervous system following the systemic injection of CNTF. Of the four endogenous pyrogens described to date (interleukin 1, tumor necrosis factor, interferon, and interleukin 6), CNTF, like interleukin 6, utilizes the cell-surface gp 130 signal-transduction apparatus.
发热是由一类称为内源性致热原的多肽细胞因子所引发的,这些细胞因子是宿主在炎症、创伤或感染过程中产生的,它们会提高下丘脑的体温调节设定点。睫状神经营养因子(CNTF)支持中枢和外周神经元的分化与存活。我们描述了CNTF在兔子体内具有内在致热活性。静脉注射后,CNTF诱导出单相发热,发热迅速上升(在最初12分钟内);吲哚美辛预处理可阻断CNTF引起的发热。CNTF引起的发热并非由内毒素污染所致。CNTF剂量增加导致发热时间延长,提示随后诱导了额外的内源性致热活性。在被动输注CNTF诱导发热期间获得的血浆后,循环中不存在内源性致热活性;CNTF在体外也不诱导内源性致热因子白细胞介素1、肿瘤坏死因子或白细胞介素6。然而,全身注射CNTF后,第二种内源性致热因子可能起源于中枢神经系统。在迄今为止描述的四种内源性致热因子(白细胞介素1、肿瘤坏死因子、干扰素和白细胞介素6)中,CNTF与白细胞介素6一样利用细胞表面gp130信号转导装置。