Ohashi K, Saigusa T
Third Department of Internal Medicine, Yamanashi Medical University, Japan.
Pflugers Arch. 1997 Apr;433(6):691-8. doi: 10.1007/s004240050333.
Sympathetic responses during fever induced by two representative endogenous pyrogens, interleukin-1 beta (IL-1 beta) and tumor necrosis factor alpha (TNF alpha), and their effective inducer, lipopolysaccharide (LPS), were investigated in conscious rabbits. Rectal temperature, ear skin temperature as an index for the ear skin sympathetic nerve activity (ESNA), renal sympathetic nerve activity (RSNA), mean arterial pressure (MAP) and heart rate (HR) were recorded during fever induced by intravenous injection of these pyrogens. IL-1 beta (100 ng/kg) elicited a fever accompanied by a transient activation of ESNA and long-lasting increases in RSNA, MAP and HR. Subcutaneous indomethacin (20 mg/kg) significantly attenuated all the responses induced by IL-1 beta. TNF alpha (10 micrograms/kg) also elicited fever with increases in ESNA, RSNA and HR, while MAP was not affected. All the TNF-induced responses were totally blocked by indomethacin. LPS at two doses of 500 ng/kg and 1 microgram/kg elicited fever and increased ESNA, RSNA and HR. Only the larger dose induced hypotension. The present results show in conscious rabbits exposed to thermoneutral environment that these pyrogens activate sympathetic efferents in regionally differentiated time courses. The present results also suggest that arachidonate metabolites are involved not only in the thermoregulatory vasoconstrictor response in the ear and the body temperature increase but also in simultaneously evoked renal sympathetic and haemodynamic adjustments in fever.
在清醒兔中研究了两种代表性内源性致热原白细胞介素 -1β(IL -1β)和肿瘤坏死因子α(TNFα)及其有效诱导剂脂多糖(LPS)诱导发热期间的交感反应。在静脉注射这些致热原诱导发热期间,记录直肠温度、作为耳皮肤交感神经活动(ESNA)指标的耳皮肤温度、肾交感神经活动(RSNA)、平均动脉压(MAP)和心率(HR)。IL -1β(100 ng/kg)引起发热,同时伴有ESNA的短暂激活以及RSNA、MAP和HR的持续升高。皮下注射吲哚美辛(20 mg/kg)显著减弱了IL -1β诱导的所有反应。TNFα(10μg/kg)也引起发热,同时伴有ESNA、RSNA和HR升高,而MAP未受影响。吲哚美辛完全阻断了所有TNF诱导的反应。500 ng/kg和1μg/kg两种剂量的LPS引起发热,并使ESNA、RSNA和HR升高。只有较大剂量诱导低血压。目前的结果表明,在处于热中性环境的清醒兔中,这些致热原在区域分化的时间进程中激活交感传出神经。目前的结果还表明,花生四烯酸代谢产物不仅参与耳部的体温调节性血管收缩反应和体温升高,还参与发热时同时诱发的肾交感神经和血流动力学调节。