Tavares E, Minano F J
Research Unit, University Hospital of Valme, Seville, Spain.
Neuroreport. 1998 Aug 3;9(11):2519-22. doi: 10.1097/00001756-199808030-00017.
It has been hypothesized that endogenous glucocorticoids represent an important negative feedback system involved in the modulation of cytokine-induced fever through the inhibition of prostaglandins (PG) production in the preoptic anterior hypothalamus (AH/POA). The purpose of this study was to determinate whether glucocorticoids modulate the PG-independent febrile response induced by macrophage inflammatory protein-1beta (MIP-1beta) in a manner similar to other pyrogenic cytokines. Subcutaneous pretreatment with dexamethasone (1, 2 and 4 mg/kg; 1 h) had no effect on fever induced by microinjection of 50 pg MIP-1beta into the rat's AH/POA. It is demonstrated for the first time that, unlike other cytokines, fever induced by MIP-1beta is independent of glucocorticoid modulation. Finally, these results offer new perspectives about the pathogenesis of glucocorticoid-unresponsive pyrexia.
据推测,内源性糖皮质激素代表一种重要的负反馈系统,通过抑制视前区下丘脑前部(AH/POA)中前列腺素(PG)的产生,参与细胞因子诱导的发热调节。本研究的目的是确定糖皮质激素是否以类似于其他致热细胞因子的方式调节巨噬细胞炎性蛋白-1β(MIP-1β)诱导的不依赖PG的发热反应。地塞米松(1、2和4mg/kg;1小时)皮下预处理对向大鼠AH/POA微量注射50pg MIP-1β诱导的发热没有影响。首次证明,与其他细胞因子不同,MIP-1β诱导的发热不依赖于糖皮质激素调节。最后,这些结果为糖皮质激素无反应性发热的发病机制提供了新的视角。