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Published on: September 18, 2014
Pyrogen sensing and signaling: old views and new concepts.
1Department of Physiology, University of Tennessee, Memphis, TN 38163, USA. blatteis@physio1.utmem.edu
Bacterial lipopolysaccharides (LPS) trigger fever through rapid, early mediators, potentially via neural pathways, before detectable cytokines or cyclooxygenase-2 expression. This challenges traditional pyrogen signaling models.
Area of Science:
- Neuroscience
- Immunology
- Physiology
Background:
- Fever is traditionally linked to pyrogenic cytokines acting on the brain's preoptic-anterior hypothalamic area (POA).
- Prostaglandin E2 (PGE2) is considered a key mediator in the POA, induced by these cytokines.
Purpose of the Study:
- To review current understanding of pyrogen signaling in fever induction.
- To present novel hypotheses on how lipopolysaccharides (LPS) initiate fever, considering early mediator events.
Main Methods:
- Review of existing literature on fever pathophysiology.
- Analysis of the temporal relationship between LPS administration, mediator detection, and fever onset.
- Exploration of potential neural signaling pathways in fever.
Main Results:
- PGE2 production and fever onset occur before detectable cytokine levels or cyclooxygenase-2 expression post-LPS administration.
- This temporal discrepancy suggests that cytokines may not be the sole or primary initiators of early fever responses.
Conclusions:
- The traditional model of cytokine-induced fever may be incomplete, particularly regarding the rapid initiation phase.
- Alternative, faster-acting mediators and neural pathways are likely involved in the initial stages of LPS-induced fever.
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