EP3R-Expressing Glutamatergic Preoptic Neurons Mediate Inflammatory Fever
Natalia L S Machado1, Sathyajit S Bandaru1, Stephen B G Abbott2
1Department of Neurology, Division of Sleep Medicine, and Program in Neuroscience, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts 02215, and.
Fever is mediated by excitatory neurons in the median preoptic nucleus (MnPO) expressing EP3 receptors. This challenges previous models suggesting these neurons are inhibitory, impacting our understanding of central thermoregulation.
Area of Science:
- Neuroscience
- Physiology
- Immunology
Background:
- Fever, a rise in body temperature, is a common response to infection and inflammation.
- It is regulated by the central nervous system (CNS), specifically neurons in the median preoptic nucleus (MnPO) that express prostaglandin E2 (EP3) receptors.
Purpose of the Study:
- To identify the specific type of MnPO neurons involved in fever responses.
- To investigate the role of EP3 receptor-expressing neurons in thermoregulation and fever.
Main Methods:
- In situ hybridization to identify coexpression of EP3 receptors and VGluT2 (a marker for excitatory neurons) or Vgat (a marker for inhibitory neurons) in MnPO neurons.
- Retrograde tracing to map projections from MnPO neurons to the raphe pallidus.
- Selective ablation of MnPOVGluT2 or MnPOVgat neurons.
- Generation of EP3 receptor conditional knockout mice crossed with VGluT2-IRES-cre or Vgat-IRES-cre mice.
Main Results:
- MnPOEP3R neurons were found to coexpress the excitatory marker VGluT2, not the inhibitory marker Vgat.
- MnPOVGluT2 neurons project extensively to the raphe pallidus, a key fever-regulating area, while MnPOVgat neurons have limited projections.
- Ablation of MnPOVGluT2 neurons abolished fever but did not affect body temperature changes due to stress or thermal challenges.
- Confirmation that EP3 receptor-expressing neurons mediating fever are glutamatergic, not GABAergic.
Conclusions:
- The findings demonstrate that excitatory MnPOVGluT2 neurons, not inhibitory ones, are responsible for mediating fever.
- This discovery necessitates a reevaluation of current models of central thermoregulation, particularly the role of MnPOEP3R neurons.
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