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expression in rats by interleukin-10
Research Institute Neurosciences Free University, Department of Medical Pharmacology, VU University Medical Center, 1081 BT Amsterdam, The Netherlands
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ABSTRACT |
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Bacterial lipopolysaccharide
(LPS) induces fever that is mediated by pyrogenic cytokines such as
interleukin (IL)-1
. We hypothesized that the anti-inflammatory
cytokine IL-10 modulates the febrile response to LPS by suppressing the
production of pyrogenic cytokines. In rats, intravenous but not
intracerebroventricular infusion of IL-10 was found to attenuate fever
induced by peripheral administration of LPS (10 µg/kg iv). IL-10 also
suppressed LPS-induced IL-1
production in peripheral tissues and in
the brain stem. In contrast, central administration of IL-10 attenuated
the febrile response to central LPS (60 ng/rat icv) and decreased
IL-1
production in the hypothalamus and brain stem but not in
peripheral tissues and plasma. Furthermore, intravenous LPS upregulated
expression of IL-10 receptor (IL-10R1) mRNA in the liver, whereas
intracerebroventricular LPS enhanced IL-10R1 mRNA in the hypothalamus.
We conclude that IL-10 modulates the febrile response by acting in the
periphery or in the brain dependent on the primary site of inflammation and that its mechanism of action most likely involves inhibition of
local IL-1
production.
inflammation; brain; thermoregulation; endotoxin; cytokine
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INTRODUCTION |
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DURING SYSTEMIC
INFLAMMATION, various brain-mediated responses occur as part of
the acute phase reaction, including fever, sickness behavior, and
activation of the hypothalamus-pituitary-adrenal (HPA) axis. Fever is a
regulated rise in body temperature that is due to a change in the
thermoregulatory setpoint (25). It is widely accepted that
fever is controlled by thermosensitive neurons in the preoptic area of
the anterior hypothalamus (POA). The febrile response to systemic
inflammation involves the activation of blood monocytes and/or hepatic
macrophages (Kupffer cells) by exogenous pyrogens, e.g.,
bacteria-derived lipopolysaccharide (LPS) or other endotoxins, which
results in the production and release of cytokines such as
interleukin-1
(IL-1
), IL-6, and tumor necrosis factor-
(TNF-
). These cytokines then act as endogenous pyrogens and signal,
directly or indirectly, thermoregulatory neurons in the brain to
initiate fever (reviewed in Ref. 25).
Cytokines produced outside the central nervous system (CNS) signal the brain by multiple routes, including humoral and neural pathways (53). Blood-borne cytokines may activate meningeal macrophages, cerebral endothelial cells, and perivascular microglial cells, thereby eliciting the local production of secondary mediators such as prostaglandin E2 and IL-6, which are implicated in fever (11, 17, 57). Circulating cytokines may also act on cells in circumventricular organs (CVOs) such as the organum vasculosum of the lamina terminalis and the area postrema (AP), which lack a functional blood-brain barrier (4, 48). The neurons located close to these CVOs innervate regions in the hypothalamus involved in thermoregulation. In addition, a role for the vagus nerve has been proposed in transmitting inflammatory signals from the periphery to the brain (21, 22, 42, 49, 61). Peripherally produced cytokines may activate vagal afferent nerves that innervate the nucleus of the solitary tract in the brain stem, from which catecholaminergic projections lead to the hypothalamus (5, 18, 50).
Because central administration of pyrogenic cytokines elicits fever in
doses lower than those required after peripheral administration (12, 30, 31, 45), they are suggested to act within the brain. Indeed, irrespective of the exact signaling route, pyrogenic cytokines are produced in the brain following systemic LPS exposure. For instance, IL-1
, TNF-
, and IL-6 mRNA and protein are expressed in microglial cells and/or neurons in the brain after peripheral administration of LPS (8, 9, 20, 28, 53, 54, 56). Furthermore, blocking the action of brain-derived IL-1
or IL-6 by
central administration of neutralizing antibodies to these cytokines
(24, 46) or the IL-1 receptor antagonist (33) attenuates the febrile response to peripheral LPS, suggesting that
these brain-derived cytokines play an instrumental role in the febrile response.
Production of pyrogenic cytokines by both peripheral macrophages and glial cells can be inhibited by IL-10 (29, 37, 58). Recent studies further show that IL-10 inhibits fever induced by systemic LPS administration in rats and mice (32, 36). Moreover, IL-10 knockout mice show exacerbated and prolonged febrile responses to LPS (32) and elevated TNF and IL-6 levels in the brain (1). These observations led us to hypothesize that IL-10, by acting on its receptor, may play a role in the control of fever by modulating cytokine production in peripheral organs and/or the brain.
The present study was designed to examine the role and site of action
of IL-10 in the febrile response in rats. To elucidate target sites of
IL-10, we compared the effects of central (intracerebroventricular) or
peripheral (intravenous) administration of recombinant rat IL-10
(rrIL-10) on the febrile response to peripheral injection of LPS. In
addition, we evaluated the effect of central administration of rrIL-10
on fever induced by central administration of LPS. To test the
hypothesis that the effects of IL-10 on the febrile response involve
modulation of the production of pyrogenic cytokines, we assessed the
concentrations of IL-1
, TNF-
, and IL-6 in plasma, peripheral
tissues (liver, spleen, pituitary), and in the brain (hypothalamus and
brain stem). To investigate site-specific expression and LPS-induced
regulation of IL-10 receptors, we used quantitative RT-PCR to study
mRNA expression of IL-10 receptor (IL-10R1; the ligand-binding chain)
in the liver and hypothalamus. The present results show that IL-10 is a
site-specific modulator of fever and can act either in the periphery
and the brain by inhibiting local cytokine production.
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MATERIALS AND METHODS |
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Animals
Male Wistar rats (Harlan CPB, Horst, The Netherlands) were housed two per cage under controlled temperature (20-22°C) and light-dark conditions (lights on 7 AM, lights off 7 PM). Food and water were available ad libitum. At the time of the experiments, the animals had body weights of 250-300 g. To minimize stress-induced hyperthermia, rats were habituated to experimental procedures by noninvasive handling twice daily for 3 consecutive days before the experiments. The experimental protocol had been approved by the Institutional Committee for Animal Health and Care.Materials
LPS (Escherichia coli serotype 0128-B12; Sigma, St. Louis, MO) was dissolved in sterile water, divided in aliquots, and stored at
20°C. Before administration, appropiate dilutions were
made in sterile, pyrogen-free saline (Braun, Melsungen, Germany).
rrIL-10 (National Institute for Biological Standards and Control,
Potters Bar, UK) (2) was diluted in a vehicle of sterile,
pyrogen-free saline containing 0.1% (wt/vol) BSA (fatty acid-free, low
endotoxin; Sigma).
Surgical Procedures
Rats were anesthesized with ketamine (50 mg/kg im; Kombivet, Etten-Leur, The Netherlands) and xylazine (Rompun, 5 mg/kg ip; Bayer, Leverkusen, Germany), and a permanent cannula was implanted into the right jugular vein according to Steffens (52) for continuous intravenous infusion and/or repeated blood sampling. In other groups of animals, a permanent 22-gauge guide cannula with an indwelling dummy cannula (Plastics One, Roanoke, VA) was implanted into the right lateral ventricle of the brain at stereotaxic coordinates: 1.5 mm lateral to the midline, 0.6 mm posterior to bregma, and 3.7 mm under the brain surface. Simultaneously, a battery-operated, temperature-sensitive radiotransmitter (Data Sciences, St. Paul, MN) was implanted into the peritoneal cavity of all rats. After surgery, rats were individually housed in macrolon cages (20 × 30 × 40 cm) and were allowed to recover for at least 6 days.Experimental Procedures
In a pilot experiment in which serial blood samples were taken from a chronically implanted jugular vein cannula in rats that were given rrIL-10 intravenously, plasma levels of IL-10 showed a first-order decline with a half-life of plasma IL-10 concentrations of ~6 min. Therefore, we decided to deliver IL-10 by continuous infusion to reach steady-state IL-10 concentrations rather than by bolus injection.All experiments started between 8 and 10 AM. In rats with a cannula in the lateral ventricle, the dummy cannnula was replaced by a 28-gauge stainless steel injector (Plastics One) just before the experiment. Because pilot experiments revealed no differences in temperature responses between vehicle/saline-treated rats and IL-10/saline-treated rats (data not shown), the latter were used as control groups in further experiments.
In experiment 1, groups of rats (total n = 8-9) were given vehicle or rrIL-10 (4 µg · h
1 per rat) via continuous intravenous
infusion to freely moving rats at a flow rate of 5 µl/min using a
microsyringe infusion pump (Harvard Apparatus, South Natick, MA).
Thirty minutes after start of the infusion, LPS (10 µg/kg, 500 µl/rat) was administered to the rats by intravenous injection via a
lateral tail vein. The control group (n = 3) was given
the same dose of IL-10, followed by saline (500 µl/rat iv). Animals
from each LPS-treated group (n = 5-6) and the
entire control group were killed by decapitation 5 h after the
administration of LPS to determine cytokine levels in plasma and
tissues. Trunk blood was collected in cold heparin-coated tubes
(Sarstedt, Etten-Leur, The Netherlands) and subsequently centrifuged
(4,000 g, 15 min, 4°C). Aliquots of plasma were stored at
20°C until assayed. Parts of liver and spleen, the pituitary, the
hypothalamus region (containing the POA), and the dorsal part of the
brain stem (containing the AP) were dissected immediately, frozen in
liquid nitrogen, and stored at
80°C until processing.
In experiment 2, groups of rats (n = 4) were
given vehicle or rrIL-10 (100, 300, or 600 ng · h
1 per rat) via continuous infusion to the
lateral ventricle (flow rate 5 µl/h) in freely moving rats. LPS (10 µg/kg) or saline (500 µl/rat) was injected intravenously in rats
via a lateral tail vein 15 min after start of the
intracerebroventricular infusion with IL-10 or vehicle.
In experiment 3, groups of rats (n = 10-11) were given LPS (60 ng/rat) or saline (5 µl/rat during 10 min) into the lateral ventricle in freely moving rats, followed by
continuous intracerebroventricular infusion of vehicle or rrIL-10 (600 ng · h
1 per rat) at a rate of 5 µl/h. Animals
from each LPS-treated group (n = 3-4) were killed
by decapitation 3.5 or 6 h after the administration of LPS to
determine cytokine levels in plasma and tissues. Trunk blood and
tissues were collected as described (experiment 1).
In experiments 1-3, the body temperature was monitored by telemetry every 15 min for 6-8 h following LPS injection. The output signals from each of the intraperitoneally implanted transmitters (frequency in Hz) were monitored by a receiver (Data Sciences) placed under each animal's cage, channelled into a consolidation matrix (BCM 100) connected to a PC, and converted to degrees Celsius (°C) by the processor.
In experiment 4, the expression of endogenous IL-10R1 mRNA
was studied. Groups of rats (n = 3-4) were
untreated (control group) or injected with LPS (100 µg/kg iv) via a
lateral tail vein and killed by decapitation after 3, 8, and 24 h.
Other groups of animals (n = 5) were injected with LPS
(600 ng/rat icv) or saline (5 µl/rat) and killed by decapitation
after 3 and 6 h. Liver and hypothalamus were dissected
immediately, frozen in liquid nitrogen, and stored at
80°C until processing.
Tissue Processing
For cytokine assays, dissected brain regions, pituitary gland, and fragments of liver and spleen were homogenized for 5 min in 200-500 µl of Tris-buffered saline (pH 7.5) containing a protease inhibitor cocktail (Sigma) using a rotor-stator homogenizer (Heidolph Instruments, Schwabach, Germany). Homogenates were centrifuged (16,000 g, 15 min, 4°C), and the supernatants were used for the determination of cytokine levels. Before assay, all homogenates were diluted to a protein concentration of ~1 mg/ml as determined by means of a Bradford assay (7).For quantitative RT-PCR, tissue fragments were homogenized in 250 µl
RNA lysis buffer containing 2%
-mercaptoethanol (Promega, Madison,
WI) and used for isolation of total RNA.
Cytokine Assays
IL-1
, IL-6, and TNF-
concentrations were measured in
plasma and tissue homogenates using ELISAs specific for rat IL-1
(47), rat IL-6 (40), and rat TNF-
(41), respectively. Detection limits of the assays in
plasma were 10, 16, and 40 pg/ml for IL-1
, IL-6, and TNF-
,
respectively. Cytokine levels in homogenates are expressed as picograms
per milligram protein (detection limits: 1.5 pg/mg protein for IL-1
and 16 pg/mg protein for IL-6 and TNF-
).
RNA Isolation and cDNA Synthesis
Total RNA was isolated from tissue homogenates using the SV Total RNA Isolation System (Promega) as described by the manufacturer. Concentration and purity of the RNA were determined by measuring the absorbance at 260 and 280 nm in a microtiter plate reader (ICN Biomedicals, Zoetermeer, The Netherlands). One microgram of RNA was reverse transcribed into cDNA using the Reverse Transcription System (Promega) with oligo-dT primers and AMV enzyme, according to the manufacturer's instructions. The RT reaction was carried out at 42°C for 45 min, followed by deactivation of the enzyme for 5 min at 99°C and 5 min at 4°C.Real-Time Quantitative PCR
For quantitative PCR, the SYBR Green PCR Core reagents kit (Applied Biosystems, Foster City, CA) was used. Amplification of cDNA was performed in MicroAmp Optical 96-well Reaction Plates (Applied Biosystems) on an ABI PRISM 7700 Sequence Detection System (Applied Biosystems). The reaction mixture (20 µl) was composed of 1× SYBR Green buffer, 3 mM MgCl2, 875 µM dNTP mixed with dUTP, 0.3 U AmpliTaq Gold, 0.12 U Amperase UNG, 15 pmol of each primer, 12.5 ng cDNA and nuclease-free H2O. The primers for rat IL-10R1 were 5'-CTGGTCACCCTGCCATTGAT-3' (forward) and 5'-AGGCATGGCTAAAATACAAAGAAAC-3' (reverse) (60) and for rat glyceraldehyde-3-phosphate dehydrogenase (GAPDH) 5'-GAACATCATCCCTGCATCCA-3' (forward) and 5'-CCAGTGAGCTTCCCG-TTCA-3' (reverse). The reaction conditions were an initial 2 min at 50°C, followed by 10 min at 95°C and 40 cycles of 15 s at 95°C and 1 min at 59°C. The levels of IL-10R1 mRNA expression were quantified relatively to the level of the housekeeping gene GAPDH using the following calculation: 2
(thresholdcycleoftargetmRNA
thresholdcycleofGAPDHmRNA) × 100.
Statistical Analysis
Body temperature data were analyzed by ANOVA for repeated measurements with treatment as the between-subject factor and time as the within-subject factor. Post hoc time-matched comparisons between groups were carried out by Fisher's least significant difference (LSD) multiple comparison test. ELISA and quantitative PCR data were analyzed by one- or two-way ANOVA, followed by Fisher's LSD test. If necessary, data were log-transformed before analysis. Parameters that could not be transformed to meet criteria of ANOVA were tested nonparametrically by the Mann-Whitney U-test. Correlations were analyzed using the Pearson correlation test. P values <0.05 were considered to indicate a significant difference. The statistical evaluation was carried out by using the NCSS 2000 statistical program.| |
RESULTS |
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Experiment 1
Effects of intravenous IL-10 on intravenous LPS-induced fever.
Figure 1 shows the changes in body
(core) temperature (Tc) in rats chronically infused with
vehicle or rrIL-10 (4 µg · h
1 per rat iv) after
intravenous injection with LPS or saline. Before LPS injection (
30
and
15 min), the body temperature was not different between the
groups (basal value ~37.4°C). The transient increase in
Tc observed 15-30 min after LPS injection represents stress-induced hyperthermia induced by the intravenous administration of LPS. Subsequently, Tc of IL-10/saline-injected rats
returned to basal values and remained ~37°C. Tc from
vehicle/LPS-injected rats tended to drop 60-90 min after LPS
injection and subsequently shows a typical biphasic febrile response, a
first phase peaking ~2.5-3 h after LPS injection (rise in
Tc ~0.6°C compared with basal values) and a second
phase peaking after 5-7 h (rise in Tc ~1.3°C).
Chronic infusion with IL-10 significantly inhibited the second
hyperthermic phase but not the first hyperthermic phase. In addition,
IL-10 resulted in higher Tc 75-105 min after LPS, compared with the vehicle/LPS group.
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Effects of intravenous IL-10 on intravenous LPS-induced cytokine
levels in peripheral and brain tissues.
At 5 h after injection of LPS, when Tc is rising,
IL-1
protein was detected in plasma and various tissue homogenates
of rats (Fig. 2). In plasma and tissues
of IL-10/saline-treated rats, IL-1
was undetectable or detected at
very low levels, except for liver and spleen. LPS markedly increased
IL-1
protein levels in plasma compared with IL-10/saline-treated
rats (~63-fold). Chronic intravenous infusion with IL-10
significantly reduced plasma IL-1
levels 5 h after LPS
administration. In the liver, spleen, and pituitary gland, LPS elevated
IL-1
levels ~6-, 4-, and 12-fold, respectively, and infusion with
IL-10 reduced IL-1
levels in the liver and pituitary gland but not
in the spleen.
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levels were markedly increased by LPS in the
brain stem (~26-fold) but not in the hypothalamus. IL-10 infusion
blocked the rise in brain stem IL-1
levels but had no effect on
IL-1
levels in the hypothalamus.
IL-6 plasma levels in rats of the vehicle/LPS group were 76 ± 29 pg/ml, whereas levels in rats of the IL-10/saline and IL-10/LPS groups
were below detection limit of the assay (15 pg/ml). TNF-
was only
detectable in plasma of four of six rats in the vehicle/LPS group
(108 ± 29 pg/ml), and levels in rats of the other groups were
below detection limit of the assay (40 pg/ml). Thus IL-10 reduced both
IL-6 and TNF-
levels in plasma (Mann-Whitney U-test, P < 0.01 and P < 0.05, respectively).
In all tissue homogenates, TNF-
and IL-6 levels were below detection
limits (16 pg/mg protein).
As illustrated in Fig. 6A, cytokine concentrations in
plasma and hypothalamus of individual rats were plotted against their Tc at time of death. Within both the vehicle/LPS and
IL-10/LPS groups, positive correlations were found between IL-1
plasma levels and Tc 5 h after LPS injection (Pearson
correlation coefficients 0.76 and 0.85, respectively). Pooled data from
both groups showed a significant positive correlation (coefficient
0.86, P < 0.01). In addition, positive but not
significant correlations were observed between Tc and
plasma IL-6 and TNF-
levels in the vehicle/LPS group (coefficients
0.68 and 0.72, respectively). Thus, after peripheral administration of
LPS, levels of IL-1
and possibly other cytokines in plasma, but not
in the hypothalamus, are determinants of the hyperthermic response.
Experiment 2
Effects of intracerebroventricular IL-10 on intravenous LPS-induced
fever.
The febrile response to peripheral (intravenous) administration of LPS
showed similar kinetics as described for experiment 1.
Central administration of IL-10 by continuous intracerebroventricular infusion at doses of 100, 300, and 600 ng/rat throughout the experiment did not affect the febrile response induced by intravenous LPS injection. Data of experiments with the IL-10 doses of 100 and 300 ng/rat are not shown. Data of the experiment with the dose of 600 ng/rat are illustrated in Fig. 3.
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Experiment 3
Effects of intracerebroventricular IL-10 on intracerebroventricular
LPS-induced fever.
Figure 4 shows the changes in
Tc in rats given vehicle or rrIL-10 (600 ng/rat) by
intracerebroventricular infusion throughout the experiment, after
intracerebroventricular injection with LPS or saline. The febrile
response to intracerebroventricular LPS consisted of a typical single
hyperthermic phase (rise in Tc ~1.5°C), with onset at
~60 min and peaking around 3-4 h after LPS injection, whereas
IL-10/saline-infused animals did not show any hyperthermia. The febrile
response was significantly attenuated in the IL-10/LPS-treated group
compared with the vehicle/LPS-treated group.
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Effects of intracerebroventricular IL-10 on intracerebroventricular
LPS-induced cytokine levels in peripheral and brain tissues.
IL-1
levels were detected in various tissue homogenates of rats
killed 3.5 and 6 h after administration of LPS, at the peak and at
the end of the febrile response, respectively (Fig.
5). Plasma levels of IL-1
remained
below detection limit of the assay (10 pg/ml). In the liver, spleen,
and pituitary gland, no marked differences in IL-1
concentrations
were observed between vehicle/LPS- and IL-10/LPS-infused rats. In the
hypothalamus, IL-10 infusion significantly reduced IL-1
levels at
3.5 and 6 h after LPS administration by more than twofold. In the
brain stem, IL-1
levels in IL-10/LPS-infused rats were markedly
lower (~6-fold) than those in vehicle/LPS-infused rats at 6 h
after LPS injection.
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levels in
plasma and tissue homogenates of vehicle/LPS-treated rats compared with
those in IL-10/LPS-treated rats (data not shown).
Figure 6B shows the
correlations between IL-1
concentrations in plasma and hypothalamus
of individual rats with their body temperature at 3.5 h after
central LPS administration. Within the vehicle/LPS and IL-10/LPS
groups, positive correlations were found between IL-1
levels in the
hypothalamus and Tc (correlation coefficients 0.95 and
0.77, respectively). Pooled data from both groups showed a significant
positive correlation (coefficient 0.91, P < 0.05),
demonstrating that expression levels of IL-1
in the hypothalamus,
but not in plasma, are determinants of the hyperthermic response to
central administration of LPS.
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Experiment 4
IL-10R1 mRNA expression in liver and hypothalamus.
To investigate LPS-induced changes in expression levels of IL-10R1
mRNA, rats were given LPS (100 µg/kg iv) for 3, 8, and 24 h, and
expression was studied in liver and hypothalamus by quantitative
RT-PCR. As illustrated in Fig.
7A, IL-10R1 mRNA expression in
the liver was upregulated 3 h after peripheral administration of
LPS and still elevated after 24 h, compared with control rats. In
contrast, IL-10R1 mRNA levels in the hypothalamus were not affected by
LPS treatment at any of the time intervals studied.
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DISCUSSION |
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In the present study, we demonstrate that IL-10 can attenuate the
febrile response to LPS both by acting in the CNS and in peripheral
targets, depending on the site of the primary inflammatory response.
Thus peripheral administration of IL-10 markedly attenuated the febrile
response to peripheral LPS and inhibited LPS-induced production of the
endogenous pyrogen IL-1
in peripheral tissues and the brain stem but
not in the hypothalamus. Conversely, central administration of IL-10
attenuated the hyperthermic response to central, but not to peripheral,
LPS and inhibited IL-1
production in the hypothalamus and brain stem
but not in peripheral tissues.
Our findings that intravenous infusion of IL-10 inhibits the febrile
response of rats to intravenously given LPS are consistent with
previous data of mice given LPS by an intraperitoneal route (32). The present data show that IL-10 prevents the
tendency of the body temperature to drop shortly after intravenous LPS administration, which may be reminiscent of the hypothermic phase reported after higher doses of LPS (13, 42). Because the
LPS-induced hypothermia depends on macrophage-derived factors,
including cytokines and prostaglandins (13, 59), we
speculate that IL-10 may prevent the initial tendency to hypothermia by
suppressing cytokine levels, as seen in mice (32). The
data further show that the second phase of the hyperthermic response is
selectively attenuated by circulating IL-10. This cryogenic effect of
IL-10 is correlated with decreased levels of circulating IL-1
,
TNF-
, and IL-6 in plasma and supports the concept that suppression
of circulating levels of IL-1
and other pyrogenic cytokines
attenuates the late phase of the febrile response (43,
44). In contrast, the first hyperthermic phase is not affected
by IL-10 infusion and is therefore probably controlled by mechanisms
different from those involved in the late phase.
Interestingly, the suppressing effect of IL-10 on fever is also
associated with decreased concentrations of IL-1
in the liver and
the pituitary gland. Presumably, IL-1
production by macrophages in
these structures, in particular Kupffer cells in the liver (14), contributes to circulating IL-1
levels. Thus the
IL-10-mediated decrease in IL-1
levels in plasma may reflect
impaired production by blood monocytes and/or by tissue macrophages and
may lead to reduced humoral signaling of IL-1
to the brain. By
suppressing IL-1
concentrations in the liver, IL-10 may also affect
fever by interfering with the neural route of signaling of IL-1
. If hepatic IL-1
is indeed involved in vagal afferent signaling, reduced
production of intrahepatic IL-1
may lead to a decreased activation
of neurons in the lower brain stem and, consequently, to reduced
actions of these neurons on thermoregulatory mechanisms in the
hypothalamus (5, 50). In the pituitary gland, IL-1
is
produced by various endocrine and nonendocrine cells with activation by
peripheral LPS (3, 55). Its local actions involve
modulation of the secretion of a variety of hormones that are primarily
under control of the hypothalamus (3). IL-10-induced
downregulation of intrapituitary IL-1
production may therefore have
neuroendocrine implications, e.g., regulation of the HPA axis
(51).
The present results further show that the brain stem represents a
target for circulating IL-10. The effects of circulating IL-10 are most
likely due to actions in the AP, a CVO that lacks a blood-brain barrier
and is thereby easily accessible for endotoxins but also for cytokines
in the bloodstream. Indeed, IL-1
-immunoreactive cells have been
found in the AP of rats 5 h after intravenous injection of this
low dose of LPS (unpublished observations) that may represent
microglial cells (55). Because IL-1 receptor type I mRNA
is present in the AP (19), this brain structure not only produces IL-1
but likely also expresses the receptors that are necessary to mediate its effects. Therefore, we postulate that the
local inhibitory action of IL-10 on IL-1
production in the AP may
contribute to a diminished neural input to thermoregulatory centers in
the hypothalamus and thereby inhibit the febrile response.
In the hypothalamus, IL-1
concentrations were not affected by
LPS, which is somewhat surprising as IL-1
mRNA has been demonstrated in CVOs after administration of LPS (38). It probably
relates to the low dose of LPS (10 µg/kg) used in the present study
and/or the time interval studied. This may also explain the absence of detectable levels of TNF-
and IL-6 in tissue homogenates under these conditions.
Taken together, our findings suggest that peripherally administered IL-10 attenuates LPS-induced fever by inhibiting the production of pyrogenic cytokines in peripheral tissues and the brain stem and, consequently, interferes with humoral or neural signaling routes of these cytokines to the brain.
Strong IL-1
production in the hypothalamus and brain stem was
seen after central administration of LPS, i.e., when the primary inflammatory response is generated within the CNS. This is in accordance with the induction of IL-1
mRNA and bioactivity in the
CNS after intracerebroventricular LPS (15, 23, 39). Correlation analysis revealed that IL-1
production in the
hypothalamus is associated with a febrile response, which shows
kinetics different from that observed after peripheral LPS (10, 35, present study). Interestingly, both the febrile response following
central LPS and IL-1
levels in the hypothalamus, but not in
peripheral organs, were attenuated by central administration of IL-10,
which is in agreement with findings in mice (16). In
addition to the antipyretic effect, central administration of IL-10
also antagonized the effects of intracerebroventricular LPS on social
exploratory behavior and body weight (6). Taken together,
our data support the concept that brain-derived IL-1
is involved in
fever (33) and possibly other sickness symptoms induced by
central administration of LPS.
From the preceding observations, we conclude that a local action of
IL-10 may be required to have an effect on body temperature under the
conditions used. It is thus conceivable that central administration of
IL-10, at doses up to 600 ng/rat, does not affect the febrile response
to peripherally injected LPS, as central IL-10 does not affect IL-1
production in peripheral tissues, most likely because it does not reach
such peripheral targets in sufficient concentrations.
The observed effects of exogenous IL-10 on fever implicate the
presence of functional IL-10 receptors. Indeed, IL-10R1 mRNA is
constitutively expressed both in peripheral organs (e.g., the liver)
and in the hypothalamus. To test the hypothesis that IL-10 receptor
expression is regulated at specific sites depending on the route of LPS
administration, relatively high doses of LPS, but relevant for fever
(33, 42), were administered peripherally or centrally.
Interestingly, peripheral administration of LPS enhances IL-10R1 mRNA
levels in the liver but not in the hypothalamus. Conversely, central
LPS administration upregulated IL-10R1 mRNA expression in the
hypothalamus but not in the liver. Although we cannot exclude the
possibility that lower LPS doses as used in the fever studies regulate
IL-10R1 expression to a lesser extent, the results indicate that
LPS-induced IL-10 receptor modulation is site specific. This local
(transient) upregulation of IL-10 receptors may further facilitate
and/or amplify the inhibitory actions of IL-10. The presumed cellular
sources of IL-10 receptors in the liver are Kupffer cells
(27), in which IL-10 has been shown to inhibit IL-6
production and its own mRNA expression (26, 27). In the
hypothalamus, IL-10 acts most likely on glial cells that are known to
exhibit IL-10 receptors (34, unpublished observations), and IL-10 has
been shown to be capable of inhibiting IL-1
production in glial
cells in vitro (29).
In conclusion, our data show that IL-10 can modulate brain-mediated
fever in response to low doses of LPS. Whether it indeed does so seems
dependent on IL-10 reaching its receptors in the compartment where the
primary inflammatory response is initiated. The mechanisms mediating
the site-specific, antipyretic effects of IL-10 relate to suppression
of the production of pyrogenic cytokines, notably IL-1
. Although our
data show that IL-10 in the brain can attenuate the production of
IL-1
by brain cells, we propose that this mechanism plays a limited
role in peripheral inflammation but may become crucial in conditions of
infections or inflammation of the CNS, such as meningitis,
encephalitis, or trauma.
| |
ACKNOWLEDGEMENTS |
|---|
The authors thank Dr. A. B. Smit (Research Institute
Neurosciences, Department of Molecular and Cellular Neurobiology,
Faculty of Biology, Free University Amsterdam) for allowing the use of the ABI PRISM 7700 Sequence Detection System and Dr. A. A. Romanovsky (Trauma Research, St. Joseph's Hospital and Medical Center,
Phoenix, AZ) for valuable comments. rrIL-10 and reagents for
measurement of rat IL-1
, TNF-
, and IL-6 were kindly provided by
Dr. S. Poole and Dr. A. F. Bristow (National Institute for
Biological Standards and Control, Division of Endocrinology, Potters
Bar, UK).
| |
FOOTNOTES |
|---|
This study was supported by the Janssen Research Foundation and the Biomed II program (PL-96-2492) (to A. Ledeboer) and Netherlands Organization for Scientific Research Grant 903-50-240 (to A-M. Van Dam).
Address for reprint requests and other correspondence: A-M. Van Dam, Research Institute Neurosciences Free Univ., Dept. of Medical Pharmacology, VU Medical Center, Van der Boechorststraat 7, 1081 BT, Amsterdam, The Netherlands (E-mail: amw.van_dam.pharm{at}med.vu.nl).
The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked "advertisement" in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
First published February 7, 2002;10.1152/ajpregu.00766.2001
Received 28 December 2001; accepted in final form 1 February 2002.
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