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Febrile response induced by cecal ligation and puncture (CLP) in rats: involvement of prostaglandin E2 and cytokines

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An Erratum to this article was published on 23 June 2012

Abstract

The purpose of the present study was to better understand the events involved in the febrile response induced by cecal ligation and puncture (CLP), a complex infectious process. To this end, we conducted in vivo experiments in rats examining (1) fever development, (2) bacterial number in the infection focus and in blood, (3) peripheral and hypothalamic synthesis of cytokines, (4) hypothalamic and cerebrospinal fluid (CSF) synthesis of prostaglandin E2 (PGE2), (5) the effect of anti-IL-6 antibody on fever, and (6) the effect of celecoxib on fever and hypothalamic synthesis of PGE2 after CLP induction. We found that CLP promotes fever and animal death depending on the number of punctures. The peak of CLP-induced fever overlapped with the maximal increase in the number of bacteria in the infectious focus and blood, which occurred at 6 and 12 h. The peak of the febrile response also coincided with increased amounts of interleukin (IL)-1β, IL-6 and IL-10 in the peritoneal exudate and serum; IL-6 in the hypothalamus and PGE2 in the CSF and predominantly in the hypothalamus. Moreover, intracerebroventricularly injected anti-IL-6 antibody reduced the febrile response while celecoxib reduced the fever and PGE2 amount in the hypothalamus induced by CLP. Tumor necrosis factor (TNF)-α peaked at 3 h at all sites studied. Conversely, IL-10 concentration decreased in the hypothalamus. These findings show that the peak of CLP-induced fever is accompanied by an increase of bacteria in peritoneal fluid (local infection) and blood; local synthesis of pyrogenic (IL-1β, IL-6) and antipyretic (IL-10) cytokines and central production of IL-6 and PGE2, suggesting that these last are the central mediators of this response.

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  1. Denis de Melo Soares

    Present address: Lab of Pharmacology, Department of Medicament, Faculty of Pharmacy, UFBA, Salvador, BA, Brazil

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  1. Laboratory of Pharmacology, Department of Physic and Chemistry, Faculty of Pharmaceutical Sciences, University of São Paulo, Av. do Café, s/n, Campus Universitário, 14049-903, Ribeirão Preto, São Paulo, Brazil

    Maria José Figueiredo, Denis de Melo Soares, Juliano Manvailer Martins, Renes de Resende Machado, Miriam Cristina Contin de Melo, David do Carmo Malvar & Glória E. P. Souza

  2. Department of Clinical Analysis, Toxicology and Bromatology, Faculty of Pharmaceutical Sciences, University of São Paulo, Av. do café, s/n, 14049-903, Ribeirão Preto, São Paulo, Brazil

    Carlos Arterio Sorgi & Lucia Helena Faccioli

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  1. Maria José Figueiredo
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Figueiredo, M.J., de Melo Soares, D., Martins, J.M. et al. Febrile response induced by cecal ligation and puncture (CLP) in rats: involvement of prostaglandin E2 and cytokines. Med Microbiol Immunol 201, 219–229 (2012). https://doi.org/10.1007/s00430-011-0225-y

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