This is a report on the pyrogenic and inflammatory properties of certain bile acids in man. The study was prompted by the structural similarity between these acidic steroids and the pyrogenic neutral steroids described previously (2-7). In addition, it seemed important to establish whether the large quantities of steroid acids formed during the metabolism of cholesterol could serve as a source of endogenous compounds having fever-producing action in man.
METHODS AND RESULTSNineteen bile acids and derivatives were examined for fever-producing activity after their intramuscular administration to adult volunteer hospital patients. Lithocholic acid was repeatedly recrystallized to insure purity. The glycine, taurine, and acetyl derivatives of lithocholic acid were synthesized and purified in these laboratories; the other compounds were obtained commercially and used without additional purification. All bile acids were dissolved in propylene glycol, in concentrations of 12.5 and 25.0 mg per ml, and because of their acidity these solutions were neutralized with dilute base. The general details of the study, including precautions taken to exclude bacterial pyrogen contamination, were similar to those described in a previous report (3). The compounds examined, together with the incidence of pyrogenic responses which followed their injection, are listed below.