Summary A decrease in core temperature during general anesthesia is attenuated by infusion of an intravenous amino acid mixture. The purpose of the present study was to investigate the influence of physical and endocrine changes caused by ovariectomy on the inhibitory effect of amino acid infusion on anesthesia-induced hypothermia. Sprague-Dawley female rats were divided into a sham-operated (Sham) group and an ovariectomized (OVX) group. Saline solution or an amino acid mixture solution was infused for 180 min during sevoflurane anesthesia, and the rectal temperature was measured (4 groups). Intraperitoneal white adipose tissue mass, bilateral gastrocnemius weight and plasma insulin levels were measured. In the Sham rats, no inhibitory effect of the amino acid mixture on anesthesia-induced hypothermia was found, while in the OVX rats, hypothermia was significantly decreased. The intraperitoneal fat weight/body weight ratio was significantly higher in the OVX rats than in the Sham rats, but the gastrocnemius weight/body weight ratio was not significantly different. After amino acid infusion, the plasma insulin level was significantly higher in the OVX rats than in the Sham rats. In conclusion, our findings suggest that, in rats, ovarian function or female hormone affects protein turnover mediated by increase in insulin secretion and, thus, decreases the inhibitory effect of an infusion of amino acid mixture on anesthesia-induced hypothermia. Key Words hypothermia, amino acids, general anesthesia, ovariectomy Redistribution hypothermia occurs in the body after induction of general anesthesia. Core body temperature gradually declines as heat is lost from the body surface, and heat production slows because of decreased metabolism. Selldén et al. reported that an amino acid infusion during anesthesia caused nutrient-induced thermogenesis (NIT), preventing the temperature reduction of redistribution hypothermia ( 1 ). Fujiwara et al. noted a similar effect after amino acid infusion but not after an infusion of glucose and fat emulsion ( 2 ). It is known that the metabolism of amino acids requires a large expenditure of energy ( 3 ), and protein synthesis induced by amino acids has been shown to correlate positively with energy expenditure ( 4 ). When rats were given the protein synthesis inhibitor puromycin, NIT did not occur after amino acid infusion ( 5 ). It has also been suggested that 75% of the increased oxygen uptake by amino acid infusion is produced in tissues other than the internal organs ( 6 ). Amino acid infusion during general anesthesia was found to stimulate protein synthesis in skeletal muscle via enhanced insulin secretion and to prevent hypothermia by heat accumulation through NIT ( 7 ). We have reported that skeletal muscle and plasma insulin levels play a major role in changes in body temperature during general anesthesia and the effect of amino acids on body temperature in a rat model of muscle atrophy ( 8 ).On the other hand, sex hormone is known to be involved in thermoregulation. In addition,...