Helwig BG, Musch TI, Craig RA, Kenney MJ. Increased interleukin-6 receptor expression in the paraventricular nucleus of rats with heart failure. Am J Physiol Regul Integr Comp Physiol 292: R1165-R1173, 2007. First published November 9, 2006; doi:10.1152/ajpregu.00507.2006.-Activation of the hypothalamicpituitary-adrenal (HPA) axis and augmented plasma and tissue levels of IL-6 are hallmarks of heart failure (HF). Within the forebrain, cardiovascular homeostasis is mediated in part by the paraventricular nucleus (PVN) of the hypothalamus. IL-6, via binding to the IL-6 receptor (IL-6R)/glycoprotein 130 (gp130) complex influences cellular and physiological responses. Thus, in the current study, we hypothesized that PVN IL-6R protein and gene expression are upregulated in HF vs. sham-operated rats, whereas gp130 levels in the same tissues remain stable. Six weeks after coronary ligation surgery, hemodynamic measurements were obtained, and HF rats were divided into moderate noncongestive and severe chronic congestive groups based on cardiac indices. Plasma IL-6 levels were determined and changes in gene and protein expression of IL-6R and gp130 between sham-operated and HF rats were determined via real-time PCR and Western blot analyses, respectively. Plasma levels of IL-6 were elevated in rats with severe, but not moderate, HF compared with sham-operated controls. In both moderate and severe HF rats, protein but not gene expression of IL-6R was significantly increased in PVN tissue but not in non-PVN tissue, compared with sham-operated controls. Gene and protein levels of the gp130 subunit were not altered by HF in either tissue analyzed. Collectively, these data suggest that within the brain of HF rats, IL-6R expression is not a global change. Rather the increased IL-6 levels characteristic of HF may alter PVN-mediated physiological responses via enhanced expression of the IL-6R. signal transduction; gp130; hypothalamic-pituitary axis THE PARAVENTRICULAR NUCLEUS (PVN) of the hypothalamus is a forebrain nucleus with projections to brainstem and spinal cord regions regulating cardiovascular homeostasis (10). The PVN is also a key component of the hypothalamic-pituitary-adrenal (HPA) axis. Using cytokines as messengers, bidirectional communication between the nervous and immune systems occurs along the HPA axis (16,17,39,41,54,59). Among the cytokines, IL-6 plays a significant role in HPA activation by stimulating the release of negative feedback hormones, which inhibit cytokine gene expression, resulting in attenuation of immune responses and accompanying inflammation (38,44,51).The initial step in IL-6-mediated responses is interaction of the cytokine with the interleukin-6 receptor (IL-6R), the nonsignaling subunit of the receptor complex. Binding of ligand to the alpha subunit (e.g., IL-6R) results in homodimerization of the signal transducing -subunit, glycoprotein130 (gp130), at the plasma membrane (25,43,55). This recruitment allows the binding of IL-6/IL-6R to gp130, resulting in a functional receptor compl...