Ashdown H, Poole S, Boksa P, Luheshi GN. Interleukin-1 receptor antagonist as a modulator of gender differences in the febrile response to lipopolysaccharide in rats. Am J Physiol Regul Integr Comp Physiol 292: R1667-R1674, 2007. First published November 30, 2006; doi:10.1152/ajpregu.00274.2006.-Febrile responses to bacterial pathogens are attenuated near term of pregnancy in several mammalian species. It is unknown, however, whether this reflects a fundamental physiological adaptation of female rats or whether it is specific to pregnancy. The aims of this study therefore were 1) to determine whether febrile responses to the bacterial endotoxin lipopolysaccharide (LPS) are attenuated in female vs. male rats and, if so, to identify possible mechanisms involved in modulating this and 2) to assess whether plasma concentrations of the anti-inflammatory cytokine, interleukin-1 receptor antagonist (IL-1ra), an important regulator of fever, are dependent on the physiological state of the female and could therefore be involved in modulating febrile responses. We found febrile responses were attenuated in cycling female vs. male rats and also in near-term pregnant dams vs. cycling females after intraperitoneal injection of LPS (0.05 mg/kg). Plasma levels of IL-1ra were significantly greater in female rats after injection of LPS, particularly during pregnancy, than in males. This was accompanied by attenuated levels of hypothalamic IL-1 and cyclooxygenase-2 mRNA, two key mediators of the febrile response, in female rats. Furthermore, increasing plasma levels of IL-1ra in male rats by intraperitoneal administration of the recombinant antagonist attenuated hypothalamic mRNA levels of these mediators after LPS. These data suggest that there is a fundamental difference in febrile response to LPS between the genders that is likely regulated by IL-1ra. This may be an important mechanism that protects the developing fetus from potentially deleterious consequences of maternal fever during pregnancy.fever; pregnancy; cyclooxygenase-2; interleukin-1; cytokines FEVER IS A COMPLEX PHYSIOLOGICAL response mounted by the host to facilitate the resolution of infection after exposure to invading viral or bacterial pathogens. This central nervous systemorchestrated response involves the production and action of prostaglandins (PGE 2 ) on hypothalamic thermosensitive neurons, a process that is initiated through the action of systemic pyrogenic mediators of the cytokine family (16, 59). These key inflammatory proteins are readily induced after exposure to exogenous pyrogens, such as the bacterial product lipopolysaccharide (LPS), and increase in the periphery to reflect the rise in body temperature (16, 51). The proinflammatory cytokine IL-1 is a major peripheral mediator of LPS-induced fever, which is known to trigger increases in body temperature via cyclooxygenase-2 (COX-2)-dependent production of PGE 2 in the brain (35). Studies in experimental animals have demonstrated that recombinant IL-1, administered either systemically or dir...