We examined the signaling route for fever during localized inflammation in male and female mice, elicited by casein injection into a preformed air pouch. The localized inflammation gave rise to high concentrations of PGE2 and cytokines in the air pouch, and elevated levels of these inflammatory mediators in plasma. There were also elevated levels of PGE2 in the cerebrospinal fluid, although there was little evidence for PGE2 synthesis in the brain. Global deletion of the PGE2 EP3 receptor abolished the febrile response as did deletion of the EP3 receptor in neural cells, whereas its deletion on peripheral nerves had no effect, implying that PGE2 action on this receptor in the CNS elicited the fever. Global deletion of the interleukin-1 receptor type 1 (IL-1R1) also abolished the febrile response, whereas its deletion on neural cells or peripheral nerves had no effect. However, deletion of the IL-1R1 on brain endothelial cells, as well as deletion of the interleukin-6 receptor α on these cells, attenuated the febrile response. In contrast, deletion of the PGE2 synthesizing enzymes cyclooxygenase-2 and microsomal prostaglandin synthase-1 in brain endothelial cells, known to attenuate fever evoked by systemic inflammation, had no effect. We conclude that fever during localized inflammation is not mediated by neural signaling from the inflamed site, as previously suggested, but is due to humoral signaling involving interleukin actions on brain endothelial cells, probably facilitating PGE2 entry into the brain from the circulation and hence representing a mechanism distinct from that at work during systemic inflammation.
Significance statementFever elicited by a localized inflammation has long been suggested to depend on the activation of and signaling by peripheral nerves innervating the inflamed tissue, and not on humoral messengers, in contrast to what now is clearly established for systemic inflammation.We here show that fever evoked by the injection of pyrogen into a preformed air pouch, providing an enclosed space lined by a synovial-like membrane, is dependent not on Eskilsson et al., p. 3 peripheral neural signals, but on the activation of central nervous system PGE2 EP3 receptors, similar to what is the case during systemic inflammation. The mechanisms are nevertheless distinct, since fever during localized inflammation, although it depends on cytokine signaling in the brain endothelium, does not require brain PGE2 production.