Within a few hours of its injection into mice, lipopolysaccharide (LPS) induces hypoglycemia and the production of various cytokines. We previously found that interleukin-1␣ (IL-1␣), IL-1, and tumor necrosis factor alpha (TNF-␣) induce hypoglycemia and that the minimum effective dose of IL-1␣ or IL-1 is about 1/1,000 that of TNF-␣. In the present study, we examined the contribution made by IL-1 to the hypoglycemic action of LPS. Nine other cytokines tested were all inactive at inducing hypoglycemia. LPS produced hypoglycemia in mice deficient in either IL-1␣ or IL-1 but not in mice deficient in both cytokines (IL-1␣ and -1 knockout [IL-1␣/ KO] mice). IL-1␣, IL-1, and TNF-␣ induced hypoglycemia in IL-1␣/ KO mice, as they did in normal control mice. The LPS-induced elevation of serum cortisol was weaker in IL-1␣/ KO mice than in control mice, and, in the latter, serum cortisol was markedly raised while blood glucose was declining. IL-1␣ decreased blood glucose both in NOD mice (which have impaired insulin production) and in KK-Ay mice (insulin resistant). These results suggest that (i) cortisol may not be involved in mediating the resistance of
IL-1␣/ KO mice to the hypoglycemic action of LPS, (ii) as a mediator, IL-1 is a prerequisite for the hypoglycemic action of LPS, (iii) IL-1␣ and IL-1 perform mutual compensation, and (iv) IL-1 plays a role as the primary stimulator of the many anabolic reactions required for the elaboration of immune responses against infection.The endotoxin or lipopolysaccharide (LPS) of gram-negative bacteria strongly stimulates a variety of reactions involved in immune responses (3,36,45). It is also well known that LPS induces hypoglycemia in experimental animals as well as in humans (4,19,35). Incidentally, we have shown that various mitogenic substances other than LPS also induce hypoglycemia in mice (13).The mechanisms reported to underlie LPS-induced hypoglycemia include an enhanced systemic consumption of glucose (34), depletion of glycogen from liver and muscle (33,46), and impaired hepatic gluconeogenesis (18,26,33). The hyperthermic response often seen soon after LPS injection and the later hypothermic responses do not correspond well with the blood glucose changes induced by LPS (2, 28). Over the years, a variety of causal factors, such as insulin (55), the insulin-like action of LPS itself (50), glucocorticoids (22, 42), hepatic serotonin (14, 15), and other humoral factors (22), have been proposed as possible contributors to the LPS-induced hypoglycemia.We were the first to identify the hypoglycemic humoral factor produced by macrophages as interleukin-1 (IL-1) (16), and indeed recombinant IL-1 was later shown to induce hypoglycemia (8,15,22,48). Although tumor necrosis factor alpha (TNF-␣) induces hypoglycemia in mice, the minimum effective dose of IL-1␣ or IL-1 is about 1/1,000 that of TNF-␣ (15).Both IL-1␣ and IL-1 are capable of reducing blood glucose in mice at a dose as low as 0.1 g/kg of body weight (2.5 ng/ mouse) when injected intraperitoneally (15). Inte...