Alexander BN, Fewell JE. Metyrapone restores the febrile response to Escherichia coli LPS in pregnant rats. Am J Physiol Regul Integr Comp Physiol 300: R1588 -R1595, 2011. First published April 13, 2011 doi:10.1152 doi:10. /ajpregu.00785.2010 an important component of the host's defense response to immune challenge, is absent or attenuated in rats near the term of pregnancy. The present experiments were carried out to determine the role of endogenous glucocorticoids in mediating the altered core temperature (Tc) response to exogenous pyrogen (i.e., Escherichia coli LPS). For the experiments, metyrapone-a glucocorticoid synthesis inhibitor-was administered to near-term pregnant rats prior to an EC100 dose of E. coli LPS. Administration of LPS following vehicle elicited a significant corticosterone response and resulted in a decrease in Tc (i.e., hypothermia). Prior administration of metyrapone, however, which abolished the corticosterone response and altered the pyrogenic/ cryogenic cytokine response to LPS, eliminated hypothermia and restored the febrile response. Our results provide evidence that endogenous glucocorticoids play a role in mediating the altered febrile response to immune stimuli observed in rats near the term of pregnancy.glucocorticoids; hypothermia; infection NUMEROUS PHYSIOLOGICAL CHANGES accompany the maternal adaptation to pregnancy in rats, including reversible changes in blood hormone concentrations (e.g., corticosterone) and basal thermoregulatory control, as well as the cytokine, prostanoid, and Tc responses to immune challenge (4,17,19,21,34). For example, Fofie and Fewell (21) observed that Tc responses to intraperitoneal administration of 160 g/kg Escherichia coli LPS (EC 100 in nonpregnant rats) are different in pregnant rats as early as day 10 of the 21-day gestational period compared with nonpregnant oophorectomized rats. In nonpregnant rats, 160 g/kg E. coli LPS elicits an increase in Tc (i.e., a fever) with a latency, magnitude, and duration of 1.5 h, 1.9°C, and at least 4.5 h, respectively (21). Accompanying the febrile response are significant increases in plasma IL-1, IL-6, TNF-␣, and IL-1ra (22). In pregnant rats, however, 160 g/kg E. coli LPS elicits a "regulated" decrease in Tc (i.e., hypothermia)-the magnitude and duration of which increase with increasing LPS dose and gestation-before a modest increase in Tc above baseline is recorded (21, 52); accompanying the hypothermia are significant increases in plasma TNF-␣, and IL-ra, but not IL-1 and IL-6 (22). The mechanism and consequences for the mother and fetus of this altered thermoregulatory component of the acute phase response remain largely unknown.It has long been known that glucocorticoids have an antipyretic action on natural fevers in man (27), and Coelho et al.(13) and Morrow et al. (38) have shown that endogenous glucocorticoids modulate bacterial pyrogen-induced fever in male rats. Furthermore, Moore and Fewell (36) have recently shown that oral administration of mifepristone (RU38486)-a progesterone and gl...