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1 Liver Unit, Department of Medicine, and 2 Neuroscience Research Group, Department of Physiology and Biophysics, Faculty of Medicine, University of Calgary, Calgary, Alberta, Canada T2N 4N1
Patients with biliary tract obstruction have
unexplained, inordinately high rates of perioperative morbidity and
mortality, whereas cholestatic animals display abnormal hypothalamic
responses to pyrogenic stimuli. We asked if obstructive cholestasis was associated with abnormal fever generation. Male Sprague-Dawley rats
(250 g) underwent laparotomy for implantation of thermistors and either
bile duct resection (BDR) or sham operation. After recovery,
temperatures were recorded by telemetry and conscious, unrestrained
rats in each group were injected intraperitoneally with either
interleukin-1
(IL-1
;1 µg/kg) or Escherichia coli lipopolysaccharide (LPS; 50 µg/kg). Baseline temperatures in both groups were similar. Febrile responses after IL-1
injection in BDR
and sham groups were not significantly different. However, in response
to LPS injection, BDR rats showed an initial hypothermia with a
subsequently attenuated febrile response. Administration of anti-tumor
necrosis factor-
(TNF-
) antibody 2 h before LPS injection
blocked the LPS-induced hypothermia seen in BDR animals. However, serum
levels of TNF-
were not significantly different between sham and BDR
animals after LPS injection at any time point measured (0, 1.5, and
3 h).
thermoregulation; cytokines; interleukin; tumor necrosis factor-
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