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Health
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Title: Catch the Fever: It'll Help You Fight Off Infection
Source: [None]
URL Source: http://www.sciencedaily.com/releases/2011/11/111101130200.htm
Published: Dec 13, 2011
Author: staff
Post Date: 2011-12-13 06:07:03 by Tatarewicz
Keywords: None
Views: 69
Comments: 2

ScienceDaily (Nov. 1, 2011) — With cold and flu season almost here, the next time you're sick, you may want to think twice before taking something for your fever. That's because scientists have found more evidence that elevated body temperature helps certain types of immune cells to work better. This research is reported in the November 2011 issue of the Journal of Leukocyte Biology.

"An increase in body temperature has been known since ancient times to be associated with infection and inflammation," said Elizabeth A. Repasky, Ph.D., a researcher involved in the work from the Department of Immunology at the Roswell Park Cancer Institute in Buffalo, New York. "Since a febrile response is highly conserved in nature (even so-called cold blooded animals move to warmer places when they become ill) it would seem important that we immunologists devote more attention to this interesting response."

Scientists found that the generation and differentiation of a particular kind of lymphocyte, known as a "CD8+ cytotoxic T-cell" (capable of destroying virus-infected cells and tumor cells) is enhanced by mild fever-range hyperthermia. Specifically, their research suggests that elevated body temperature changes the T-cells' membranes which may help mediate the effects of micro-environmental temperature on cell function. To test this, researchers injected two groups of mice with an antigen, and examined the activation of T-cells following the interaction with antigen presenting cells. Body temperature in half of the mice was raised by 2 degrees centigrade, while the other half maintained a normal core body temperature. In the warmed mice, results showed a greater number of the type of CD8 T-cells capable of destroying infected cells.

"Having a fever might be uncomfortable," said John Wherry, Ph.D., Deputy Editor of the Journal of Leukocyte Biology, "but this research report and several others are showing that having a fever is part of an effective immune response. We had previously thought that the microbes that infect us simply can't replicate as well when we have fevers, but this new work also suggests that the immune system might be temporarily enhanced functionally when our temperatures rise with fever. Although very high body temperatures are dangerous and should be controlled, this study shows that we may need to reconsider how and when we treat most mild fevers."

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Source Of Fever Identified

ScienceDaily (Aug. 5, 2007) — With the finding that fever is produced by the action of a hormone on a specific site in the brain, scientists have answered a key question as to how this adaptive function helps to protect the body during bacterial infection and other types of illness.

"This study shows how the brain produces fever responses during infections," explains senior author Clifford Saper, MD, PhD, Chairman of the Department of Neurology at BIDMC and James Jackson Putnam Professor of Neurology and Neuroscience at Harvard Medical School. "Our laboratory identified the key site in the brain at which a hormone called prostaglandin E2 (PGE2) acts on a target, called the EP3 receptor, on neurons to cause the fever response."

During periods of inflammation, such as when the body is fighting an infection or illness, the body produces hormones known as cytokines. The cytokines, in turn, act on blood vessels in the brain to produce PGE2.

"PGE2 then enters the brain's hypothalamus, causing fever, loss of appetite, fatigue and general feelings of sickness and achiness," says Saper, explaining that these common symptoms of illness function as an adaptive response to enable the body to better fight infection.

"When body temperature is elevated by a few degrees, white blood cells can fight infections more effectively. Also, individuals tend to become achy and lethargic. Consequently," he adds, "they tend to take it easy, thereby conserving their energy so that they can better fight the infection. That is why so many different types of illness result in more or less the same sickness behaviors."

To this point, the specific neurons on which PGE2 was acting to produce fever were unknown. Saper and his colleagues created a knockout mouse in which the gene for the EP3 receptor -- which registers the presence of PGE2 -- could be removed in one part of the brain at a time.

"This was the first time that anyone has been able to remove the receptor at a single spot in the brain," says Saper. "As a result, we are able to definitively say that this particular site in the brain -- only a little bigger than the head of a pin -- is where prostaglandins work to cause the fever response.

"We think that the other aspects of sickness behavior, such as the achiness caused by increased sensitivity to pain, also come from specific sites in the brain," he adds. "We plan to use this same approach to dissect the brain's response to inflammation, and find out why people feel the way they do when they are ill."

Reported by researchers at Beth Israel Deaconess Medical Center (BIDMC), the study results appeared recently in Nature Neuroscience's advance online publication.

In addition to Saper, coauthors include BIDMC investigators Michael Lazarus, PhD(lead author), Kyoko Yoshida, PhD, Takatoshi Mochizuki, PhD, Bradford Lowell, MD, PhD, and Roberto Coppari, PhD; and Caroline Bass, PhD, of Wake Forest University, North Carolina.

This study was funded by grants from the U.S. Public Health Service.

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