Role of endogenous interleukin-1 receptor antagonist in regulating fever induced by localised inflammation in the rat

1. Interleukin (IL)-1 is a mediator of host defence responses to inflammation and injury, including fever, but its sites of synthesis: and action have not been fully elucidated. The actions of IL-1 are antagonised by IL-1 receptor antagonist (IL-1ra). The present study tested the hypothesis that IL-1 and IL-1ra are produced locally at sites of peripheral inflammation in rats, and that endogenous IL-1ra acts to limit the fever resulting from the inflammation. 2. Injection of lipopolysaccharide (LPS; 100 mug kg(-1)) into a subcutaneous air pouch (I.PO.) of rats induced a significant increase in body temperature. Virtually all (similar to 85%) of the injected LPS was recovered from the pouch between 1 and 8 h (when the experiment was terminated) after injection of LPS, but LPS was undetectable (<50 pg ml(-1)) in plasma at any time. Concentrations of immunoreactive IL-1<alpha>: and IL-1 beta were increased significantly in the pouch at 1, 2, 3, 5 and 8 h after injection of LPS, corresponding with the rise in body temperature and the fever peak. The appearance of IL-1ra was delayed until 2 h. Thereafter, the concentrations of IL-1 beta and IL-1ra increased in parallel with the development of fever, while the concentrations of IL-1 alpha remained constant. IL-1ra, but not IL-1 alpha or IL-1 beta, was detected in significant quantities in the plasma of LPS-injected animals. 3. Treatment of rats with an anti-IL-1ra serum (2 mi, I.PO.) at the time of injection of LPS (10 or 100 mug kg(-1), I.PO.) abolished the appearance of IL-1ra in the circulation. Although neutralisation of endogenous IL-1ra did not affect the maximum body temperature reached after injection of submaximum (10 mug kg(-1), I.PO.) or maximum (100 mug kg(-1), I.PO.) doses of LPS, the duration of the fever was significantly prolonged, and was associated with a 3- to 4-fold increase in immunoreactive IL-1 beta concentrations in the pouch fluid, hut not in the plasma, at the 8 h time point. 4. These data show that effects of local (I.PO.) injection of LPS are not due to its action in the circulation or at distant sites (such as at the blood-brain barrier). These data also show that locally produced IL-1ra, in response to injection (I.PO.) of LPS, inhibits the production and/or action of locally produced IL-1 beta. The ability of IL-1ra to limit the duration, rather than the magnitude of the fever, is consistent with its delayed production, relative to IL-1. IL-1ra, therefore, appears to play a key role in the resolution of fever induced by localised inflammatory responses.