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Noll Physiological Research Center, Penn State University, University Park, Pennsylvania 16802-6900
Postmenopausal
women receiving estrogen-replacement therapy (ERT) regulate body
temperature (Tb) at a lower level than women not receiving
hormone replacement therapy (untreated) and women using estrogen plus
progesterone therapy (E + P), but it is not clear if reproductive
hormones alter Tb by directly acting on central
thermoregulatory centers or indirectly via a secondary mediator(s). The
purpose of the present investigation was to examine the possible
involvement of pyrogenic cytokines and cyclooxygenase (COX) products
(e.g., prostaglandins) in the regulation of Tb in three
groups of postmenopausal women (8 ERT, 7 E + P, and 8 untreated).
We measured ex vivo secretion of cytokine agonists [tumor necrosis
factor (TNF)-
and interleukin (IL)-1
and -6] and modifiers (IL-2
soluble receptor, IL-1 receptor antagonist, soluble TNF receptor type
I, soluble TNF receptor type II, soluble IL-6 receptor, and soluble
glycoprotein 130) from peripheral blood mononuclear cells and
thermoregulatory responses at rest and during 1 h of passive whole
body heating in the postmenopausal women before and after 3 days of
placebo or aspirin (50 mg · day
1 · kg
1). With and without aspirin, the ERT group had a lower
baseline rectal temperature (Tre; 0.44°C,
P < 0.004) and a reduced Tb threshold for
cutaneous vasodilation (0.29°C and 0.38°C, P < 0.01) compared with the untreated and E + P groups, respectively.
In the placebo condition, waking morning oral temperature
(Tor) correlated with ex vivo secretion of the proteins
associated with IL-6 bioactivity. Aspirin caused significant reductions
in waking Tor in the E + P group and in baseline
Tre in the untreated group. However, the difference in
thermoregulation brought about by steroid hormone treatment could not
be explained by these relatively modest apparent influences by
cytokines and COX products. Therefore, the altered thermoregulation
induced by reproductive steroid therapy appears to occur via a
mechanism distinct from a classic infection-induced fever.
skin blood flow; cytokines; cyclooxygenase; reproductive hormones; estrogen; progesterone
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