Abstract
Fever is a phylogenetically ancient host response to infection, being found in fish and lizards, and conserved, with all its metabolic costs, in the higher mammals, including man. The conservation of the fever response in evolution is used as an argument for its survival value and, indeed, in experiments with cold-blooded animals "behavioral fever" has been demonstrated to reduce mortality associated with infection. Recent advances in the biology of interleukin-1 and other cytokines have allowed the testing, in vitro, of components of mammalian host defense (such as immune cell function) at temperatures typical of fever, and marked effects have been found. It remains to be demonstrated, however, that the hyperthermia of fever has survival value in man, and though it might be predicted that fever would be beneficial in infections, it is quite possible that in some circumstances even mild fever could be construed as harmful. In autoimmunity, for example, increased T-cell activation at febrile temperatures may well accelerate disease progress.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- ATKINS E. Pathogenesis of fever. Physiol Rev. 1960 Jul;40:580–646. doi: 10.1152/physrev.1960.40.3.580. [DOI] [PubMed] [Google Scholar]
- Atkins E., Feldman J. D., Francis L., Hursh E. Studies on the mechanism of fever accompanying delayed hypersensitivity. The role of the sensitized lymphocyte. J Exp Med. 1972 May 1;135(5):1113–1132. doi: 10.1084/jem.135.5.1113. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Atkins E. Fever: the old and the new. J Infect Dis. 1984 Mar;149(3):339–348. doi: 10.1093/infdis/149.3.339. [DOI] [PubMed] [Google Scholar]
- Atkins E., Francis L., Bernheim H. A. Pathogenesis of fever in delayed hypersensitivity: role of monocytes. Infect Immun. 1978 Sep;21(3):813–820. doi: 10.1128/iai.21.3.813-820.1978. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Atkins E., Francis L. Suppression of Ag-induced release of EP (IL 1) by spleen cells of specifically desensitized donors: evidence for the role of a suppressor cell. J Immunol. 1985 Apr;134(4):2436–2443. [PubMed] [Google Scholar]
- Bernheim H. A., Block L. H., Francis L., Atkins E. Release of endogenous pyrogen-activating factor from concanavalin A-stimulated human lymphocytes. J Exp Med. 1980 Dec 1;152(6):1811–1816. doi: 10.1084/jem.152.6.1811. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Cranston W. I., Duff G. W., Hellon R. F., Mitchell D. Thermoregulation in rabbits during fever. J Physiol. 1976 Jun;257(3):767–777. doi: 10.1113/jphysiol.1976.sp011396. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dinarello C. A., Bernheim H. A., Duff G. W., Le H. V., Nagabhushan T. L., Hamilton N. C., Coceani F. Mechanisms of fever induced by recombinant human interferon. J Clin Invest. 1984 Sep;74(3):906–913. doi: 10.1172/JCI111508. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dinarello C. A. Demonstration of a human pyrogen-inducing factor during mixed leukocyte reactions. J Exp Med. 1981 May 1;153(5):1215–1224. doi: 10.1084/jem.153.5.1215. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dinarello C. A. Interleukin-1. Rev Infect Dis. 1984 Jan-Feb;6(1):51–95. doi: 10.1093/clinids/6.1.51. [DOI] [PubMed] [Google Scholar]
- Duff G. W., Atkins E., Malawista S. E. The fever of gout: urate crystals activate endogenous pyrogen production from human and rabbit mononuclear phagocytes. Trans Assoc Am Physicians. 1983;96:234–245. [PubMed] [Google Scholar]
- Duff G. W., Atkins E. The detection of endotoxin by in vitro production of endogenous pyrogen: comparison with limulus amebocyte lysate gelation. J Immunol Methods. 1982 Aug 13;52(3):323–331. doi: 10.1016/0022-1759(82)90004-7. [DOI] [PubMed] [Google Scholar]
- Duff G. W., Durum S. K. Fever and immunoregulation: hyperthermia, interleukins 1 and 2, and T-cell proliferation. Yale J Biol Med. 1982 Sep-Dec;55(5-6):437–442. [PMC free article] [PubMed] [Google Scholar]
- Duff G. W., Durum S. K. The pyrogenic and mitogenic actions of interleukin-1 are related. Nature. 1983 Aug 4;304(5925):449–451. doi: 10.1038/304449a0. [DOI] [PubMed] [Google Scholar]
- GREY H. M., BRIGGS W., FARR R. S. The passive transfer of sensitivity to antigen-induced fever. J Clin Invest. 1961 Apr;40:703–706. doi: 10.1172/JCI104303. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Hanson D. F., Murphy P. A., Silicano R., Shin H. S. The effect of temperature on the activation of thymocytes by interleukins I and II. J Immunol. 1983 Jan;130(1):216–221. [PubMed] [Google Scholar]
- Jampel H. D., Duff G. W., Gershon R. K., Atkins E., Durum S. K. Fever and immunoregulation. III. Hyperthermia augments the primary in vitro humoral immune response. J Exp Med. 1983 Apr 1;157(4):1229–1238. doi: 10.1084/jem.157.4.1229. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kluger M. J., Ringler D. H., Anver M. R. Fever and survival. Science. 1975 Apr 11;188(4184):166–168. [PubMed] [Google Scholar]
- Mickenberg I. D., Snyderman R., Root R. K., Mergenhagen S. E., Wolff S. M. The relationship of complement consumption to immune fever. J Immunol. 1971 Nov;107(5):1466–1476. [PubMed] [Google Scholar]
- Murphy P. A., Simon P. L., Willoughby W. F. Endogenous pyrogens made by rabbit peritoneal exudate cells are identical with lymphocyte-activating factors made by rabbit alveolar macrophages. J Immunol. 1980 May;124(5):2498–2501. [PubMed] [Google Scholar]
- Ron Y., Dougherty J. P., Duff G. W., Gershon R. K. The effect of febrile temperatures on biologic actions of interferons: abrogation of suppression of delayed-type hypersensitivity and antibody production. J Immunol. 1984 Oct;133(4):2037–2042. [PubMed] [Google Scholar]
- Root R. K., Wolff S. M. Pathogenetic mechanisms in experimental immune fever. J Exp Med. 1968 Aug 1;128(2):309–323. doi: 10.1084/jem.128.2.309. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Rosenwasser L. J., Dinarello C. A., Rosenthal A. S. Adherent cell function in murine T-lymphocyte antigen recognition. IV. Enhancement of murine T-cell antigen recognition by human leukocytic pyrogen. J Exp Med. 1979 Sep 19;150(3):709–714. doi: 10.1084/jem.150.3.709. [DOI] [PMC free article] [PubMed] [Google Scholar]