Miyoshi, Michio, Katsumi Nagata, Toshiaki Imoto, Osamu Goto, Akiko Ishida, and Tatsuo Watanabe. ANG II is involved in the LPS-induced production of proinflammatory cytokines in dehydrated rats. Am J Physiol Regul Integr Comp Physiol 284: R1092-R1097, 2003 10.1152/ajpregu.00700.2002We have previously reported results that led us to speculate that ANG II is involved in the LPSinduced production of proinflammatory cytokines, especially under dehydrated conditions. To test this possibility, in this study we examined the effects of an angiotensin-converting enzyme (ACE) inhibitor and an antagonist of the type-1 ANG II receptor (AT1 receptor) on the LPS-induced production of the proinflammatory cytokines IL-1 and IL-6 in dehydrated rats. A single intravenous injection of LPS induced a marked increase in the expression of IL-1 mRNA in the liver, an effect that was significantly attenuated by pretreatment with the ACE inhibitor. Furthermore, the ACE inhibitor reduced the LPS-induced increase in the hepatic concentration of IL-1 protein. When the AT 1-receptor antagonist was given intravenously before the LPS, the increase in the hepatic concentration of IL-1 was significantly reduced. Finally, the ACE inhibitor reduced the LPS-induced increase in the plasma concentration of IL-6. These results represent the first in vivo evidence that ANG II and its AT 1 receptor play important roles in the production of proinflammatory cytokines that is induced by LPS under dehydrated conditions. interleukin-1; interleukin-6; fever PROINFLAMMATORY CYTOKINES such as IL-1 or IL-6 are members of a family of endogenous pyrogens (EP), production of which is powerfully stimulated by LPS (6). Occasionally, we experience a high fever in bacteria-infected patients under dehydrated conditions. In 1986, Morimoto et al. (14) showed that intravenous injection of LPS induced a fever that was significantly greater in dehydrated rats than in euhydrated rats. However, dehydration had no effect on the fever induced by intravenous injection of their "homemade" crude EP. Accordingly, the fever enhancement caused by dehydration may be due to increased production of EP in response to LPS. Because the secretion of ANG II increases under dehydrated conditions, we recently tested the possibility that ANG II is involved in this fever enhancement. In fact, the LPS-induced fever seen by us in dehydrated rats was significantly attenuated by an angiotensin-converting enzyme (ACE) inhibitor given intravenously, whereas the IL-1-induced fever underwent no alterations with this inhibitor (27). Taken together, the above evidence makes it likely that ANG II contributes to the LPS-induced production of EP, or of a proinflammatory cytokine such as IL-1, and that this leads to an enhancement of the LPS-induced fever seen under dehydrated conditions. Recent evidence suggests that ANG II may itself be a proinflammatory peptide. For example, ANG II induces an inflammatory response, involving increases in the expressions of such proinflammatory enzymes as phospholipase (23...