Weiland, Tracey J., Nicholas J. Voudouris, and Stephen Kent. CCK2 receptor nullification attenuates lipopolysaccharide-induced sickness behavior. Am J Physiol Regul Integr Comp Physiol 292: R112-R123, 2007. First published July 20, 2006; doi:10.1152/ajpregu.00156.2006.-Systemic infection produces a highly regulated set of responses such as fever, anorexia, adipsia, inactivity, and cachexia, collectively referred to as sickness behavior. Although the expression of sickness behavior requires immune-brain communication, the mechanisms by which peripheral cytokines signal the brain are unclear. Several mechanisms have been proposed for neuroimmune communication, including the interaction of cytokines with peripheral nerves. A critical role has been ascribed to the vagus nerve in mediating sickness behavior after intraperitoneally delivered immune activation, and converging evidence suggests that this communication may involve neurochemical intermediaries afferent and/or efferent to this nerve. Mice lacking functional CCK 2/gastrin receptors (CCK2KO) and wild-type (WT) controls were administered LPS (50, 500, or 2,500 g/kg; serotype 0111:B4; ip). Results indicate a role for CCK2 receptor activation in the initiation and maintenance of LPS-induced sickness behavior. Compared with WT controls, CCK 2KO mice were significantly less affected by LPS on measures of body temperature, activity, body weight, and food intake, with the magnitude of effects increasing with increasing LPS dose. Although activation of CCK 2 receptors at the level of the vagus nerve cannot be excluded, a possible role for these receptors in nonvagal routes of immune-brain communication is suggested. cholecystokinin; lipopolysaccharide; infection; vagus; fever THE GUT-BRAIN PEPTIDE, CCK, exhibits great potential as a neurochemical intermediary of vagus-to-brain signaling. CCK binds to CCK 1 and CCK 2 receptors; the former are primarily localized in peripheral organs and some discrete areas of the brain, whereas CCK 2 receptors are the predominant subtype in the brain (55). Both subtypes are present on the vagus nerve and vagal afferent connections, including the brainstem and hypothalamus (46,51). Thus the peripheral and central positioning of CCK receptors provides an anatomical basis for CCK to play a role in vagally mediated neuroimmune communication.A constellation of findings points to a role for CCK in immune regulation, including a protective function in septic shock induced by LPS (41, 42), a compound of the outer cell wall of Gram-negative bacteria (60). CCK induces monocyte chemotaxis both in vitro and in vivo (16, 65) and stimulates production of proinflammatory cytokines, TNF, IL-1, IL-6, and IL-8 (16). Peripheral administration of CCK induces a pattern of c-fos expression that is similar to that seen after administration of the immune activators, LPS, or IL-1 (19). Increases in plasma CCK have been reported in the rat after intraperitoneal IL-1␣ (18) or intravenous IL-1 (40). However, limitations in assay sensitivity and specificity r...