Begg DP, Kent S, McKinley MJ, Mathai ML. Suppression of endotoxin-induced fever in near-term pregnant rats is mediated by brain nitric oxide. Am J Physiol Regul Integr Comp Physiol 292: 2174-2178, 2007. First published March 1, 2007; doi:10.1152/ajpregu.00032.2007.-Over the last three decades, experiments in several mammalian species have shown that the febrile response to bacterial endotoxin is attenuated late in pregnancy. More recent evidence has established that the expression of nitric oxide synthase (NOS) enzymes is increased in the brain late in pregnancy. The current study investigated the possible role of brain nitric oxide in mediating the phenomenon of fever suppression. Core body temperature (T b) of near-term pregnant rats (day 19 and 20) was measured following inhibition of brain NOS and intraperitoneal injection of LPS (50 g/kg); they were compared with both day 15 pregnant and virgin animals. Intracerebroventricular injection with an inhibitor of NOS, N G -monomethyl-L-arginine citrate (L-NMMA; 280 g), in near-term pregnant rats restored the febrile response to LPS. As expected, near-term dams that received intracerebroventricular vehicle ϩ IP LPS did not increase T b, in contrast to the 1.0 Ϯ 0.2°C rise in Tb in dams treated with ICV L-NMMA ϩ IP LPS (P Ͻ 0.01). In virgin females and day 15 pregnant controls receiving this treatment, the increases in T b were 1.5 Ϯ 0.3°C and 1.6 Ϯ 0.4°C, respectively. Thus, blockade of brain NOS restored the febrile response to LPS in near-term dams; at 5 h postinjection, T b was 60 -70% of that observed in virgins and day 15 pregnant animals. Intracerebroventricular L-NMMA alone did not induce a significant change in Tb in any group. These results suggest that the mechanism underlying the suppression of the febrile response in near-term pregnancy is mediated by nitric oxide signaling in the brain. nitric oxide synthase; N G -monomethyl-L-arginine citrate; lipopolysaccharide; core body temperature; thermoregulation FEVER IS A REGULATED INCREASE in core body temperature (T b ) caused by initiation of heat-conserving and heat-producing systems. It plays a crucial role in the physiological response to infection by pathogens, improving the efficiency of lymphocytes and reducing the replication of many microorganisms (23). Fever can be caused by a number of different stimuli, such as infection with bacteria and viruses (27) or by stress (13,17). It has been widely documented that these factors result in the release of proinflammatory cytokines from macrophages (11). This results in the stimulation of central and peripheral cyclooxygenase (COX) enzymes that catalyze the synthesis of PGs (10). The enzymes COX-1 and COX-2 are the ratelimiting step in the production of PGs, and inhibition of COX blocks the febrile response (39). PGE 2 has been seen traditionally as the final step in the process of fever generation. The febrile response is integral to the body's defense against infection; however, if T b becomes excessively high, it endangers the host, as these temperatu...