The pathophysiology of systemic inf lammation and sepsis involves peripheral organs, causing gastrointestinal, renal, and cardiovascular alterations, as well as the central nervous system (CNS), affecting sleep, temperature regulation, behavior, and neuroendocrine function. The molecular basis of the CNS effects of systemic inf lammation are not fully elucidated. Here we show that the CNS responds to systemic inf lammation with pronounced IL-1 gene expression and limited IL-1 receptor antagonist (IL-1ra), IL-10, and IL-13 gene expression. This pattern occurs throughout the CNS, including areas such as the subfornical organ, pineal gland, neurohypophysis, and hypothalamus. In contrast, in the anterior pituitary, we found limited IL-1 gene expression but marked induction of the mRNA encoding for the secreted isoform of IL-1ra, secreted IL-1ra. We conclude that the central manifestations of peripheral inf lammation are mediated by endogenous brain IL-1 synthesized during systemic inf lammation in the context of limited central cytokine counter regulation of IL-1. As IL-1 is a potent stimulus for inducible nitric oxide synthase expression and activity, these findings explain our previous observation that systemic inf lammation promotes inducible nitric oxide synthase gene expression in the brain and the spillover of NO metabolites into cerebrospinal f luid. The CNS transcription of the HIV-1 replication factor IL-1 in the context of limited transcription of the IL-1 replication inhibitors IL-1ra, IL-10, and IL-13 might help explain the negative impact of systemic inf lammation on the clinical course of AIDS. In addition, we propose that IL-1ra may be secreted by the anterior pituitary as a systemic anti-inf lammatory hormone that is released in response to IL-1 originated from multiple sources.Inflammation originating from peripheral sites causes profound signs and symptoms mediated by the central nervous system (CNS). The central manifestations of peripheral inflammation include alterations in temperature regulation and cognition, suppression of locomotion and exploration, reductions of food gathering and sexual behavior, and increase in sleep and lethargy (1). CNS signs and symptoms of systemic illness can be reproduced by central exogenous IL-1 administration (1), and prevented if high levels of IL-1 receptor antagonist (IL-1ra) are administered in conjunction with IL-1 centrally. Moreover, IL-1 knockout mice have no fever and no alterations in ingestive behavior in response to some types of peripheral inflammation (2). Additionally, the ability of some viruses to induce fever depends on the specific bioavailability of IL-1; vaccinia viruses that express soluble IL-1 receptors do not cause fever, and vaccinia-induced fever can also be inhibited with antibodies to IL-1 (3).The biological effects of IL-1 reflect the local ratio of IL-1 and of cytokines that inhibit IL-1 action (4); we therefore hypothesized that systemic inflammation induces IL-1 gene expression in the brain with limited effects...