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Departments of 1 Physiology, 2 Microbiology, 3 Pathology, and 4 Internal Medicine, Faculty of Medicine, University of Geneva, 1211 Geneva 4, Switzerland; and 5 Laboratory of Nutrition/Infection 5, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215
Injection of 10 cysts of
Toxoplasma
gondii (Me49 strain) into Swiss
Webster mice results in 1) an acute
phase of infection lasting for 2-3 wk, characterized by weight
loss, and 2) a chronic phase in
which surviving mice show either partial weight recovery (Gainers) or
persistent, although stable, cachexia (Nongainers). In response to a
second immunological stimulation with lipopolysaccharide (LPS) in the
chronic phase of the infection, it is shown that 1) the increase in energy
expenditure was more prolonged in both groups of infected mice than in
controls, 2) the intensity and duration of hypophagia were also differently affected with Nongainers > Gainers > controls, and 3) the
infected mice had higher serum levels of tumor necrosis factor-
(TNF-
) and interleukin (IL)-10 and a lower ratio of IL-10 to TNF-
than controls. In contrast, serum IL-4 increased to the same level in
all three groups. Evaluation of the permeability of the blood-brain
barrier by intravenous injection of Evans blue revealed a marked
staining in the brain of only the infected Nongainers. Taken together,
these results indicate that, in mice with chronic toxoplasmosis, a
second nonspecific challenge (with LPS) exacerbates the hypophagic and
hypermetabolic states, the latter being associated with
hyperresponsiveness in TNF-
and IL-10 production. Furthermore, the
greater exacerbation of the hypophagic state in mice showing persistent
cachexia may be due to a preexisting higher permeability of the
blood-brain barrier, which would allow a greater access of plasma-borne
cytokines and/or other neuroimmunologically active substances
to the central nervous system.
cachexia; thermogenesis; anorexia; starvation
This article has been cited by other articles:
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F. Picard, D. Arsenijevic, D. Richard, and Y. Deshaies Responses of Adipose and Muscle Lipoprotein Lipase to Chronic Infection and Subsequent Acute Lipopolysaccharide Challenge Clin. Vaccine Immunol., July 1, 2002; 9(4): 771 - 776. [Abstract] [Full Text] [PDF] |
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