# Neural Substrate of Cold-Seeking Behavior in Endotoxin Shock

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1 Systemic Inflammation Laboratory, Trauma Research, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, United States of America, 2 Medical School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil, 3 Dental School of Ribeirão Preto, University of São Paulo, Ribeirão Preto, São Paulo, Brazil

## Abstract

Systemic inflammation is a leading cause of hospital death. Mild systemic inflammation is accompanied by warmth-seeking behavior (and fever), whereas severe inflammation is associated with cold-seeking behavior (and hypothermia). Both behaviors are adaptive. Which brain structures mediate which behavior is unknown. The involvement of hypothalamic structures, namely, the preoptic area (POA), paraventricular nucleus (PVH), or dorsomedial nucleus (DMH), in thermoregulatory behaviors associated with endotoxin (lipopolysaccharide [LPS])-induced systemic inflammation was studied in rats. The rats were allowed to select their thermal environment by freely moving in a thermogradient apparatus. A low intravenous dose of Escherichia coli LPS (10 µg/kg) caused warmth-seeking behavior, whereas a high, shock-inducing dose (5,000 µg/kg) caused cold-seeking behavior. Bilateral electrocoagulation of the PVH or DMH, but not of the POA, prevented this cold-seeking response. Lesioning the DMH with ibotenic acid, an excitotoxin that destroys neuronal bodies but spares fibers of passage, also prevented LPS-induced cold-seeking behavior; lesioning the PVH with ibotenate did not affect it. Lesion of no structure affected cold-seeking behavior induced by heat exposure or by pharmacological stimulation of the transient receptor potential (TRP) vanilloid-1 channel (“warmth receptor”). Nor did any lesion affect warmth-seeking behavior induced by a low dose of LPS, cold exposure, or pharmacological stimulation of the TRP melastatin-8 (“cold receptor”). We conclude that LPS-induced cold-seeking response is mediated by neuronal bodies located in the DMH and neural fibers passing through the PVH. These are the first two landmarks on the map of the circuitry of cold-seeking behavior associated with endotoxin shock.

## Introduction

Deep body temperature (Tb) is regulated by both autonomic and behavioral means. Autonomic thermoregulation is limited in its ability to compensate for thermal loads and exacts a high price. Indeed, the most effective mechanisms of heat loss involve evaporation of water from the surface of the skin or respiratory pathways (e.g., by sweating, salivation, or polypnea), which strains the body's precious water resources, whereas heat production (nonshivering or shivering thermogenesis) depletes the body's energy stores. In contrast to autonomic thermoregulation, behavior places no demands on the body's water or energy resources; furthermore, behavioral thermoregulation can compensate for much greater thermal loads. By behavioral means, humans can survive at ambient temperatures (Tas) ranging from −110°C (the surface of the moon) to 2,000°C (the air around a space shuttle as it reenters the atmosphere) while maintaining Tb within a few tenths of a degree Celsius [1]. Behavioral thermoregulatory responses vary from primitive (e.g., locomotion to a preferred Ta in a Ta gradient) to complex (e.g., maintaining Ta inside a space shuttle). Evidence (mostly from stimulation experiments) suggests that different thermoregulatory behaviors in the rat (e.g., relaxed postural extension, thermoregulatory grooming, and locomotion) use distinct neural circuitries [2]. However, the neuroanatomic substrate of no thermoregulatory behavior has been studied extensively, and almost nothing is known about the neuroanatomy of behavioral thermoregulation [3].
The present study was undertaken to evaluate whether hypothalamic structures are involved in selection of preferred Ta under various conditions in rats. We were especially interested in the thermoregulatory behavior associated with systemic inflammation. In the laboratory, systemic inflammation is often studied by administering bacterial lipopolysaccharide (LPS, endotoxin) to rats. Studies using this model have suggested that low doses of LPS (mild inflammation) cause fever and warmth-seeking behavior [4], [5], whereas high doses (severe inflammation) cause hypothermia and cold-seeking behavior [5], [6]. Warmth-seeking behavior in mild systemic inflammation is likely to contribute to the development of fever, an increase in Tb that exerts antimicrobial and immunostimulating actions [7]. Cold-seeking behavior and hypothermia occurring in severe systemic inflammation are also beneficial [8]. They are aimed at energy conservation and are associated with analgesia, sleep, and locomotor depression, i.e., the energy-saving symptoms proposed or demonstrated to be beneficial during infection and severe inflammation [9]–[11]. With the exception of one study in toads [12], the neuronal circuitry of LPS-induced warmth-seeking behavior has not been investigated, and nothing is known about brain mediation of LPS-induced cold-seeking behavior.

## Results and Discussion
### Hypothalamic structures studied

Three structures were selected for this study: the preoptic area (POA), paraventricular hypothalamic nucleus (PVH), and dorsomedial hypothalamic nucleus (DMH). The POA, previously known as the “thermoregulatory center,” contains warm-sensitive neurons that control all autonomic thermoeffectors [3] and that are thought to be the first neurons in the efferent fever pathway [13]–[16]. Animals with POA lesions cannot defend their Tb autonomically against either cold or heat [17]–[21]. In the present study, we placed large bilateral electrolytic lesions in the POA of rats (Fig. 1A). Confirming findings by others [17]–[25], the POA-lesioned rats had a somewhat elevated Tb and were incapable of defending their Tb autonomically against either moderate heat exposure (P = 0.003) or mild cold exposure (P<0.001) (Fig. 1B). In fact, heat-induced hyperthermia in POA-lesioned animals was so severe that the time of heat exposure in these experiments had to be reduced to 1 h (instead of the 2 h planned) to avoid heat stroke.
The second structure studied, the PVH, is unique from a thermoregulatory perspective: it has been implicated in selectively mediating thermoregulatory responses to inflammatory stimuli. Indeed, electrolytic and chemical lesions of the PVH neither alter the circadian rhythm of Tb [26] nor affect Tb responses to cold or heat [27], [28]. However, they do attenuate LPS fever, at least when the animals cannot use behavioral means to regulate their Tb and must rely on autonomic means to mount the febrile response [26]–[28]. We placed large bilateral electrolytic lesions in the PVH of rats (Fig. 2A). As expected, such lesions did not affect their ability to defend Tb autonomically against either heat or cold (Fig. 2B).
The third structure studied, the DMH, is involved in the control of the most important heat production thermoeffector in the rat: brown adipose tissue [3], [29], [30]. Blocking the activation of DMH neurons pharmacologically interrupts the stimulation of brown fat thermogenesis [31], [32]. A recent study of Fos protein expression in the brain [33] suggested that the DMH is also involved in the control of operant heat-avoidance behavior (moving to a reward area to trigger a breeze of cold air). When we placed large bilateral electrolytic lesions in the DMH (Fig. 3A), the lesions did not affect the autonomic defense of Tb against heat. However, they strongly compromised autonomic cold-defense: the same cold exposure that failed to alter Tb of the sham-lesioned rats caused marked hypothermia (P<0.001) in DMH-lesioned rats (Fig. 3B).

### Electrolytic lesions: effects on thermoregulatory behavior

After we verified that lesions of different hypothalamic structures produced the expected effects on the autonomic regulation of Tb, we studied the effects of these lesions on thermoregulatory behavior in a thermogradient apparatus. Systemic inflammation was induced by intravenous (i.v.) injection of bacterial LPS either at a low, fever-inducing dose (10 µg/kg) or at a high, shock- and hypothermia-inducing dose (5,000 µg/kg). These two doses cause, respectively, slowly occurring, long-lasting warmth-seeking behavior and rapidly occurring, marked cold-seeking behavior [5]. Although all autonomic responses were severely compromised in the POA-lesioned rats (Fig. 1B), neither LPS-induced warmth-seeking behavior nor LPS-induced cold-seeking behavior was affected in these animals (Fig. 4). Furthermore, when allowed to regulate their Tb behaviorally in the thermogradient apparatus, the POA-lesioned rats responded to a low dose of LPS with normal fever, and to a high dose of LPS with normal hypothermia (Fig. 4). These findings are somewhat unexpected. They seem to contradict the current view that neuronal groups within the preoptic anterior hypothalamus are crucial for generating the febrile response [15], [34], [35]. They are also contrary to the finding that lesioning the POA attenuates LPS-induced warmth-seeking behavior in toads [12]. However, squirrel monkeys [36] and rabbits [25] have been shown to develop normal febrile responses to LPS and prostaglandin E1 when the POA is ablated electrolytically. The two latter studies and the present one indicate that an intact POA is not required for LPS fever, thus suggesting that POA neurons are not the only targets for febrigenic mediators. That the febrile response can occur when the POA is ablated bilaterally suggests that the current understanding of the neural basis of fever has to be revised. The present study also shows that LPS hypothermia can occur when the POA is coagulated.
We also looked at thermoregulatory locomotion induced by non-inflammatory stimuli: thermal and pharmacological. Thermal stimuli included mild cold exposure and moderate heat exposure (see Methods for details). Pharmacological stimulation was achieved by systemic administration of agonists of the so-called thermo-TRP (transient receptor potential) channels, a class of heat-activated molecules recently implicated in thermosensation [37]–[40]. At least some members of this class have been shown to be involved in the selection of preferred Ta in both vertebrates [5], [41], [42] and invertebrates [43]. In the present study, we used menthol (50 µg/kg, i.v.), an agonist of the TRP melastatin-8 (TRPM8) channel (“cold receptor”), to induce warmth-seeking behavior and resiniferatoxin (RTX, 0.5 µg/kg, i.v.), an agonist of the TRP vanilloid-1 (TRPV1) channel (“warmth receptor”), to induce cold-seeking behavior. All four stimuli (two thermal and two pharmacological) were also used in our recent study, which describes thermoregulatory behaviors of normal rats to these stimuli [5]. In the present study, none of the four behavioral responses studied was affected in the POA-lesioned rats (data not shown). That the POA lacks an indispensable role in warmth- and cold-seeking behaviors induced by thermal and pharmacological stimuli is consistent with the literature. Indeed, the only mammalian thermoregulatory behavior in which involvement of the POA has been firmly established is a relaxed postural extension in response to heat exposure; such postural extension does not occur in POA-lesioned animals [44]. Other thermoregulatory behaviors, such as moving to a “reward” zone or pressing a lever to trigger warming or cooling of the system, remain intact in POA-lesioned animals [20], [21], [45], [46]. That ablation of the POA results in the loss of autonomic responses but does not affect thermoregulatory locomotion suggests that POA thermosensors are more important for autonomic thermoregulation than for cold- and warmth-seeking behaviors. Because thermoregulatory locomotion is aimed at escaping the forthcoming thermal insult, it occurs before the body core warms up or cools down; therefore, it is triggered by peripheral temperatures. In contrast, autonomic cold-defense responses (energetically expensive) and heat-defense responses (water-consuming) are often recruited only when Tb starts changing because behavioral mechanisms were ineffective or could not have been used (e.g., due to competing behavioral demands) [1].
Like the electrolytic lesions of the POA, lesions of the PVH affected neither warmth-seeking behavior nor fever induced by a low dose of LPS. Unlike the POA lesions, lesions of the PVH strongly attenuated both cold-seeking behavior (P = 0.035) and hypothermia (P = 0.047) caused by a high, shock-inducing dose of LPS (Fig. 5). The observation that lesions of the PVH had no effect on the LPS-induced warmth-seeking behavior and fever is somewhat surprising, because electrolytic and excitotoxic lesions of this structure have attenuated the febrile response to LPS in several studies [26]–[28]. However, the animals used in these previous studies were not allowed to select their preferred Ta. Furthermore, the previous studies were most likely conducted under subthermoneutral conditions (for detailed discussion of thermoneutrality, see Ref. [47]). Under such conditions, fever is caused primarily by activation of brown fat thermogenesis [48], [49]. In contrast, PVH-lesioned rats were allowed to select their preferred Ta and used behavioral thermoregulation (moved to a warmer environment) while responding to LPS administration in the present study. Not only does a supraneutral environment warms the body of a rat exposed to it, but it also allows the animal to mount the fever response by using skin vasoconstriction instead of the energetically expensive thermogenesis [48], [49]. Hence, the PVH is likely involved in the circuitry of fever when the response is mounted primarily by activation of brown fat thermogenesis. When fever occurs due to warmth-seeking behavior, skin vasoconstriction, or both, the PVH loses its important role in the response. Such a scenario is consistent with the fact that the PVH controls primarily thermogenesis and not skin vasomotion [50]–[52] or thermopreferendum (present study). The effect of PVH ablation on LPS-induced cold-seeking behavior was highly selective: the same electrolytic lesions that strongly attenuated this behavior affected neither cold-seeking behavior caused by moderate heat exposure or RTX nor warmth-seeking behavior caused by mild cold exposure or menthol (data not shown).
The effects of lesioning the DMH were remarkably similar to those of lesioning the PVH. Electrocoagulation of the DMH blocked both cold-seeking behavior (P = 0.04) and hypothermia (P = 0.032) caused by a high, shock-inducing dose of LPS, but it affected neither warmth-seeking behavior nor fever caused by a low dose of LPS (Fig. 6). Neither did electrocoagulation of DMH affect cold-seeking behaviors caused by heat exposure and menthol nor warmth-seeking behaviors caused by cold exposure and RTX (data not shown). The found attenuation of LPS-induced hypothermia in PVH- and DMH-lesioned rats is a first report of a brain structure being crucial for the development of hypothermia in systemic inflammation. These findings provide an additional, perhaps decisive, argument in a dispute as to whether LPS-induced hypothermia is a passive consequence of peripheral vasodilation and uncontrolled heat loss or, alternatively, whether it is a brain-mediated response. To determine whether the effects of electrolytic lesioning of the PVH and DMH on cold-seeking behavior and hypothermia in LPS shock were from the destruction of neuronal bodies in these areas or, alternatively, from the interruption of fibers of passage, we performed chemical lesions with ibotenic acid, an excitotoxin known to destroy neuronal bodies but to spare passing axons [53].

### Excitotoxic lesions of PVH and DMH: effects on thermoregulation

Similarly to how electrocoagulation of the PVH (Fig. 2A) did not affect autonomic thermoregulation (Fig. 2B), bilateral lesioning of this structure by ibotenic acid (Fig. 7A) had no effect on autonomic heat-defense or cold-defense mechanisms (Fig. 7B). Similarly to how electrolytic lesions of the DMH (Fig. 3A) did not affect autonomic heat-defense mechanisms but impaired autonomic cold-defense mechanisms (Fig. 3B), bilateral ibotenic acid lesioning of the DMH (Fig. 8A) had no effect on the autonomic defense of Tb during heat exposure but made the rats incapable of defending their Tb autonomically against mild cold exposure (P<0.001; Fig. 8B). The effects of excitotoxic lesions of these two structures on responses to the high dose of LPS were different (Fig. 9). Lesioning the PVH affected neither LPS-induced cold-seeking behavior nor LPS-induced hypothermia. In contrast, lesioning the DMH by ibotenic acid prevented LPS-induced cold-seeking behavior (P = 0.014) and attenuated LPS hypothermia (P = 0.028). These results indicate that the DMH contains the bodies of neurons involved in the mechanisms of cold-seeking behavior and hypothermia caused by a high dose of LPS, and that the PVH contains neuronal fibers (but not cell bodies) involved in these two responses.
How the DMH neurons and PVH fibers fit into the circuitry of LPS-induced cold-seeking behavior is a subject for speculation. The DMH projects to the periaqueductal gray matter (PAG) [54], [55]. The PAG is a center for efferent integration of autonomic and behavioral responses, and different cellular groups within the PAG are involved in motor behaviors caused by various stimuli [56], [57]. It is, therefore, tempting to hypothesize that DMH lesions block LPS-induced cold-seeking behavior by interrupting the DMH projection to the PAG. However, this projection does not go through the PVH. Hence, the DMH-PAG hypothesis cannot explain the effect of PVH lesions. Furthermore, cold-seeking responses triggered by different stimuli represent the same behavioral act (moving to a lower Ta) and are, therefore, likely to share the same efferent (motor) pathway. Yet, our data show that the involvement of DMH neurons and of PVH fibers of passage in cold-seeking behavior is specific to stimulation with a high dose of LPS. Indeed, the integrity of neither structure is needed to mount cold- or warmth-seeking behavior induced by any of the other five stimuli tested in the present study. Therefore, involvement of the DMH-PAG projection seems improbable.
Because rats with DMH or PVH lesions respond normally to thermal stimulation (cold or warmth) and to pharmacological stimulation of either a cold (TRPM8) or a warmth (TRPV1) receptor, both DMH and PVH are likely uninvolved in the thermoafferent pathway. This pathway (also known as the interoceptive afferent system) includes, most notably, the parabrachial nucleus and insular cortex [58], [59]. Although a direct projection of the DMH to the parabrachial nucleus was searched for, it was found upon close examination either nonexistent or weak [60]–[62]. Likewise, earlier reports of a direct projection of the DMH to the insular cortex [55] were not confirmed in subsequent studies using retrograde labeling [61], [63].
Whereas DMH-lesioned and PVH-lesioned animals seem fully capable of both sensing thermal information and responding to it with an appropriate locomotor act, they fail to exhibit cold-seeking behavior when treated with a high dose of LPS. It is, therefore, likely that the DMH and PVH are involved in a stimulus-specific, affective or motivational (but not sensory or motor), component of LPS-induced cold-seeking behavior. In support, the DMH sends marked projections to the septum and amygdala [55], [61], [64], and these telencephalic structures are well documented to mediate the affective or motivational component of various behaviors [65]–[67]. Furthermore, the septum drives warmth-induced locomotion in rats, as found by Roberts and Mooney [68] in their elegant experiments involving localized diathermic warming of five distinct brain areas. Importantly, the proposed involvement of the DMH projections to the septum and amygdala explains not only the effect of DMH ablation on LPS-induced cold-seeking behavior, but also the effect of PVH ablation. One of the major routes for ascending projections from the DMH is through the hypothalamic periventricular zone [61], [69], and this route is likely to be interrupted by electrocoagulation (but not lesioning with ibotenic acid) of the PVH. Hence, we propose that DMH neurons sending their axons to the telencephalon (perhaps the septum and amygdala) through the PVH participate in the affective or motivational (but not in the sensory or motor) component of LPS-induced cold-seeking behavior.
In conclusion, his study identifies two neural elements essential for the cold-seeking response of rats to bacterial LPS: neuronal bodies located in the DMH and axons passing through the PVH. These are the first two landmarks on the map of the circuitry of cold-seeking behavior associated with endotoxin shock.

## Methods
### Animals

Experiments were performed in adult male Wistar rats (Harlan, Indianapolis, IN, USA). At the time of the electrolytic or excitotoxic lesioning, the rats had a body mass of 370–400 g. The rats were housed in individual cages in a rack equipped with a Smart Bio-Pack ventilation system and Thermo-Pak temperature control system (Allentown Caging Equipment, Allentown, NJ, USA); the incoming air temperature was maintained at 28°C. The room was on a 12:12 h light-dark cycle (lights on at 7:00 A.M.). The animals had free access to tap water and standard rat chow (Harlan Teklad, Madison, WI, USA). Before the experiments, the rats were habituated extensively (4 daily training sessions, 6–16 h each) to stay in a thermogradient apparatus (described below). On the day before the experiment, the rats were placed in the apparatus at 6:00 PM and further acclimated to the experimental conditions by staying in the apparatus overnight. All injections and other experimental interventions were made the next day, between 8:00 AM and 3:00 PM. The experimental protocols were approved by the St. Joseph's Hospital Animal Care and Use Committee.

### Electrolytic lesions

All surgical and lesioning procedures were performed under ketamine-xylazine-acepromazine (55.6, 5.5, and 1.1 mg/kg, respectively, intraperitoneally) anesthesia and antibiotic (enrofloxacin, 1.2 mg/kg, subcutaneously) protection. All brain lesions were placed on Day 0. For electrolytic lesioning, a rat was anesthetized, and the skin of the head over the frontal and parietal bones was shaved and scrubbed. The rat was fixed to a stereotaxic apparatus (David Kopf, Tujunga, CA, USA) with the incisor bar set 3.3 mm ventral to interaural line. The skin was incised over the sagittal suture, the skin and the underlying muscles were retracted, and the periosteum was detached from the bone and excised. A stainless steel electrode (250 µm diameter, Frederic Haer, Bowdoinham, ME, USA) was inserted into the brain. All stereotaxic coordinates were taken from Paxinos and Watson [70], but the anteroventral coordinate was increased by 0.5 mm to adjust for the difference in the body mass between the rats used by Paxinos and Watson [70] and those used in the present study. The following stereotaxic coordinates were used: 0.0 mm (at bregma), 0.5 mm from the midline, and 8.5 mm from the skull surface for the POA; −1.5 mm from bregma, 0.5 mm from the midline, and 8.7 mm from the skull surface for the PVH; and −2.8 mm from bregma, 0.5 mm from the midline, and 9.0 mm from the skull surface for the DMH. A second electrode (an “alligator” clip) was attached to the edge of the surgical wound on the head. To lesion the brain tissue, a precision lesioning instrument (Ugo Basile, Comerio, Italy) was used. A constant anodal current (1 mA) was passed through the electrodes for 10 s (PVH) or 30 s (POA or DMH). After the structure of interest was lesioned on one side, the electrode was removed and inserted at the same coordinates contralaterally. Sham-lesioned rats were prepared similarly, but the tip of the electrode was placed 2 mm above the POA, PVH, or DMH, and no current was passed.

### Chemical lesions

Unless specified otherwise, all drugs and reagents were purchased from Sigma-Aldrich (St Louis, MO, USA). To prevent the hypertensive and other cardiovascular side effects of intrabrain administration of ibotenic acid, the rats were pretreated with the ganglionic blocker hexamethonium (30 mg/kg, intraperitoneally). For lesioning the PVH or DMH, a glass micropipette (tip diameter, 50 µm) was inserted into the target area by using the same coordinates as for electrocoagulation. A solution of ibotenic acid (10 µg/µl) in phosphate-buffered (0.01 M, pH 7.4) saline was infused with the help of an infusion pump (30 nl/min) over 3.3 min (to deliver the total volume of 100 nl; PVH) or 10 min (300 nl; DMH), and the pipette was left in place for 5 min. Sham-lesioned animals were infused with vehicle. All infusions were performed bilaterally.
All rats with electrolytic or excitotoxic brain lesions were examined daily for signs of dehydration and general malaise. If a rat had lost more than 15% of its body mass 24 h after lesioning or was failing to recover from its initial loss of body mass, it was injected with isotonic saline (10 ml, subcutaneously) to counteract dehydration.

### Jugular catheterization and temperature datalogger implantation

On Day 10, each animal was anesthetized a second time. After a midline laparotomy was performed, a miniature temperature datalogger (SubCue, Calgary, Alberta, Canada) was inserted in the peritoneal cavity and sutured to the lateral abdominal wall. The datalogger had been programmed to acquire data (measure Tb) every 5 min. The surgical wound was sutured in layers. The rat was then implanted with a jugular vein catheter. A 1-cm longitudinal incision was made on the ventral surface of the neck, 1 cm left of the trachea. The left jugular vein was exposed, freed from its surrounding connective tissue, and ligated. A silicone catheter (ID 0.5 mm, OD 0.9 mm) filled with heparinized (10 U/ml) pyrogen-free saline was passed into the superior vena cava through the jugular vein and secured in place with ligatures. The free end of the catheter was knotted, tunneled under the skin to the nape, and exteriorized. The surgical wound on the ventral surface of the neck was sutured. The jugular catheter was flushed with heparinized saline (10 U/ml) the day after surgery and every other day thereafter. The experiments were performed on Days 13–19.

### Thermogradient apparatus

The six-channel thermogradient apparatus used is described in detail elsewhere [5]. In brief, the apparatus was built from 12-mm-thick aluminum sheets welded together to form six parallel channels running between two tanks. Each channel (200 long x 12 wide x 20 cm high) had an adjustable stainless steel grid (that served as a floor for the animals tested) and was covered with an acrylic double-panel lid. The tank at one end of the apparatus was filled with water and equipped with two heating units (PolyScience, Niles, IL, USA); the tank at the other end was constantly perfused with 10% ethylene glycol by an external-circulation cooling/heating pump (PolyScience). This setting allowed an almost linear longitudinal Ta gradient common for all channels to be established. In the present study, Ta ranged from 15°C at the cold end to 30°C at the warm end; Ta changed with a change in the longitudinal position in the channel at a rate of 0.15°C/cm. Within each channel, Ta was monitored by five evenly spaced (50 cm apart) thermocouples located under the grid floor, and the position of the rat was monitored by 56 evenly spaced (3.5 cm) infrared emitter-receiver pairs, which formed transversal infrared beams.

### Studying behavioral thermoregulation

As reported elsewhere [5], thermoregulatory behavior was induced by inflammatory, thermal, or pharmacological stimuli. Inflammatory stimulation was achieved by injecting LPS (Escherichia coli, serotype 0111:B4) through the jugular catheter at a low dose (10 µg/kg; to cause warmth-seeking behavior) or a high dose (5,000 µg/kg; to cause cold-seeking behavior). Thermal stimulation was achieved by confining each rat to a short (22 cm) portion of the channel near either the warm end (Ta of ~28°C in the middle of the confinement zone) or the cold end (Ta of ~17°C in the middle of the confinement zone) of the thermogradient apparatus for 1 or 2 h. Both the preferred Ta and the midpoint of the thermoneutral zone for rats in this apparatus are ~24°C [5]. Therefore, confining a rat at 28 or 17°C results in mild heat exposure or moderate cold exposure, respectively. Pharmacological induction of cold-seeking behavior was attempted by injecting the rats with RTX (0.5 µg/kg, i.v.), a TRPV1 agonist. Pharmacological induction of warmth-seeking behavior was attempted by injecting the rats with menthol (50 µg/kg, i.v.), a TRPM8 agonist. Both RTX and menthol were dissolved in saline containing 10% ethanol and 10% propylene glycol.

### Testing autonomic defense of body temperature

The ability of rats to defend their Tb (recorded by the dataloggers implanted in the peritoneal cavity) during heat or cold exposure was tested. These tests were performed the same way as thermal stimulation for behavioral experiments (see above). In brief, each rat was confined to a short portion of the channel near the warm (~28°C) or cold end (~17°C) of the thermogradient apparatus. The rats could not move to a different Ta; therefore, they were forced to regulate their Tb mostly by autonomic mechanisms.

### Histological verification

To verify the correct placement of the lesions, the rats were anesthetized and perfused through the ascending aorta (right atrium cut) with saline (50 ml, 5 min) followed by 10% formalin (50 ml, 5 min). The brains were removed, placed in phosphate-buffered (0.1 M, pH 7.4) saline containing 30% sucrose and 10% formalin, and post-fixed in this solution at 4°C for 48 h. The brains were then frozen in dry ice and sectioned (50 µm). Sections containing the structures of interest were collected, mounted on glass slides, stained either with cresyl-violet (stains the Nissl bodies in the cytoplasm of neurons purple-blue) or Klüver-Barrera stain (stains the myelinated fibers blue and the cell bodies violet), and examined under a light microscope.

### Data processing and analysis

The preferred Ta was calculated based on a linear relationship between the position in the channel and Ta. A weighted average was calculated for every 5-min interval. The obtained curves of preferred Ta were smoothed by a second polynomial degree Savitzky-Golay filtering over a 30-min shifting window using Microcal Origin 5.0 software (OriginLab, Northampton, MA, USA). The Tb and preferred Ta responses were compared across treatments and time points by a two-way analysis of variance for repeated measurements followed by the Tukey test (Sigma Stat, Systat Software, Point Richmond, CA, USA). The differences were considered significant at P<0.05. The data are reported as mean±standard error.

## Acknowledgments

The authors thank Dr. K. M. Horn for his help with the histological procedures; A. S. Dragic and J. L. Roberts for technical assistance; P. Wettenstein for engineering support of the thermogradient experiments; and Dr. S. A. Kick for editing the manuscript. Drs. A. D. (Bud) Craig and C. T. Simons read an early draft of the paper and provided important feedback.

### Author Contributions

Conceived and designed the experiments: AR AS MA LB. Performed the experiments: MA. Analyzed the data: AR AS MA LB. Wrote the paper: AR MA

## References

Romanovsky AA (2006) Chapter 23. Temperature regulation. In: Petersen O, editor. Lecture Notes on Human Physiology. Oxford: Blackwell. pp. 603–615. Roberts WW (1988) Differential thermosensor control of thermoregulatory grooming, locomotion, and relaxed postural extension. Ann N Y Acad Sci 525: 363–374. FIND THIS ARTICLE ONLINE Nagashima K, Nakai S, Tanaka M, Kanosue K (2000) Neuronal circuitries involved in thermoregulation. Auton Neurosci 85: 18–25. FIND THIS ARTICLE ONLINE Florez-Duquet M, Peloso E, Satinoff E (2001) Fever and behavioral thermoregulation in young and old rats. Am J Physiol Regul Integr Comp Physiol 280: R1457–R1461. FIND THIS ARTICLE ONLINE Almeida M, Steiner AA, Branco LG, Romanovsky AA (2006) Cold-seeking behavior as a thermoregulatory strategy in systemic inflammation. Eur J Neurosci 23: 3359–3367. FIND THIS ARTICLE ONLINE Romanovsky AA, Shido O, Sakurada S, Sugimoto N, Nagasaka T (1996) Endotoxin shock: thermoregulatory mechanisms. Am J Physiol 270: R693–R703. FIND THIS ARTICLE ONLINE Kluger MJ (1991) Fever: role of pyrogens and cryogens. Physiol Rev 71: 93–127. FIND THIS ARTICLE ONLINE Romanovsky AA, Shido O, Sakurada S, Sugimoto N, Nagasaka T (1997) Endotoxin shock-associated hypothermia. How and why does it occur? Ann N Y Acad Sci 813: 733–737. FIND THIS ARTICLE ONLINE Hart BL (1988) Biological basis of the behavior of sick animals. Neurosci Biobehav Rev 12: 123–137. FIND THIS ARTICLE ONLINE Krueger JM, Majde JA (1994) Microbial products and cytokines in sleep and fever regulation. Crit Rev Immunol 14: 355–379. FIND THIS ARTICLE ONLINE Romanovsky AA, Kulchitsky VA, Akulich NV, Koulchitsky SV, Simons CT, et al. (1996) First and second phases of biphasic fever: two sequential stages of the sickness syndrome? Am J Physiol 271: R244–R253. FIND THIS ARTICLE ONLINE Bicego KC, Branco LG (2002) Discrete electrolytic lesion of the preoptic area prevents LPS-induced behavioral fever in toads. J Exp Biol 205: 3513–3518. FIND THIS ARTICLE ONLINE Nakamura K, Matsumura K, Kaneko T, Kobayashi S, Katoh H, et al. (2002) The rostral raphe pallidus nucleus mediates pyrogenic transmission from the preoptic area. J Neurosci 22: 4600–4610. FIND THIS ARTICLE ONLINE Yoshida K, Nakamura K, Matsumura K, Kanosue K, Konig M, et al. (2003) Neurons of the rat preoptic area and the raphe pallidus nucleus innervating the brown adipose tissue express the prostaglandin E receptor subtype EP3. Eur J Neurosci 18: 1848–1860. FIND THIS ARTICLE ONLINE Saper CB, Breder CD (1994) The neurologic basis of fever. N Engl J Med 330: 1880–1886. FIND THIS ARTICLE ONLINE Oka T, Oka K, Scammell TE, Lee C, Kelly JF, et al. (2000) Relationship of EP(1–4) prostaglandin receptors with rat hypothalamic cell groups involved in lipopolysaccharide fever responses. J Comp Neurol 428: 20–32. FIND THIS ARTICLE ONLINE Lipton JM, Dwyer PE, Fossler DE (1974) Effects of brainstem lesions on temperature regulation in hot and cold environments. Am J Physiol 226: 1356–1365. FIND THIS ARTICLE ONLINE Satinoff E, Valentino D, Teitelbaum P (1976) Thermoregulatory cold-defense deficits in rats with preoptic/anterior hypothalamic lesions. Brain Res Bull 1: 553–565. FIND THIS ARTICLE ONLINE Van Zoeren JG, Stricker EM (1976) Thermal homeostasis in rats after intrahypothalamic injections of 6-hyroxydopamine. Am J Physiol 230: 932–939. FIND THIS ARTICLE ONLINE Schulze G, Tetzner M, Topolinski H (1981) Operant thermoregulation of rats with anterior hypothalamic lesions. Naunyn Schmiedebergs Arch Pharmacol 318: 43–48. FIND THIS ARTICLE ONLINE Carlisle HJ (1969) Effect of preoptic and anterior hypothalamic lesions on behavioral thermoregulation in the cold. J Comp Physiol Psychol 69: 391–402. FIND THIS ARTICLE ONLINE Nagel JA, Satinoff E (1980) Mild cold exposure increases survival in rats with medial preoptic lesions. Science 208: 301–303. FIND THIS ARTICLE ONLINE Szymusiak R, Satinoff E (1982) Acute thermoregulatory effects of unilateral electrolytic lesions of the medial and lateral preoptic area in rats. Physiol Behav 28: 161–170. FIND THIS ARTICLE ONLINE Srividya R, Mallick HN, Kumar VM (2006) Differences in the effects of medial and lateral preoptic lesions on thermoregulation and sleep in rats. Neuroscience 139: 853–864. FIND THIS ARTICLE ONLINE Korneva E, Efremov OM, Sorokin AV (1992) Central mechanisms of fever. In: Bartfai T, Ottoson D, editors. Neuro-Immunology of Fever. Oxford: Pergamon Press. pp. 145–154. Lu J, Zhang YH, Chou TC, Gaus SE, Elmquist JK, et al. (2001) Contrasting effects of ibotenate lesions of the paraventricular nucleus and subparaventricular zone on sleep-wake cycle and temperature regulation. J Neurosci 21: 4864–4874. FIND THIS ARTICLE ONLINE Caldeira JC, Franci CR, Pela IR (1998) Bilateral lesion of hypothalamic paraventricular nucleus abolishes fever induced by endotoxin and bradykinin in rats. Ann N Y Acad Sci 856: 294–297. FIND THIS ARTICLE ONLINE Horn T, Wilkinson MF, Landgraf R, Pittman QJ (1994) Reduced febrile responses to pyrogens after lesions of the hypothalamic paraventricular nucleus. Am J Physiol 267: R323–328. FIND THIS ARTICLE ONLINE Morrison SF (2004) Central pathways controlling brown adipose tissue thermogenesis. News Physiol Sci 19: 67–74. FIND THIS ARTICLE ONLINE DiMicco JA, Samuels BC, Zaretskaia MV, Zaretsky DV (2002) The dorsomedial hypothalamus and the response to stress: part renaissance, part revolution. Pharmacol Biochem Behav 71: 469–480. FIND THIS ARTICLE ONLINE Madden CJ, Morrison SF (2004) Excitatory amino acid receptors in the dorsomedial hypothalamus mediate prostaglandin-evoked thermogenesis in brown adipose tissue. Am J Physiol Regul Integr Comp Physiol 286: R320–R325. FIND THIS ARTICLE ONLINE Zaretskaia MV, Zaretsky DV, DiMicco JA (2003) Role of the dorsomedial hypothalamus in thermogenesis and tachycardia caused by microinjection of prostaglandin E2 into the preoptic area in anesthetized rats. Neurosci Lett 340: 1–4. FIND THIS ARTICLE ONLINE Maruyama M, Nishi M, Konishi M, Takashige Y, Nagashima K, et al. (2003) Brain regions expressing Fos during thermoregulatory behavior in rats. Am J Physiol Regul Integr Comp Physiol 285: R1116–R1123. FIND THIS ARTICLE ONLINE Scammell TE, Elmquist JK, Griffin JD, Saper CB (1996) Ventromedial preoptic prostaglandin E2 activates fever-producing autonomic pathways. J Neurosci 16: 6246–6254. FIND THIS ARTICLE ONLINE Nakamura Y, Nakamura K, Matsumura K, Kobayashi S, Kaneko T, et al. (2005) Direct pyrogenic input from prostaglandin EP3 receptor-expressing preoptic neurons to the dorsomedial hypothalamus. Eur J Neurosci 22: 3137–3146. FIND THIS ARTICLE ONLINE Lipton JM, Trzcinka GP (1976) Persistence of febrile response to pyrogens after PO/AH lesions in squirrel monkeys. Am J Physiol 231: 1638–1648. FIND THIS ARTICLE ONLINE Szallasi A, Blumberg PM (1989) Resiniferatoxin, a phorbol-related diterpene, acts as an ultrapotent analog of capsaicin, the irritant constituent in red pepper. Neuroscience 30: 515–520. FIND THIS ARTICLE ONLINE Caterina MJ, Julius D (2001) The vanilloid receptor: a molecular gateway to the pain pathway. Annu Rev Neurosci 24: 487–517. FIND THIS ARTICLE ONLINE Patapoutian A, Peier AM, Story GM, Viswanath V (2003) ThermoTRP channels and beyond: mechanisms of temperature sensation. Nat Rev Neurosci 4: 529–539. FIND THIS ARTICLE ONLINE Peier AM, Moqrich A, Hergarden AC, Reeve AJ, Andersson DA, et al. (2002) A TRP channel that senses cold stimuli and menthol. Cell 108: 705–715. FIND THIS ARTICLE ONLINE Lee H, Iida T, Mizuno A, Suzuki M, Caterina MJ (2005) Altered thermal selection behavior in mice lacking transient receptor potential vanilloid 4. J Neurosci 25: 1304–1310. FIND THIS ARTICLE ONLINE Moqrich A, Hwang SW, Earley TJ, Petrus MJ, Murray AN, et al. (2005) Impaired thermosensation in mice lacking TRPV3, a heat and camphor sensor in the skin. Science 307: 1468–1472. FIND THIS ARTICLE ONLINE Rosenzweig M, Brennan KM, Tayler TD, Phelps PO, Patapoutian A, et al. (2005) The Drosophila ortholog of vertebrate TRPA1 regulates thermotaxis. Genes Dev 19: 419–424. FIND THIS ARTICLE ONLINE Roberts WW, Martin JR (1977) Effects of lesions in central thermosensitive areas on thermoregulatory responses in rat. Physiol Behav 19: 503–511. FIND THIS ARTICLE ONLINE Satinoff E, Rutstein J (1970) Behavioral thermoregulation in rats with anterior hypothalamic lesions. J Comp Physiol Psychol 71: 77–82. FIND THIS ARTICLE ONLINE Lipton J (1968) Effects of preoptic lesions on heat-escape responding and colonic temperature in the rat. Physiology & Behavior 3: 165–169. FIND THIS ARTICLE ONLINE Romanovsky AA, Ivanov AI, Shimansky YP (2002) Selected contribution: ambient temperature for experiments in rats: a new method for determining the zone of thermal neutrality. J Appl Physiol 92: 2667–2679. FIND THIS ARTICLE ONLINE Szekely M, Szelenyi Z (1979) Endotoxin fever in the rat. Acta Physiol Acad Sci Hung 53: 265–277. FIND THIS ARTICLE ONLINE Crawshaw LI, Stitt JT (1975) Behavioural and autonomic induction of prostaglandin E1 fever in squirrel monkeys. J Physiol 244: 197–206. FIND THIS ARTICLE ONLINE Yoshimatsu H, Egawa M, Bray GA (1993) Sympathetic nerve activity after discrete hypothalamic injections of L-glutamate. Brain Res 601: 121–128. FIND THIS ARTICLE ONLINE Amir S (1990) Stimulation of the paraventricular nucleus with glutamate activates interscapular brown adipose tissue thermogenesis in rats. Brain Res 508: 152–155. FIND THIS ARTICLE ONLINE Sakaguchi T, Bray GA, Eddlestone G (1988) Sympathetic activity following paraventricular or ventromedial hypothalamic lesions in rats. Brain Res Bull 20: 461–465. FIND THIS ARTICLE ONLINE Jarrard LE (1989) On the use of ibotenic acid to lesion selectively different components of the hippocampal formation. J Neurosci Methods 29: 251–259. FIND THIS ARTICLE ONLINE de Menezes RC, Zaretsky DV, Fontes MA, Dimicco JA (2006) Microinjection of muscimol into caudal periaqueductal gray lowers body temperature and attenuates increases in temperature and activity evoked from the dorsomedial hypothalamus. Brain Res 1092: 129–137. FIND THIS ARTICLE ONLINE ter Horst GJ, Luiten PG (1986) The projections of the dorsomedial hypothalamic nucleus in the rat. Brain Res Bull 16: 231–248. FIND THIS ARTICLE ONLINE Lovick TA (1993) The periaqueductal gray-rostral medulla connection in the defence reaction: efferent pathways and descending control mechanisms. Behav Brain Res 58: 19–25. FIND THIS ARTICLE ONLINE Jhou T (2005) Neural mechanisms of freezing and passive aversive behaviors. J Comp Neurol 493: 111–114. FIND THIS ARTICLE ONLINE Craig AD (2002) How do you feel? Interoception: the sense of the physiological condition of the body. Nat Rev Neurosci 3: 655–666. FIND THIS ARTICLE ONLINE Craig AD (2003) Interoception: the sense of the physiological condition of the body. Curr Opin Neurobiol 13: 500–505. FIND THIS ARTICLE ONLINE Moga MM, Herbert H, Hurley KM, Yasui Y, Gray TS, et al. (1990) Organization of cortical, basal forebrain, and hypothalamic afferents to the parabrachial nucleus in the rat. J Comp Neurol 295: 624–661. FIND THIS ARTICLE ONLINE Thompson RH, Canteras NS, Swanson LW (1996) Organization of projections from the dorsomedial nucleus of the hypothalamus: a PHA-L study in the rat. J Comp Neurol 376: 143–173. FIND THIS ARTICLE ONLINE Allen GV, Cechetto DF (1992) Functional and anatomical organization of cardiovascular pressor and depressor sites in the lateral hypothalamic area: I. Descending projections. J Comp Neurol 315: 313–332. FIND THIS ARTICLE ONLINE Saper CB (1985) Organization of cerebral cortical afferent systems in the rat. II. Hypothalamocortical projections. J Comp Neurol 237: 21–46. FIND THIS ARTICLE ONLINE Onat FY, Aker R, Sehirli U, San T, Cavdar S (2002) Connections of the dorsomedial hypothalamic nucleus from the forebrain structures in the rat. Cells Tissues Organs 172: 48–52. FIND THIS ARTICLE ONLINE Phelps EA, LeDoux JE (2005) Contributions of the amygdala to emotion processing: from animal models to human behavior. Neuron 48: 175–187. FIND THIS ARTICLE ONLINE Heimer L, Van Hoesen GW (2006) The limbic lobe and its output channels: implications for emotional functions and adaptive behavior. Neurosci Biobehav Rev 30: 126–147. FIND THIS ARTICLE ONLINE Gallagher M, Chiba AA (1996) The amygdala and emotion. Curr Opin Neurobiol 6: 221–227. FIND THIS ARTICLE ONLINE Roberts WW, Mooney RD (1974) Brain areas controlling thermoregulatory grooming, prone extension, locomotion, and tail vasodilation in rats. J Comp Physiol Psychol 86: 470–480. FIND THIS ARTICLE ONLINE Thompson RH, Swanson LW (1998) Organization of inputs to the dorsomedial nucleus of the hypothalamus: a reexamination with Fluorogold and PHAL in the rat. Brain Res Rev 27: 89–118. FIND THIS ARTICLE ONLINE Paxinos G, Watson C (1986) The Rat Brain in Stereotaxic Coordinates. San Diego: Academic Press.
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