A novel permissive role for glucocorticoids in induction of febrile and behavioral signs of experimental herpes simplex virus encephalitis

Neuroscience. 2001;108(1):119-27. doi: 10.1016/s0306-4522(01)00404-3.

Abstract

Herpes simplex virus type 1 (HSV-1) encephalitis may present with fever and behavioral changes, to the extent of a psychotic state and psychomotor agitation. We developed a clinically relevant experimental model of HSV-1 encephalitis and investigated host brain responses associated with its clinical signs and whether these responses depend on the presence of circulating glucocorticoids. Intracerebral inoculation of HSV-1 in rats induced fever, motor hyperactivity and aggressive behavior. In adrenalectomized rats HSV-1 failed to induce these signs, although mortality rate was identical to sham-operated rats. Hypophysectomy or blocking glucocorticoid receptors also prevented HSV-1-induced fever. Dexamethasone replacement therapy to adrenalectomized rats restored the HSV-1-induced fever and behavioral abnormalities. HSV-1 inoculation produced hyperproduction of prostaglandin E(2) by brain slices. This effect was abolished in adrenalectomized rats and was restored by dexamethasone treatment. In intact rats HSV-1 induced brain interleukin-1beta (IL-1beta) gene expression. Adrenalectomy alone caused brain IL-1beta expression, which did not increase after HSV-1 infection. Similarly, HSV-1 induced IL-1beta expression in astrocyte cultures. Removal of cortisol from the culture medium caused basal IL-1beta mRNA expression which was not increased by infection. In conclusion, fever, motor hyperactivity and aggressive behavior during experimental HSV-1 encephalitis are dependent on brain responses, including prostaglandin E(2) and IL-1beta synthesis. Circulating glucocorticoids play an essential permissive role in the induction of these host brain responses.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenalectomy
  • Animals
  • Behavior, Animal / physiology*
  • Brain / metabolism
  • Dinoprostone / physiology
  • Encephalitis, Herpes Simplex / complications*
  • Encephalitis, Herpes Simplex / genetics
  • Encephalitis, Herpes Simplex / physiopathology
  • Encephalitis, Herpes Simplex / psychology*
  • Fever / etiology*
  • Gene Expression
  • Glucocorticoids / pharmacology
  • Glucocorticoids / physiology*
  • Herpesvirus 1, Human
  • Hypophysectomy
  • Interleukin-1 / genetics
  • Male
  • Rats
  • Receptors, Glucocorticoid / antagonists & inhibitors

Substances

  • Glucocorticoids
  • Interleukin-1
  • Receptors, Glucocorticoid
  • Dinoprostone