Central control of fever and female body temperature by RANKL/RANK

Item Type:	Article
Title:	Central control of fever and female body temperature by RANKL/RANK
Creators Name:	Hanada, R. and Leibbrandt, A. and Hanada, T. and Kitaoka, S. and Furuyashiki, T. and Fujihara, H. and Trichereau, J. and Paolino, M. and Qadri, F. and Plehm, R. and Klaere, S. and Komnenovic, V. and Mimata, H. and Yoshimatsu, H. and Takahashi, N. and von Haeseler, A. and Bader, M. and Kilic, S.S. and Ueta, Y. and Pifl, C. and Narumiya, S. and Penninger, J.M.
Abstract:	Receptor-activator of NF-kappaB ligand (TNFSF11, also known as RANKL, OPGL, TRANCE and ODF) and its tumour necrosis factor (TNF)-family receptor RANK are essential regulators of bone remodelling, lymph node organogenesis and formation of a lactating mammary gland. RANKL and RANK are also expressed in the central nervous system. However, the functional relevance of RANKL/RANK in the brain was entirely unknown. Here we report that RANKL and RANK have an essential role in the brain. In both mice and rats, central RANKL injections trigger severe fever. Using tissue-specific Nestin-Cre and GFAP-Cre rank(floxed) deleter mice, the function of RANK in the fever response was genetically mapped to astrocytes. Importantly, Nestin-Cre and GFAP-Cre rank(floxed) deleter mice are resistant to lipopolysaccharide-induced fever as well as fever in response to the key inflammatory cytokines IL-1beta and TNFalpha. Mechanistically, RANKL activates brain regions involved in thermoregulation and induces fever via the COX2-PGE(2)/EP3R pathway. Moreover, female Nestin-Cre and GFAP-Cre rank(floxed) mice exhibit increased basal body temperatures, suggesting that RANKL and RANK control thermoregulation during normal female physiology. We also show that two children with RANK mutations exhibit impaired fever during pneumonia. These data identify an entirely novel and unexpected function for the key osteoclast differentiation factors RANKL/RANK in female thermoregulation and the central fever response in inflammation.
Keywords:	Astrocytes, Body Temperature Regulation, Dinoprostone, Fever, Gene Expression Profiling, Intraventricular Injections, Pneumonia, RANK Ligand, Receptor Activator of Nuclear Factor-kappa B, Prostaglandin E Receptors, Sex Characteristics, Animals, Mice, Rats
Source:	Nature
ISSN:	0028-0836
Publisher:	Nature Publishing Group
Volume:	462
Number:	7272
Page Range:	505-509
Date:	26 November 2009
Official Publication:	https://doi.org/10.1038/nature08596
PubMed:	View item in PubMed

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