Suppression of PGE2 fever at near term: reduced thermogenesis but not enhanced vasopressin antipyresis.

Fevers are known to be suppressed near term in the mother, but the mechanism responsible for this phenomenon is not understood. We tested the hypothesis that the suppression of fever at term is a result of enhanced vasopressin-induced antipyresis. Effects of intracerebroventricular prostaglandin E2(PGE2) were examined in rats at gestational days 16-17 and 19-20 (near term) and days 1-2 postpartum. PGE2 (50 ng) elevated body and interscapular brown adipose tissue (iBAT) temperatures and increased sympathetic nerve activity to the iBAT. PGE2-induced changes in iBAT temperature and nerve activity, as well as in rectal temperature, were reduced or eliminated near term, and responses were recovered in the postpartum period. Blood pressure and heart rate changes induced by central PGE2 were also decreased at near term. Coinfusion of Manning compound, a V1 vasopressin receptor antagonist, with PGE2 throughout the peripartum period did not reverse the suppressed iBAT temperature and nerve activity or body temperature responses to PGE2. Microdialysis experiments revealed unchanged terminal release of vasopressin in the ventral septal area after PGE2 infusion in either pregnant or parturient rats. These results suggest that fever reduction at near term is not associated with enhanced vasopressin antipyresis, but may be a result of reduced sympathetic tone and in particular a reduced sympathetic drive to the iBAT. This finding may reflect a generalized reduction in autonomic output around the time of parturition.