Definition
Fever is defined as a state of elevated body temperature (Tb), which is often part of the defensive responses of the host to the invasion of live or inanimate matter recognized as pathogenic or alien. The febrile rise of Tb is due to a change in the thermoregulatory characteristics, which was formerly called elevation of a “set point,” a reference temperature that is compared with the regulated value of Tb. Since a neuronal correlate for such a reference signal does not exist, the term set point should no longer be used or be replaced by the term “balance point.” The elevation of Tb under febrile conditions is actively achieved by coordinated behavioral and physiological responses with the aim to reduce heat loss (warm-seeking behavior, peripheral vasoconstriction) and increase heat production (shivering or non-shivering thermogenesis). The threshold Tbs, at which these responses are initiated, are shifted to higher values in the initial phase of fever (Fig. 1).
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References
Blomqvist A, Engblom D (2018) Neural mechanisms of inflammation-induced fever. Neuroscientist 24:381–399
Dantzer R (2018) Neuroimmune interactions: from the brain to the immune system and vice versa. Physiol Rev 98:477–504
Garami A, Steiner AA, Romanovsky AA (2018) Fever and hypothermia in systemic inflammation. Handb Clin Neurol 157:565–597
Harden LM, Kent S, Pittman QJ, Roth J (2015) Fever and sickness behavior: friend or foe? Brain Behav Immun 50:322–333
Morrison SF, Nakamura K (2019) Central mechanisms for thermoregulation. Annu Rev Physiol 81:285–308
Roth J, Blatteis CM (2014) Mechanisms of fever production and lysis: lessons from experimental LPS fever. Compr Physiol 4:1563–1604
Rummel C (2016) Inflammatory transcription factors as activation markers and functional readouts in immune-to-brain communication. Brain Behav Immun 54:1–14
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Roth, J. (2020). Fever. In: Offermanns, S., Rosenthal, W. (eds) Encyclopedia of Molecular Pharmacology. Springer, Cham. https://doi.org/10.1007/978-3-030-21573-6_188-1
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DOI: https://doi.org/10.1007/978-3-030-21573-6_188-1
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