Fever, a hallmark of disease, is elicited by exogenous pyrogens, that
is, cellular components, such as lipopolysaccharide (LPS), of infectio
us organisms, as well as by non-infectious inflammatory insults. Both
stimulate the production of cytokines, such as interleukin (IL)-1 beta
, that act on the brain as endogenous pyrogens'. Fever can be suppress
ed by aspirin-like anti-inflammatory drugs. As these drugs share the a
bility to inhibit prostaglandin biosynthesis(2), it is thought that a
prostaglandin is important in fever generation. Prostaglandin E-2 (PGE
(2)) may be a neural mediator of fever(3), but this has been much deba
ted(1,4-7). PGE, acts by interacting with four subtypes of PGE recepto
r, the EP1, EP2, EP3 and EP4 receptors(8). Here we generate mice lacki
ng each of these receptors by homologous recombination. Only mice lack
ing the EP3 receptor fail to show a febrile response to PGE(2) and to
either IL-1 beta or LPS. Our results establish that PGE(2) mediates fe
ver generation in response to both exogenous and endogenous pyrogens b
y acting at the EP3 receptor.