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jake-head-shot.jpgJake Young is a MD/PhD student at Mount Sinai School of Medicine focusing in Neuroscience. He is due to graduate in 2032. He received a BS and a MS in Biological Sciences from Stanford University -- where he spent most of his time drinking heavily and building vegetable catapults instead of learning information that would now be eminently useful. When he is not failing terrifically to perform his sworn duties, he enjoys watching bad movies, ethnic food, and running.

Pure Pedantry is a blog about science -- social sciences and otherwise -- as well as academic and scientific culture. No one can live on science alone, so I also like to dwell on pop culture, periodically explore the humanities, and indulge in other types of geeky goodness.

Jake is joined periodically by two wonderful guest bloggers: Kara Contreary and Kate Seip. See the About Page.

DISCLAIMERS: 1) Jake Young is not a licensed physician (yet). He is merely a medical student. The information published on this site is not intended for use in medical decision making. Please seek advice from a licensed, medical professional before making any health decisions. 2) The opinions expressed are my own or those of my co-bloggers. They do not represent the views of SEED magazine or the educational establishments we currently attend.

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Why do we get fevers?

Category: Medicine
Posted on: November 15, 2006 10:51 AM, by Jake Young

The answer is that it increases lymphocyte motility, helping to fight the infection:

Nobody likes coming down with a fever, but feeling hot may do a body good. Researchers report online 5 November in Nature Immunology that a fever in mice revs up the immune response by helping white blood cells enter lymph nodes, where they join the battle against microbial invaders.

All mammals can develop fever when they're sick enough, and even cold-blooded animals with infections, such as fish and lizards, will seek warmth to raise their body temperatures. This suggests that fever somehow helps the body conquer the bugs. Immunologist Sharon Evans of Roswell Park Cancer Institute in Buffalo, New York, and coworkers are studying how fever affects the movement of white blood cells, or lymphocytes, from the blood into lymphoid tissue, where they learn to recognize and fight pathogens. Lymphocytes constantly circulate through blood vessels within lymph nodes and other lymphoid organs, but only some actually enter lymphoid tissue by crossing the walls of the vessels, known as high endothelial venules (HEVs).

Fever increases blood flow, which means more lymphocytes flow through lymphoid tissues. Evans' team had previously shown that fever also assists the passage of lymphocytes into lymphoid tissue, but they hadn't figured out what was happening on a molecular level.

Immune cells are always cruising around your body looking for trouble. The problem is that once they find it, they sort of need to tell the world. The best place for them to do that is in a lymph node -- sort of like a lymphocyte convention, but getting there is an issue. Apparently, temperature helps in getting there.

Now, I wonder whether if you were to disrupt the fever by pharmaceutical methods -- like Tylenol or something -- there would be a significant decreases in the ability to fight the infection.

Comments

The suggested experiment is easy and has been many times in ectotherms, including lizards, fish, toads, newborn altricial mammals, etc. These animals have "behavioral fevers"--they voluntarily select a higher environmental-therefore-body temperature when infected with a pathogen. If you prevent temperature selection, survivability increases with body temperature.

Posted by: CCP | November 15, 2006 2:16 PM

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