# Characterization of the molecular and cellular mechanisms underlying the sickness symptoms

> **NIH NIH R00** · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · 2024 · $219,241

## Abstract

PROJECT SUMMARY/ABSTRACT
During acute infection, animals display a set of highly stereotyped symptoms which are critical for survival. These
symptoms include changes in physiology, such as fever, as well as behavioral changes such as lethargy and
loss of appetite. How do sickness symptoms arise? The generation of fever in response to infection has been
reported in warm-blooded animals as well as cold-blooded reptiles and even invertebrates, suggesting that
evolutionarily-conserved, hard-wired mechanisms exist to bring about fever during an immune response.
Changes to thermoregulatory and other homeostatic circuits in the brain are likely required to generate sickness
symptoms, but the mechanisms by which immune signals are translated into the brain and into neuronal activity
to alter these circuits are currently unknown. I have identified a population of neurons in the preoptic area of the
hypothalamus that is highly sensitive to the administration of pro-inflammatory lipopolysaccharides (LPS). In my
preliminary experiments, I have found that these neurons are critical for the initiation of fever and they may also
contribute to other sickness symptoms such as warmth-seeking behavior and loss of appetite. In work proposed
here I will rigorously test the function of this LPS-sensitive neuronal population using the latest tools for behavior-
specific cell type manipulation. I will uncover how these neurons regulate fever as well as other sickness
symptoms. In addition, I will use viral-mediated tracing tools to uncover the circuit mechanism by which these
LPS-sensitive neurons modulate thermoregulatory and feeding circuits. The successful completion of these aims
will reveal the first discovered neural circuits that mediate sickness.
Many studies have found increased activation of glial cell types in response to LPS or infection, which may be
essential for the activation of fever-initiating circuits. In my final aim, I will use the latest technology for molecular
cell type identification to uncover the identity of the neurons as well as the subtypes of non-neuronal populations
in the preoptic hypothalamus that contribute to the fever response. During my R00 phase, I will identify the non-
neuronal populations that are essential for fever initiation and reveal new molecular mechanisms by which these
cell types communicate with neurons and thereby generate a fever. The successful completion of this project
will provide a platform for future experiments aimed at understanding the cellular and molecular mechanisms
underlying the generation of sickness symptoms.
The training phase of the award will be conducted in the laboratory of Dr. Catherine Dulac at Harvard University.
In addition, I will be mentored by the outstanding team of scientists on my advisory committee that will assist
with specific training goals as well as career guidance. In my application I have outlined a comprehensive plan
for the acquisition of conceptual, technical and professional...

## Key facts

- **NIH application ID:** 10764309
- **Project number:** 5R00NS114107-04
- **Recipient organization:** UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH
- **Principal Investigator:** Jessica Allison Osterhout
- **Activity code:** R00 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $219,241
- **Award type:** 5
- **Project period:** 2020-01-01 → 2025-12-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10764309

## Citation

> US National Institutes of Health, RePORTER application 10764309, Characterization of the molecular and cellular mechanisms underlying the sickness symptoms (5R00NS114107-04). Retrieved via AI Analytics 2026-06-14 from https://api.ai-analytics.org/grant/nih/10764309. Licensed CC0.

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