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Review| Volume 104, ISSUE 9, P9418-9436, September 2021

Invited review: Mechanisms of hypophagia during disease

  • Author Footnotes
    * Current affiliation: Department of Animal and Dairy Sciences, University of Wisconsin-Madison, Madison, WI 53706.
    W.E. Brown
    Footnotes
    * Current affiliation: Department of Animal and Dairy Sciences, University of Wisconsin-Madison, Madison, WI 53706.
    Affiliations
    Department of Animal Sciences & Industry, Kansas State University, Manhattan 66506
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  • B.J. Bradford
    Correspondence
    Corresponding author
    Affiliations
    Department of Animal Science, Michigan State University, East Lansing 48824
    Search for articles by this author
  • Author Footnotes
    * Current affiliation: Department of Animal and Dairy Sciences, University of Wisconsin-Madison, Madison, WI 53706.
Open ArchivePublished:June 04, 2021DOI:https://doi.org/10.3168/jds.2021-20217

      ABSTRACT

      Suppression of appetite, or hypophagia, is among the most recognizable effects of disease in livestock, with the potential to impair growth, reproduction, and lactation. The continued evolution of the field of immunology has led to a greater understanding of the immune and endocrine signaling networks underlying this conserved response to disease. Inflammatory mediators, especially including the cytokines tumor necrosis factor-α and interleukin-1β, are likely pivotal to disease-induced hypophagia, based on findings in both rodents and cattle. However, the specific mechanisms linking a cytokine surge to decreased feeding behavior are more difficult to pin down and likely include direct effects on appetite centers in the brain, alteration of gastric motility, and modulation of other endocrine factors that influence appetite and satiety. These insights into the mechanisms for disease-induced hypophagia have great relevance for management of neonatal calves, mature cows transitioning to lactation, and cows experiencing mastitis; however, it is not necessarily the case that increasing feed intake by any means possible will improve health outcomes for diseased cattle. We explore conflicting effects of hypophagia on immune responses, which may be impaired by the lack of specific substrates, versus apparent benefits for controlling the growth of some pathogens. Anti-inflammatory strategies have shown promise for promoting recovery of feed intake following some conditions but not others. Finally, we explore the potential for early disease detection through automated monitoring of feeding behavior and consider which strategies may be implemented to respond to early hypophagia.

      Key words

      INTRODUCTION

      Maximizing feed intake (FI) in production animals is a common goal to foster optimum production of livestock. However, incidence of disease is inevitable and, in addition to the negative effect on animal well-being, disease challenges our ability to maintain the desired production level, partially through reduced FI. The mechanisms controlling the FI response in diseased animals are complex and should be appreciated within the context of the natural adaptive mechanisms the animal uses to fight off infection. Signaling from the immune system during disease occurs both centrally and peripherally to decrease FI (
      • Wong S.
      • Pinkney J.
      Role of cytokines in regulating feeding behaviour.
      ), and other factors such as plasma leptin (
      • Lippolis K.D.
      • Cooke R.F.
      • Schubach K.M.
      • Marques R.S.
      • Bohnert D.W.
      Effects of intravenous lipopolysaccharide administration on feed intake, ruminal forage degradability, and liquid parameters and physiological responses in beef cattle.
      ) and Ca (
      • Horst E.A.
      • Mayorga E.J.
      • Al-Qaisi M.
      • Abeyta M.A.
      • Portner S.L.
      • McCarthy C.S.
      • Goetz B.M.
      • Kvidera S.K.
      • Baumgard L.H.
      Effects of maintaining eucalcemia following immunoactivation in lactating Holstein dairy cows.
      ) are altered by disease insults, further contributing to depressed FI. Even though cytokine effects on feed intake are well documented, it remains difficult to predict the degree and duration of FI depression based on immense variation in factors such as pathogen type and load, immunocompetency, and plane of nutrition (
      • Sandberg F.B.
      • Emmans G.C.
      • Kyriazakis I.
      A model for predicting feed intake of growing animals during exposure to pathogens.
      ;
      • Laurenson Y.C.S.M.
      • Bishop S.C.
      • Kyriazakis I.
      In silico exploration of the mechanisms that underlie parasite-induced anorexia in sheep.
      ). For dairy cattle, the transition period introduces overlapping shifts in nutrient flux, immune function, and pathogen exposure that likely contribute to reduced FI. Immune-induced FI depression also commonly occurs in neonatal dairy calves (
      • Borderas T.F.
      • Rushen J.
      • von Keyserlingk M.A.G.
      • de Passillé A.M.B.
      Automated measurement of changes in feeding behavior of milk-fed calves associated with illness.
      ), lactating cows with mastitis (
      • Yeiser E.E.
      • Leslie K.E.
      • McGilliard M.L.
      • Petersson-Wolfe C.S.
      The effects of experimentally induced Escherichia coli mastitis and flunixin meglumine administration on activity measures, feed intake, and milk parameters.
      ), and animals undergoing vaccination (
      • Rodrigues M.C.
      • Cooke R.F.
      • Marques R.S.
      • Cappellozza B.I.
      • Arispe S.A.
      • Keisler D.H.
      • Bohnert D.W.
      Effects of vaccination against respiratory pathogens on feed intake, metabolic, and inflammatory responses in beef heifers.
      ). Understanding these factors is critical for tailoring nutritional and management approaches to support animals during disease.

      THE IMMUNE SYSTEM AND FEED INTAKE

      Maintaining FI during periods of disease is a challenge for humans (
      • Scrimshaw N.S.
      Effect of infection on nutrient requirements.
      ), other mammals (
      • Spurlock M.E.
      • Frank G.R.
      • Willis G.M.
      • Kuske J.L.
      • Cornelius S.G.
      Effect of dietary energy source and immunological challenge on growth performance and immunological variables in growing pigs.
      ), and even insects (
      • Ayres J.S.
      • Schneider D.S.
      The role of anorexia in resistance and tolerance to infections in Drosophila.
      ). Depression of FI, defined as anorexia or hypophagia, can be manifested during a variety of diseases (
      • Plata-Saláman C.R.
      Anorexia during acute and chronic disease.
      ). Anorexia during disease appears to be a natural mechanism of host defense that can sometimes benefit the host. In a classic study by
      • Murray M.J.
      • Murray A.B.
      Anorexia of infection as a mechanism of host defense.
      , mice were infected with Listeria monocytogenes. One group was fed ad libitum, whereas the other was force-fed to match the intake of noninfected controls. The force-fed animals experienced a 93% mortality rate and a mean survival time of less than half that of infected animals fed ad libitum. Indeed, even animals that were starved for a short period before infection had greater survival than those fed ad libitum pre-infection (
      • Wing E.J.
      • Young J.B.
      Acute starvation protects mice against Listeria monocytogenes.
      ;
      • Brown A.E.
      • Baumbach J.
      • Cook P.E.
      • Ligoxygakis P.
      Short-term starvation of immune deficient Drosophila improves survival to gram-negative bacterial infections.
      ). In a similar manner, mice infected with L. monocytogenes experienced a 100% mortality rate when gavaged with food or glucose, and the researchers determined that the culprit for the death during infection was glucose utilization (
      • Wang A.
      • Huen S.C.
      • Luan H.H.
      • Yu S.
      • Zhang C.
      • Gallezot J.D.
      • Booth C.J.
      • Medzhitov R.
      Opposing effects of fasting metabolism on tissue tolerance in bacterial and viral inflammation.
      ). Conversely, in the same paper, mice infected with influenza virus survived infection when gavaged with food, whereas mice gavaged with phosphate-buffered saline did not survive, demonstrating markedly different effects of food intake for bacterial and viral infections. Even so, additional evidence demonstrates that survival responses to feed restriction vary depending on the bacterial pathogen in fruit flies (
      • Ayres J.S.
      • Schneider D.S.
      The role of anorexia in resistance and tolerance to infections in Drosophila.
      ). These studies collectively suggest that hypophagia during disease is an important component of the response to disease.
      Evidence for the effect of the immune system on FI is provided by responses to a variety of immune stimuli, including vaccination (
      • Rodrigues M.C.
      • Cooke R.F.
      • Marques R.S.
      • Cappellozza B.I.
      • Arispe S.A.
      • Keisler D.H.
      • Bohnert D.W.
      Effects of vaccination against respiratory pathogens on feed intake, metabolic, and inflammatory responses in beef heifers.
      ), parasitic infection (
      • Crompton D.W.T.
      Influence of parasitic infection on food intake.
      ), and other experimental immune challenges. Feed intake is reduced 1 to 2 d after immunization in beef heifers (
      • Rodrigues M.C.
      • Cooke R.F.
      • Marques R.S.
      • Cappellozza B.I.
      • Arispe S.A.
      • Keisler D.H.
      • Bohnert D.W.
      Effects of vaccination against respiratory pathogens on feed intake, metabolic, and inflammatory responses in beef heifers.
      ), and vaccination of day-old chicks reduced FI over the first 12 wk of life (
      • Lee K.
      • Reid L.S.
      The effect of Marek's disease vaccination and day-old debeaking on the performance of growing pullets and laying hens.
      ). During this time, the immune system is responding to the injected antigen, adjuvant, or both, as demonstrated by increased cytokine and acute-phase protein concentrations (
      • Rodrigues M.C.
      • Cooke R.F.
      • Marques R.S.
      • Cappellozza B.I.
      • Arispe S.A.
      • Keisler D.H.
      • Bohnert D.W.
      Effects of vaccination against respiratory pathogens on feed intake, metabolic, and inflammatory responses in beef heifers.
      ). Likewise, exogenous immune stimulants such as sheep red blood cells and dextran administered to chicks induced anorexia (
      • Klasing K.C.
      • Laurin D.E.
      • Peng R.K.
      • Fry A.M.
      Immunologically mediated growth depression in chicks: Influence of feed intake, corticosterone and interleukin-1.
      ). An innovative study by
      • Greer A.W.
      • Stankiewicz M.
      • Jay N.P.
      • McAnulty R.W.
      • Sykes A.R.
      The effect of concurrent corticosteroid induced immuno-suppression and infection with the intestinal parasite Trichostrongyulus conubriformis on food intake and utilization in both immunologically naive and competent sheep.
      demonstrated immune system involvement in the depression of FI during parasitic infection with Trichostrongylus colubriformis because infected sheep decreased FI compared with animals that were both infected and immunosuppressed. This effect was only evident in young, immunologically naïve sheep—there were no effects of the parasite on FI in mature ewes that had previously established immunity (
      • Greer A.W.
      • Stankiewicz M.
      • Jay N.P.
      • McAnulty R.W.
      • Sykes A.R.
      The effect of concurrent corticosteroid induced immuno-suppression and infection with the intestinal parasite Trichostrongyulus conubriformis on food intake and utilization in both immunologically naive and competent sheep.
      ).
      Reducing feed intake during an immune response is a paradoxical response, because the immune system increases its nutrient demands when activated. Immune challenges ranging from vaccination to sepsis increase the basal metabolic rate by an estimated 15 to 57%, depending on the type of insult (
      • Lochmiller R.L.
      • Deerenberg C.
      Trade-offs in evolutionary immunology: Just what is the cost of immunity?.
      ). The nutrient cost of the immune response can have observable effects on nutrient partitioning. For example, beef heifers vaccinated with Mannheimia haemolytica had reduced average daily gain and feed efficiency despite no significant differences in FI over a 15-d period (
      • Arthington J.D.
      • Cooke R.F.
      • Maddock T.D.
      • Araujo D.B.
      • Moriel P.
      • Dilorenzo N.
      • Lamb G.C.
      Effects of vaccination on the acute-phase protein response and measures of performance in growing beef calves.
      ). In this case, the increased plasma haptoglobin concentrations confirmed that the immune system was activated by vaccination (
      • Arthington J.D.
      • Cooke R.F.
      • Maddock T.D.
      • Araujo D.B.
      • Moriel P.
      • Dilorenzo N.
      • Lamb G.C.
      Effects of vaccination on the acute-phase protein response and measures of performance in growing beef calves.
      ), but the reduction in average daily gain and feed efficiency suggest that the consumed energy was partitioned to the immune system rather than growth because FI was not altered. Immune challenges also alter the availability of circulating nutrients. During LPS challenges in cattle, plasma concentrations of AA decline (
      • Waggoner J.W.
      • Löest C.A.
      • Turner J.L.
      • Mathis C.P.
      • Hallford D.M.
      Effects of dietary protein and bacterial lipopolysaccharide infusion on nitrogen metabolism and hormonal responses of growing beef steers.
      ) and animals enter a brief state of hyperglycemia followed by an extended period of hypoglycemia (
      • Waggoner J.W.
      • Löest C.A.
      • Turner J.L.
      • Mathis C.P.
      • Hallford D.M.
      Effects of dietary protein and bacterial lipopolysaccharide infusion on nitrogen metabolism and hormonal responses of growing beef steers.
      ;
      • Kvidera S.K.
      • Horst E.A.
      • Abuajamieh M.
      • Mayorga E.J.
      • Sanz Fernandez M.V.
      • Baumgard L.H.
      Technical note: A procedure to estimate glucose requirements of an activated immune system in steers.
      ). Immune system activation also increases the AA requirements necessary to achieve protein deposition in growing animals (
      • Sandberg F.B.
      • Emmans G.C.
      • Kyriazakis I.
      The effects of pathogen challenges on the performance of naive and immune animals: the problem of prediction.
      ;
      • Kim J.C.
      • Mullan B.P.
      • Frey B.
      • Payne H.G.
      • Pluske J.R.
      Whole body protein deposition and plasma amino acid profiles in growing and/or finishing pigs fed increasing levels of sulfur amino acids with and without Escherichia coli lipopolysaccharide challenge.
      ) and maximum antibody production (
      • Bhargava K.K.
      • Hanson R.P.
      • Sunde M.L.
      Effects of methionine and valine on antibody production in chicks infected with Newcastle disease virus.
      ).
      Why, then, would a suppression in appetite be a common response to disease? Previous work has pointed to at least 4 plausible benefits. First, animals that are sick are more likely to have ingested pathogens recently, and hypophagia limits the oral introduction of additional pathogens (
      • Kyriazakis I.
      Pathogen-induced anorexia: A herbivore strategy or an unavoidable consequence of infection?.
      ). Second, in prey species such as cattle, there would likely be an evolutionary advantage to limiting grazing during disease, simply to avoid predation (
      • Exton M.S.
      Infection-induced anorexia: Active host defence strategy.
      ). However, neither of these mechanisms can explain a survival benefit to hypophagia in laboratory-housed mice as described above. A third mechanism that may be more broadly beneficial is the reduced availability of trace minerals (particularly iron) to inhibit bacterial survival due to decreased intake as well as mineral sequestration by acute-phase proteins (
      • Exton M.S.
      Infection-induced anorexia: Active host defence strategy.
      ). Finally, both lack of glucose availability (
      • Wang A.
      • Huen S.C.
      • Luan H.H.
      • Yu S.
      • Zhang C.
      • Gallezot J.D.
      • Booth C.J.
      • Medzhitov R.
      Opposing effects of fasting metabolism on tissue tolerance in bacterial and viral inflammation.
      ) and increased ketone body concentrations (
      • Zarrin M.
      • Wellnitz O.
      • van Dorland H.A.
      • Bruckmaier R.M.
      Induced hyperketonemia affects the mammary immune response during lipopolysaccharide challenge in dairy cows.
      ) induced by hypophagia contribute to controlling systemic inflammation, providing a negative feedback on immune-initiated inflammatory signaling. These effects to reduce pathogen burden and alter immune system function may explain why hypophagia is a conserved response to disease. In the next portion of this review, we will uncover specific physiological mechanisms that occur during acute and subacute disease to induce hypophagia.

      CYTOKINE REGULATION OF FEED INTAKE

      Cytokines are produced by macrophages, lymphocytes, hepatocytes, neuronal cells, bone marrow stromal cells, and a vast array of cell types in the central nervous system (CNS;
      • Curfs J.H.A.J.
      • Meis J.F.G.M.
      • Hoogkamp-Korstanje J.A.A.
      A primer on cytokines: Sources, receptors, effects, and inducers.
      ) and are key signaling agents of the immune response. Numerous cytokines are produced during the acute phase response, but several cytokine families are most classically recognized as mediators of inflammation, such as tumor-necrosis factor-α, the interleukins, and interferons (
      • Curfs J.H.A.J.
      • Meis J.F.G.M.
      • Hoogkamp-Korstanje J.A.A.
      A primer on cytokines: Sources, receptors, effects, and inducers.
      ).
      • Wong S.
      • Pinkney J.
      Role of cytokines in regulating feeding behaviour.
      conducted an exhaustive review of various cytokines and their effects on feeding behavior; here we will focus on 2 cytokines that are thought to be most relevant to feeding behavior during disease in livestock.
      Hypophagia during disease or infection is typically referred to as a hallmark “sickness behavior.” Our discussion about feeding behavior as affected by immune activity and specific cytokine effects is somewhat confounded by the other behavioral aspects of disease that directly affect food acquisition, and thus require acknowledgment. Somnolence and sleeping is a common product of immune activation (
      • Johnson R.W.
      • Curtis S.E.
      • Dantzer R.
      • Kelley K.W.
      Central and peripheral prostaglandins are involved in sickness behavior in birds.
      ;
      • Warren E.J.
      • Finck B.N.
      • Arkins S.
      • Kelley K.W.
      • Scamurra R.W.
      • Murtaugh M.P.
      • Johnson R.W.
      Coincidental changes in behavior and plasma cortisol in unrestrained pigs after intracerebroventricular injection of tumor necrosis factor-α.
      ;
      • Dafny N.
      Is interferon-α a neuromodulator?.
      ;
      • Larson S.J.
      • Dunn A.J.
      Behavioral effects of cytokines.
      ) along with a decrease in total locomotor activity (
      • Plata-Saláman C.R.
      Meal patterns in response to the intracerebroventricular administration of interleukin-1β in rats.
      ), exercise and exploratory behavior (
      • Harden L.M.
      • du Plessis I.
      • Poole S.
      • Laburn H.P.
      Interleukin-6 and leptin mediate lipopolysaccharide-induced fever and sickness behavior.
      ;
      • Teeling J.L.
      • Felton L.M.
      • Deacon R.M.J.
      • Cunningham C.
      • Rawlins J.N.P.
      • Perry V.H.
      Sub-pyrogenic systemic inflammation impacts on brain and behavior, independent of cytokines.
      ), social exploration (
      • Bluthé R.-M.
      • Laye S.
      • Michaud B.
      • Combe C.
      • Dantzer R.
      • Parnet P.
      Role of interleukin-1β and tumour necrosis factor-α in lipopolysaccharide-induced sickness behaviour: A study with interleukin-1 type I receptor-deficient mice.
      ), and sexual behavior (
      • Teeling J.L.
      • Felton L.M.
      • Deacon R.M.J.
      • Cunningham C.
      • Rawlins J.N.P.
      • Perry V.H.
      Sub-pyrogenic systemic inflammation impacts on brain and behavior, independent of cytokines.
      ).
      • Johnson R.W.
      The concept of sickness behavior: A brief chronological account of four key discoveries.
      notes that this overall reduction in locomotor activity is actually an altered motivational state and not a mere consequence of weakness or lack of ability. As we discuss specific actions of cytokines and hormones that are increased during an acute-phase response, some of which may have pleiotropic effects, it is important to recognize that the mechanistic effects on FI may also be confounded by other behavioral changes that the animal experiences during this altered motivational state.

      Interleukin-1

      Interleukin-1 (IL-1) is produced primarily by macrophages (
      • Curfs J.H.A.J.
      • Meis J.F.G.M.
      • Hoogkamp-Korstanje J.A.A.
      A primer on cytokines: Sources, receptors, effects, and inducers.
      ), and is found in 2 isoforms: IL-1α and IL-1β. Interleukin-1β is the secreted form, whereas IL-1α is associated with the membrane (
      • Curfs J.H.A.J.
      • Meis J.F.G.M.
      • Hoogkamp-Korstanje J.A.A.
      A primer on cytokines: Sources, receptors, effects, and inducers.
      ). Numerous studies have been conducted to analyze the effects of IL-1 administration on FI, with responses observed in multiple species. Both human and murine isoforms of IL-1 reduced FI in mice (
      • McCarthy D.O.
      • Kluger M.J.
      • Vander A.J.
      Suppression of food intake during infection: Is interleukin-1 involved?.
      ) with human isoforms also affecting rats (
      • Plata-Saláman C.R.
      Dexamethasone inhibits food intake suppression induced by low doses of interleukin-1β administered intracerebroventricularly.
      ). In production animals, IL-1 administration induced hypophagia in chicks (
      • Klasing K.C.
      • Laurin D.E.
      • Peng R.K.
      • Fry A.M.
      Immunologically mediated growth depression in chicks: Influence of feed intake, corticosterone and interleukin-1.
      ;
      • Tachibana T.
      • Kodama T.
      • Yamane S.
      • Makino R.
      • Khan S.I.
      • Cline M.A.
      Possible role of central interleukins on the anorexigenic effect of lipopolysaccharide in chicks.
      ), goats (
      • van Miert A.S.J.P.A.M.
      • Kaya F.
      • van Duin C.T.M.
      Changes in food intake and forestomach motility of dwarf goats by recombinant bovine cytokines (IL-1β, IL-2) and IFN-γ.
      ), and beef calves (
      • Godson D.L.
      • Baca-Estrada M.E.
      • Van Kessel A.G.
      • Hughes P.A.
      • Morsy M.A.
      • Van Donkersgoed J.
      • Harland R.J.
      • Shuster D.E.
      • Daley M.J.
      • Babiuk L.A.
      Regulation of bovine acute phase responses by recombinant interleukin-1β.
      ). Additionally, heat treatment of IL-1 to denature the cytokine ameliorates its effect on FI, further demonstrating a direct role of IL-1 (
      • McCarthy D.O.
      • Kluger M.J.
      • Vander A.J.
      Suppression of food intake during infection: Is interleukin-1 involved?.
      ;
      • Klasing K.C.
      • Laurin D.E.
      • Peng R.K.
      • Fry A.M.
      Immunologically mediated growth depression in chicks: Influence of feed intake, corticosterone and interleukin-1.
      ). From an observational perspective, cows with greater IL-1β concentration over the transition period had less FI (
      • Trevisi E.
      • Jahan N.
      • Bertoni G.
      • Ferrari A.
      • Minuti A.
      Pro-inflammatory cytokine profile in dairy cows: Consequences for new lactation.
      ). However, the effects of i.m. recombinant IL-1β administration in nonlactating dairy cows were transient, with no effect detected until the second day of administration and an immediate return to normal FI posttreatment (
      • Goff J.P.
      • Kehrli M.
      • Daley M.
      Physiologic effects of administration of interleukin-1β in cows.
      ). Other studies have also reported rapid resumption of normal FI after removal of IL-1β treatment (
      • Kent S.
      • Rodriguez F.
      • Kelley K.
      • Dantzer R.
      Reduction in food and water intake induced by microinjection of interleukin-1β in the ventromedial hypothalamus of the rat.
      ) and even compensation for previously reduced FI (
      • Plata-Saláman C.R.
      Dexamethasone inhibits food intake suppression induced by low doses of interleukin-1β administered intracerebroventricularly.
      ).
      Consistent with a direct role in suppressing FI, IL-1 appears to peripherally affect FI in a dose-dependent manner. Subcutaneous administration of recombinant IL-1β in beef calves caused inappetence with increasing dose (
      • Godson D.L.
      • Baca-Estrada M.E.
      • Van Kessel A.G.
      • Hughes P.A.
      • Morsy M.A.
      • Van Donkersgoed J.
      • Harland R.J.
      • Shuster D.E.
      • Daley M.J.
      • Babiuk L.A.
      Regulation of bovine acute phase responses by recombinant interleukin-1β.
      ). Both i.p. (
      • Swiergiel A.H.
      • Smagin G.N.
      • Dunn A.J.
      Influenza virus infection of mice induces anorexia: Comparison with endotoxin and interleukin-1 and the effects of indomethacin.
      ) and intracerebroventricular (i.c.v.;
      • Plata-Saláman C.R.
      • Oomura Y.
      • Kai Y.
      Tumor necrosis factor and interluekin-1β: Suppression of food intake by direct action in the central nervous system.
      ;
      • Kent S.
      • Rodriguez F.
      • Kelley K.
      • Dantzer R.
      Reduction in food and water intake induced by microinjection of interleukin-1β in the ventromedial hypothalamus of the rat.
      ;
      • Plata-Saláman C.R.
      Meal patterns in response to the intracerebroventricular administration of interleukin-1β in rats.
      ) injections of IL-1 isoforms reduced rodent food consumption in a dose-dependent manner by decreasing both meal size and duration, but not meal frequency (
      • Plata-Saláman C.R.
      Meal patterns in response to the intracerebroventricular administration of interleukin-1β in rats.
      ). In fact, i.c.v. infusions of as little as 2 ng of IL-1β per kilogram of BW decreased FI (
      • Plata-Saláman C.R.
      Dexamethasone inhibits food intake suppression induced by low doses of interleukin-1β administered intracerebroventricularly.
      ), although the effect was transient compared with higher doses (
      • Plata-Saláman C.R.
      • Oomura Y.
      • Kai Y.
      Tumor necrosis factor and interluekin-1β: Suppression of food intake by direct action in the central nervous system.
      ;
      • Plata-Saláman C.R.
      • Borkoski J.P.
      Chemokines/intercrines and central regulation of feeding.
      ). The degree of anorexia caused by disease likely depends on the magnitude of the inflammatory response.
      Site-specific responses to IL-1 also provide clues into its mode of action. At least 3.3 µg/kg of BW of i.p. IL-1β were required to reduce FI in mice (
      • Swiergiel A.H.
      • Smagin G.N.
      • Dunn A.J.
      Influenza virus infection of mice induces anorexia: Comparison with endotoxin and interleukin-1 and the effects of indomethacin.
      ), whereas i.c.v. infusion of just 4 to 16 ng of IL-1β per kg of BW was capable of decreasing FI in rats (
      • Plata-Saláman C.R.
      • Oomura Y.
      • Kai Y.
      Tumor necrosis factor and interluekin-1β: Suppression of food intake by direct action in the central nervous system.
      ,
      • Plata-Saláman C.R.
      • Vasselli J.R.
      • Sonti G.
      Differential responsiveness of obese (fa/fa) and lean (Fa/Fa) Zucker rats to cytokine-induced anorexia.
      ;
      • Plata-Saláman C.R.
      Dexamethasone inhibits food intake suppression induced by low doses of interleukin-1β administered intracerebroventricularly.
      ). Continuous i.v. infusions of 20 µg/kg of BW in rats decreased FI during a 4- to 6-d infusion period, which may more accurately reflect an inflammatory disease response compared with bolus injections (
      • Ling P.R.
      • Schwartz J.H.
      • Jeevanandam M.
      • Gauldie J.
      • Bistrian B.R.
      Metabolic changes in rats during a continuous infusion of recombinant interleukin-1.
      ,
      • Ling P.R.
      • Schwartz J.H.
      • Bistrian B.R.
      Mechanisms of host wasting induced by administration of cytokines in rats.
      ). These differential responses suggest that the most potent action of IL-1 occurs in the CNS; indeed, there is evidence that IL-1 can cross the blood–brain barrier, thus highlighting a potential mechanism for direct peripheral signaling to the CNS during a disease insult (
      • Threlkeld S.W.
      • Lynch J.L.
      • Lynch K.M.
      • Sadowska G.B.
      • Banks W.A.
      • Stonestreet B.S.
      Ovine proinflammatory cytokines cross the murine blood-brain barrier by a common saturable transport mechanism.
      ).
      Other more targeted studies explored the hypothalamus as a potential site of action of IL-1. Interleukin-1 has high affinity for receptors in the ventromedial hypothalamus (
      • Farrar W.L.
      • Kilian P.L.
      • Ruff M.R.
      • Hill J.M.
      • Pert C.B.
      Visualization and characterization of interleukin 1 receptors in brain.
      ;
      • Katsuura G.
      • Gottschall P.E.
      • Arimura A.
      Identification of a high-affinity receptor for interleukin-1β in rat brain.
      ), a region of the brain that regulates feeding behavior (
      • King B.M.
      The rise, fall, and resurrection of the ventromedial hypothalamus in the regulation of feeding behavior and body weight.
      ). In rats, intrahypothalamic injection of 17 ng of IL-1α per kilogram of BW decreased both FI and water intake independently (
      • Chance W.T.
      • Fischer J.E.
      Aphagic and adipsic effects of interleukin-1.
      ), and injection of similar quantities of IL-1β into the ventromedial nucleus decreased FI (
      • Kent S.
      • Rodriguez F.
      • Kelley K.
      • Dantzer R.
      Reduction in food and water intake induced by microinjection of interleukin-1β in the ventromedial hypothalamus of the rat.
      ).
      • Kuriyama K.
      • Hori T.
      • Mori T.
      • Nakashima T.
      Actions of interferon-α and interleukin-1β on the glucose-responsive neurons in the ventromedial hypothalamus.
      and
      • Oomura Y.
      Chemical and neuronal control of feeding motivation.
      evaluated whether glucose-sensing neurons purported to be responsible for changes in FI may be sensitive to IL-1β. They showed that IL-1β increases activity of the glucose-responsive neurons in the ventromedial hypothalamus that typically increase in firing rate in response to glucose. Inversely, glucose-sensitive neurons that normally decrease firing rate in response to glucose were inhibited by IL-1β in the ventromedial (
      • Kuriyama K.
      • Hori T.
      • Mori T.
      • Nakashima T.
      Actions of interferon-α and interleukin-1β on the glucose-responsive neurons in the ventromedial hypothalamus.
      ) and lateral hypothalamus (
      • Oomura Y.
      Chemical and neuronal control of feeding motivation.
      ). Hypothalamic IL1B expression is correlated with blood glucose concentration and increases in fed versus fasted healthy mice; furthermore, knockout mice lacking an IL-1 receptor more quickly overcome glucose-induced hypophagia (
      • Mizuno T.M.
      • Lew P.S.
      • Spirkina A.
      • Xu Y.
      Mediation of glucose-induced anorexia by central nervous system interleukin 1 signaling.
      ). These mechanisms provide a clearer picture of the intersection between metabolism and immune function through IL-1 action on the CNS.
      Certain treatments can reverse the anorectic effects of IL-1. Infusion of an IL-1 receptor antagonist (IL-1ra, a naturally occurring protein that triggers a negative feedback mechanism) or an IL-1 receptor ligand binding domain attenuated the FI decrease induced by IL-1β or LPS injection (
      • Klasing K.
      • Korver D.
      Leukocytic cytokines regulate growth rate and composition following activation of the immune system.
      ;
      • Swiergiel A.H.
      • Dunn A.J.
      The roles of IL-1, IL-6, and TNFα in the feeding responses to endotoxin and influenza virus infection in mice.
      ). Additionally, dexamethasone, an anti-inflammatory steroid, eliminated the effects of IL-1 administration (
      • Plata-Saláman C.R.
      Dexamethasone inhibits food intake suppression induced by low doses of interleukin-1β administered intracerebroventricularly.
      ). Collectively, these results point to an important, though perhaps not indispensable, role for IL-1 in disease-induced hypophagia.

      Tumor Necrosis Factor-α

      Tumor necrosis factor-α (TNF-α) is a cytokine produced primarily by macrophages and to a certain extent by other immune cells (
      • Beutler B.
      • Cerami A.
      The biology of cachectin/TNF — A primary mediator of the host response.
      ;
      • Plata-Saláman C.R.
      Immunoregulators in the nervous system.
      ). Astrocytes located in the brain produce TNF-α upon stimulation by LPS, IFN-γ, IL-1β, and certain viruses (
      • Lieberman A.P.
      • Pitha P.M.
      • Shin H.S.
      • Shin M.L.
      Production of tumor necrosis factor and other cytokines by astrocytes stimulated with lipopolysaccharide or a neurotropic virus.
      ;
      • Chung I.Y.
      • Benveniste E.N.
      Tumor necrosis factor-alpha production by astrocytes. Induction by lipopolysaccharide, IFN-gamma, and IL-1 beta.
      ). Infection can also upregulate expression of TNF-α in specific parts of the brain, including the arcuate nucleus of the hypothalamus (
      • Breder C.D.
      • Hazuka C.
      • Ghayur T.
      • Klug C.
      • Huginin M.
      • Yasuda K.
      • Teng M.
      • Saper C.B.
      Regional induction of tumor necrosis factor α expression in the mouse brain after systemic lipopolysaccharide administration.
      ). Furthermore, TNF-α is produced in adipose tissue, and its production increases with adipose tissue mass (Daniel et al., 2001).
      The most extensive evidence for the effects of TNF-α on FI is in mice and rats, pointing to hypophagic effects similar to those of IL-1β. The most dramatic reductions in FI occur during i.c.v. infusions in rats with dose-dependent responses up to 17 µg/kg of BW eliciting a 50% reduction in FI in the short term (
      • Bodnar R.J.
      • Pasternak G.W.
      • Mann P.E.
      • Paul D.
      • Warren R.
      • Donner D.B.
      Mediation of anorexia by human recombinant tumor necrosis factor through a peripheral action in the rat.
      ;
      • Fantino M.
      • Wieteska L.
      Evidence for a direct central anorectic effect of tumor-necrosis-factor-α in the rat.
      ;
      • Romanatto T.
      • Cesquini M.
      • Amaral M.E.
      • Roman E.
      • Moraes J.C.
      • Torsoni M.A.
      • Cruz-Neto A.P.
      • Velloso L.A.
      TNF-α acts in the hypothalamus inhibiting food intake and increasing the respiratory quotient—Effects on leptin and insulin signaling pathways.
      ) and an 18% reduction in total daily FI (
      • Plata-Saláman C.R.
      • Oomura Y.
      • Kai Y.
      Tumor necrosis factor and interluekin-1β: Suppression of food intake by direct action in the central nervous system.
      ,
      • Plata-Saláman C.R.
      • Vasselli J.R.
      • Sonti G.
      Differential responsiveness of obese (fa/fa) and lean (Fa/Fa) Zucker rats to cytokine-induced anorexia.
      ). Interestingly, micro-doses as small as 5 to 50 ng/kg of BW administered i.c.v. dose-dependently reduced FI in swine for up to 8 h (
      • Warren E.J.
      • Finck B.N.
      • Arkins S.
      • Kelley K.W.
      • Scamurra R.W.
      • Murtaugh M.P.
      • Johnson R.W.
      Coincidental changes in behavior and plasma cortisol in unrestrained pigs after intracerebroventricular injection of tumor necrosis factor-α.
      ). Peripheral i.p. administration of TNF-α showed mixed results, most likely due to the doses used.
      • Fantino M.
      • Wieteska L.
      Evidence for a direct central anorectic effect of tumor-necrosis-factor-α in the rat.
      showed no FI effect of 14 µg of TNF-α per kg of BW delivered i.p., which had successfully induced hypophagia via i.c.v. administration. However, when the i.p. dose was increased to ≥75 µg/kg of BW, intake declined 20 to 50% (
      • Tracey K.J.
      • Wei H.
      • Manogue K.R.
      • Fong Y.
      • Hesse D.G.
      • Nguyen H.T.
      • Kuo G.C.
      • Beutler B.
      • Cotran R.S.
      • Cerami A.
      Cachectin/tumor necrosis factor induces cachexia, anemia, and inflammation.
      ;
      • McCarthy D.O.
      Tumor necrosis factor-α and interleukin-6 have differential effects on food intake and gastric emptying in fasted rats.
      ). An i.v. dose of 30 µg/kg of BW did not affect FI during the first 2 d of infusion, but slightly depressed FI on d 3 of infusion (
      • Yang Z.-J.
      • Koseki M.
      • Meguid M.M.
      • Gleason J.R.
      • Debonis D.
      Synergistic effect of rhTNF-α and rhIL-1α in inducing anorexia in rats.
      ). Increasing the rate to 100 µg/kg of BW decreased FI over a 6-d continuous infusion (
      • Ling P.R.
      • Schwartz J.H.
      • Bistrian B.R.
      Mechanisms of host wasting induced by administration of cytokines in rats.
      ).
      Tumor necrosis factor-α has also been shown to influence FI in ruminants. Subcutaneous daily injection of TNF-α at varying stages of lactation decreased FI by 15 to 30% at doses of 1.5 to 3.0 µg/kg of BW (
      • Kushibiki S.
      • Hodate K.
      • Shingu H.
      • Obara Y.
      • Touno E.
      • Shinoda M.
      • Yokomizo Y.
      Metabolic and lactational responses during recombinant bovine tumor necrosis factor-α treatment in lactating cows.
      ;
      • Bradford B.J.
      • Mamedova L.K.
      • Minton J.E.
      • Drouillard J.S.
      • Johnson B.J.
      Daily injection of tumor necrosis factor-α increases hepatic triglycerides and alters transcript abundance of metabolic genes in lactating dairy cattle.
      ;
      • Yuan K.
      • Farney J.K.
      • Mamedova L.K.
      • Sordillo L.M.
      • Bradford B.J.
      TNFα altered inflammatory responses, impaired health and productivity, but did not affect glucose or lipid metabolism in early-lactation dairy cows.
      ), and an i.v. bolus of 4 µg/kg of BW depressed intake over a 3-h period in dwarf goats (
      • van Miert A.S.J.P.A.M.
      • van Duin C.T.M.
      • Wensing T.
      Fever and acute phase response induced in dwarf goats by endotoxin and bovine and human recombinant tumour necrosis factor-α.
      ). However, neither a 5 µg/kg of BW i.v. bolus in dairy heifers (
      • Kushibiki S.
      • Hodate K.
      • Shingu H.
      • Hayashi T.
      • Touno E.
      • Shinoda M.
      • Yokomizo Y.
      Alterations in lipid metabolism induced by recombinant bovine tumor necrosis factor- α administration to dairy heifers.
      ) nor a continuous infusion of 2 µg/kg of BW per day directly into adipose tissue of mature lactating cows altered FI (
      • Martel C.A.
      • Mamedova L.K.
      • Minton J.E.
      • Jones M.L.
      • Carroll J.A.
      • Bradford B.J.
      Continuous low-dose infusion of tumor necrosis factor-α in adipose tissue elevates adipose tissue interleukin 10 abundance and fails to alter metabolism in lactating dairy cows.
      ). The lack of response in the latter study may be a factor of the continuous nature of the infusion, similar to the delayed response noted during continuous i.v. infusion in mice (
      • Yang Z.-J.
      • Koseki M.
      • Meguid M.M.
      • Gleason J.R.
      • Debonis D.
      Synergistic effect of rhTNF-α and rhIL-1α in inducing anorexia in rats.
      ). Some animals are also inherently more sensitive to the effect of inflammatory stimuli on TNF-α production. Calves that were genetically predisposed to hyperactive TNF-α production experienced greater FI reduction following LPS exposure and took longer to return to baseline FI levels (
      • Elsasser T.H.
      • Blum J.W.
      • Kahl S.
      Characterization of calves exhibiting a novel inheritable TNF-α hyperresponsiveness to endotoxin: Associations with increased pathophysiological complications.
      ).
      The effects of TNF-α were further isolated by innovative studies that ameliorated the effects of the cytokine. Heat inactivation of TNF-α before administration eliminates its effects entirely in rats (
      • Plata-Saláman C.R.
      • Oomura Y.
      • Kai Y.
      Tumor necrosis factor and interluekin-1β: Suppression of food intake by direct action in the central nervous system.
      ), demonstrating that the intake depression in that study was not from the i.c.v. infusion procedure alone. Furthermore, administering an antibody specific for TNF-α ameliorated the decline in FI observed in mice not receiving the antibody (
      • Tracey K.J.
      • Wei H.
      • Manogue K.R.
      • Fong Y.
      • Hesse D.G.
      • Nguyen H.T.
      • Kuo G.C.
      • Beutler B.
      • Cotran R.S.
      • Cerami A.
      Cachectin/tumor necrosis factor induces cachexia, anemia, and inflammation.
      ). Pentoxifylline, which inhibits TNF-α production, prevented hypophagia during LPS administration, but not when TNF-α was co-administered (
      • Porter M.H.
      • Hrupka B.J.
      • Altreuther G.
      • Arnold M.
      • Langhans W.
      Inhibition of TNF-α production contributes to the attenuation of LPS-induced hypophagia by pentoxifylline.
      ), and a TNF-α binding protein tended to attenuate LPS-induced hypophagia in another study (
      • Swiergiel A.H.
      • Dunn A.J.
      The roles of IL-1, IL-6, and TNFα in the feeding responses to endotoxin and influenza virus infection in mice.
      ). It is noteworthy that TNF-α blockade counteracts LPS-induced hypophagia, because LPS administration is known to cause a thorough inflammatory response involving several inflammatory mediators capable of contributing to hypophagia. Furthermore, some chronic diseases produce prolonged increases in TNF-α circulation, such as cachexia or tumor growth, but administering a TNF-α receptor inhibitor restores FI (
      • Torelli G.F.
      • Meguid M.M.
      • Moldawer L.L.
      • Edwards III, C.K.
      • Kim H.J.
      • Carter J.L.
      • Laviano A.
      • Fanelli F.R.
      Use of recombinant human soluble TNF receptor in anorectic tumor-bearing rats.
      ;
      • Steffen B.T.
      • Lees S.J.
      • Booth F.W.
      Anti-TNF treatment reduces rat skeletal muscle wasting in monocrotaline-induced cardiac cachexia.
      ).
      Evidence suggests that effects of TNF-α on FI reduction may occur both centrally and peripherally. The firing rate of neurons in the ventromedial hypothalamus, a key site for the global regulation of FI (
      • King B.M.
      The rise, fall, and resurrection of the ventromedial hypothalamus in the regulation of feeding behavior and body weight.
      ), is inhibited by TNF-α in a dose-dependent manner, but adding the anti-inflammatory drug sodium salicylate maintains the firing rate (
      • Katafuchi T.
      • Motomura K.
      • Baba S.
      • Ota K.
      • Hori T.
      Differential effects of tumor necrosis factor-alpha and -beta on rat ventromedial hypothalamic neurons in vitro.
      ). Although one study using a very high i.v. dose indicated that the FI reduction by TNF-α perhaps resulted from decreased gastric emptying (
      • Patton J.S.
      • Peters P.M.
      • Mccabe J.
      • Crase D.
      • Hansen S.
      • Chen A.B.
      • Liggitt D.
      Development of partial tolerance to the gastrointestinal effects of high doses of recombinant tumor necrosis factor-α in rodents.
      ), others have shown no change in gastric emptying despite declining FI during i.p. administration (
      • McCarthy D.O.
      Tumor necrosis factor-α and interleukin-6 have differential effects on food intake and gastric emptying in fasted rats.
      ). These differences may reflect multiple sites of action, but TNF-α can cross the blood–brain barrier in both directions (
      • Bodnar R.J.
      • Pasternak G.W.
      • Mann P.E.
      • Paul D.
      • Warren R.
      • Donner D.B.
      Mediation of anorexia by human recombinant tumor necrosis factor through a peripheral action in the rat.
      ;
      • Gutierrez E.G.
      • Banks W.A.
      • Kastin A.J.
      Murine tumor necrosis factor alpha is transported from blood to brain in the mouse.
      ).

      Synergistic Effects of Cytokines

      Although most of the cytokines discussed thus far have been evaluated individually, the reality during an inflammatory response is that multiple cytokines have elevated concentrations. This prompts the question whether the effects of these cytokines may be additive or even synergistic. Due to their strong hypophagic properties individually, the most common combination for testing synergistic responses is IL-1β and TNF-α. In most studies, the combination of IL-1β and TNF-α administered i.v., i.p., or i.c.v. at rates previously shown to have an effect on FI exacerbated the degree of hypophagia compared with the individual cytokines alone (
      • Van der Meer M.J.
      • Sweep C.G.
      • Pesman G.J.
      • Borm G.F.
      • Hermus A.R.
      Synergism between IL-1β and TNF-α on the activity of the pituitary-adrenal axis and on food intake of rats.
      ;
      • Grunfeld C.
      • Zhao C.
      • Fuller J.
      • Pollack A.
      • Moser A.
      • Friedman J.
      • Feingold K.R.
      Endotoxin and cytokines induce expression of leptin, the ob gene product, in hamsters.
      ;
      • Sonti G.
      • Ilyin S.E.
      • Plata-Saláman C.R.
      Anorexia induced by cytokine interactions at pathophysiological concentrations.
      ).
      This synergistic effect may be due in part to how these cytokines potentiate the production of other cytokines. For example, TNF-α stimulates production of IL-1 in mononuclear cells (
      • Dinarello C.A.
      • Cannon J.G.
      • Wolff S.M.
      • Bernheim H.A.
      • Beutler B.
      • Cerami A.
      • Figari I.S.
      • Palladino Jr., M.A.
      • O'Connor J.V.
      Tumor necrosis factor (cachectin) is an endogenous pyrogen and induces production of interleukin 1.
      ), and IL-1 may be required for the release of IL-6 (
      • Miller A.J.
      • Hopkins S.J.
      • Luheshi G.N.
      Sites of action of IL-1 in the development of fever and cytokine responses to tissue in inflammation in the rat.
      ;
      • Luheshi G.N.
      • Gardner J.D.
      • Rushforth D.A.
      • Loudon A.S.
      • Rothwell N.J.
      Leptin actions on food intake and body temperature are mediated by IL-1.
      ). Despite the very clear evidence that IL-1β reduces FI centrally and peripherally, IL-1β knockout mice and wild-type mice both had massive reductions in food intake during LPS administration (
      • Kozak W.
      • Zheng H.
      • Conn C.A.
      • Soszynski D.
      • van der Ploeg L.H.T.
      • Kluger M.J.
      Thermal and behavioral effects of lipopolysaccharide and influenza in interleukin-1β-deficient mice.
      ). In another example, blocking corticotropin-releasing hormone during IL-1 infusion partially rescued FI reductions (
      • Uehara A.
      • Sekiya C.
      • Takasugi Y.
      • Namiki M.
      • Arimura A.
      Anorexia induced by interleukin 1: Involvement of corticotropin-releasing factor.
      ). The anti-inflammatory agent ibuprofen did not alleviate hypophagia induced by LPS and IL-6, but it did overcome FI reduction induced by high-dose TNF-α (
      • McCarthy D.O.
      Tumor necrosis factor-α and interleukin-6 have differential effects on food intake and gastric emptying in fasted rats.
      ), clearly demonstrating cascading effects of LPS and IL-6 to potentiate other mechanisms of FI reduction. However, the increase in IL-1ra during LPS infusion also demonstrates that inflammatory resolution mechanisms help prevent uncontrolled cytokine release (
      • Gabellec M.M.
      • Griffais R.
      • Fillion G.
      • Haour F.
      Expression of interleukin 1α, interleukin 1β and interleukin 1 receptor antagonist mRNA in mouse brain: Regulation by bacterial lipopolysaccharide (LPS) treatment.
      ). Across studies, when a cytokine is administered in a way that alters FI, other cytokines that are known to have a hypophagic effect are generally not measured, which makes FI responses more difficult to interpret.

      OTHER FACTORS AFFECTING FEED INTAKE DURING DISEASE

      Leptin

      Leptin is a hormone produced by adipose tissue that acts on the hypothalamus to reduce FI (
      • Zhou Y.
      • Rui L.
      Leptin signaling and leptin resistance.
      ). Leptin was discovered shortly after the peak of research evaluating cytokine effects on FI, creating a natural bridge to investigate potential synergy across these signals. Early work showed that LPS increased adipose tissue leptin mRNA (
      • Grunfeld C.
      • Zhao C.
      • Fuller J.
      • Pollack A.
      • Moser A.
      • Friedman J.
      • Feingold K.R.
      Endotoxin and cytokines induce expression of leptin, the ob gene product, in hamsters.
      ;
      • Sarraf P.
      • Frederich R.C.
      • Turner E.M.
      • Ma G.
      • Jaskowiak N.T.
      • Rivet III, D.J.
      • Flier J.S.
      • Lowell B.B.
      • Fraker D.L.
      • Alexander H.R.
      Multiple cytokines and acute inflammation raise mouse leptin levels: Potential role in inflammatory anorexia.
      ) and plasma leptin concentration (
      • Francis J.
      • MohanKumar P.S.
      • MohanKumar S.M.J.
      • Quadri S.K.
      Systemic administration of lipopolysaccharide increases plasma leptin levels.
      ,
      • Francis J.
      • MohanKumar S.M.J.
      • MohanKumar P.S.
      Correlations of norepinephrine release in the paraventricular nucleus with plasma corticosterone and leptin after systemic lipopolysaccharide: Blockade by soluble IL-1 receptor.
      ), and also decreased FI in a dose-dependent manner (
      • Grunfeld C.
      • Zhao C.
      • Fuller J.
      • Pollack A.
      • Moser A.
      • Friedman J.
      • Feingold K.R.
      Endotoxin and cytokines induce expression of leptin, the ob gene product, in hamsters.
      ). Furthermore, TNF-α and IL-1 also increased adipose tissue leptin mRNA (
      • Grunfeld C.
      • Zhao C.
      • Fuller J.
      • Pollack A.
      • Moser A.
      • Friedman J.
      • Feingold K.R.
      Endotoxin and cytokines induce expression of leptin, the ob gene product, in hamsters.
      ) and circulating leptin concentration, with TNF-α having a more pronounced effect (
      • Sarraf P.
      • Frederich R.C.
      • Turner E.M.
      • Ma G.
      • Jaskowiak N.T.
      • Rivet III, D.J.
      • Flier J.S.
      • Lowell B.B.
      • Fraker D.L.
      • Alexander H.R.
      Multiple cytokines and acute inflammation raise mouse leptin levels: Potential role in inflammatory anorexia.
      ). Using mice that have macrophages that are insensitive to LPS,
      • Finck B.N.
      • Kelley K.W.
      • Dantzer R.
      • Johnson R.W.
      In vivo and in vitro evidence for the involvement of tumor necrosis factor-α in the induction of leptin by lipopolysaccharide.
      showed that LPS did not increase plasma TNF-α or leptin in these endotoxin-insensitive mice, but that TNF-α administration did increase plasma leptin concentration in both LPS-insensitive and wild-type mice. This group went on to show that the TNF receptor is required in adipose tissue for TNF-α-stimulated leptin responses (
      • Finck B.N.
      • Johnson R.W.
      Tumor necrosis factor (TNF)-α induces leptin production through the p55 TNF receptor.
      ). Additionally, this TNF-α-mediated leptin secretion may be partially mediated by insulin (
      • Medina E.A.
      • Erickson K.L.
      • Stanhope K.L.
      • Havel P.J.
      Evidence that tumor necrosis factor- α–induced hyperinsulinemia prevents decreases of circulating leptin during fasting in rats.
      ), although the effects of insulin on leptin secretion can continue when TNF receptors are blocked (
      • Finck B.N.
      • Johnson R.W.
      Tumor necrosis factor (TNF)-α induces leptin production through the p55 TNF receptor.
      ).
      Although an important role of leptin is to provide negative feedback on FI, there is evidence that it may potentiate the actions of cytokines to further reduce FI during illness (Figure 1). Leptin induces expression of IL-1β in the mouse brain, including in mice lacking leptin receptors (
      • Hosoi T.
      • Okuma Y.
      • Nomura Y.
      Leptin regulates interleukin-1β expression in the brain via the STAT3-independent mechanisms.
      ). Further, administration of a leptin antibody reduces the expression of IL-1β and IL-1ra in the hypothalamus (
      • Sachot C.
      • Poole S.
      • Luheshi G.N.
      Circulating leptin mediates lipopolysaccharide-induced anorexia and fever in rats.
      ). Blocking the IL-1 receptor with an antagonist ameliorates leptin's hypophagic effects, and mice lacking the IL-1 receptor do not experience leptin-induced hypophagia (
      • Luheshi G.N.
      • Gardner J.D.
      • Rushforth D.A.
      • Loudon A.S.
      • Rothwell N.J.
      Leptin actions on food intake and body temperature are mediated by IL-1.
      ). Some work has suggested that leptin-deficient mice have greater mortality during infection (
      • Faggioni R.
      • Fantuzzi G.
      • Gabay C.
      • Moser A.
      • Dinarello C.A.
      • Feingold K.R.
      • Grunfeld C.
      Leptin deficiency enhances sensitivity to endotoxin-induced lethality.
      ;
      • Mancuso P.
      • Gottschalk A.
      • Phare S.M.
      • Peters-Golden M.
      • Lukacs N.W.
      • Huffnagle G.B.
      Leptin-deficient mice exhibit impaired host defense in gram-negative pneumonia.
      ), although this effect may not be due to a lack of reduction in FI, but rather the role leptin plays in enhancing immunocompetency (
      • Lord G.M.
      • Matarese G.
      • Howard J.K.
      • Baker R.J.
      • Bloom S.R.
      • Lechler R.I.
      Leptin modulates the T-cell immune response and reverses starvation-induced immunosuppression.
      ;
      • Johnson R.W.
      • Finck B.N.
      Tumor necrosis factor α and leptin: Two players in an animal's metabolic and immunologic responses to infection.
      ;
      • Lago R.
      • Gomez R.
      • Lago F.
      • Gomez-Reino J.
      • Gualillo O.
      Leptin beyond body weight regulation—Current concepts concerning its role in immune function and inflammation.
      ).
      Figure thumbnail gr1
      Figure 1Putative mechanisms of action of IL-1β and tumor necrosis factor-α (TNF-α) on feed intake. Macrophages produce cytokines when activated, which then bind receptors on glucose-responsive neurons in the hypothalamus to trigger a reduction in feed intake. Peripheral TNF-α also induces adipose tissue leptin production, which further stimulates central production of IL-1β in a unique endocrine-immune crosstalk mechanism. Figure created using BioRender (https://biorender.com/).
      However, as noted with several cytokines, LPS can induce hypophagia in the absence of leptin (
      • Faggioni R.
      • Fuller J.
      • Moser A.
      • Feingold K.
      • Grunfeld C.
      LPS-induced anorexia in leptin-deficient (ob/ob) and leptin receptor-deficient (db/db) mice.
      ). In the limited work conducted in ruminants regarding this topic, TNF-α or LPS effects on plasma leptin are mixed. Two studies reported that TNF-α or LPS failed to increase plasma leptin concentration in sheep and dairy cows (
      • Soliman M.
      • Abdelhady S.
      • Fattouh I.
      • Ishioka K.
      • Kitamura H.
      • Kimura K.
      • Saito M.
      No alteration in serum leptin levels during acute endotoxemia in sheep.
      ;
      • Waldron M.R.
      • Nishida T.
      • Nonnecke B.J.
      • Overton T.R.
      Effect of lipopolysaccharide on indices of peripheral and hepatic metabolism in lactating cows.
      ). In contrast, others demonstrated a marginal ability for LPS challenge to increase peak leptin concentration in sheep (Daniel et al., 2001), and vaccination against respiratory pathogens increased plasma leptin in beef heifers (
      • Rodrigues M.C.
      • Cooke R.F.
      • Marques R.S.
      • Cappellozza B.I.
      • Arispe S.A.
      • Keisler D.H.
      • Bohnert D.W.
      Effects of vaccination against respiratory pathogens on feed intake, metabolic, and inflammatory responses in beef heifers.
      ). In beef steers, LPS increased plasma leptin for at least 60 h after the challenge began (
      • Lippolis K.D.
      • Cooke R.F.
      • Schubach K.M.
      • Marques R.S.
      • Bohnert D.W.
      Effects of intravenous lipopolysaccharide administration on feed intake, ruminal forage degradability, and liquid parameters and physiological responses in beef cattle.
      ). Even in healthy ruminants, leptin's effects on FI are limited to animals in long-term positive energy balance (
      • Henry B.A.
      • Goding J.W.
      • Tilbrook A.J.
      • Dunshea F.R.
      • Clarke I.J.
      Intracerebroventricular infusion of leptin elevates the secretion of luteinising hormone without affecting food intake in long-term food-restricted sheep, but increases growth hormone irrespective of bodyweight.
      ;
      • Morrison C.D.
      • Daniel J.A.
      • Holmberg B.J.
      • Djiane J.
      • Raver N.
      • Gertler A.
      • Keisler D.H.
      Central infusion of leptin into well-fed and undernourished ewe lambs: Effects on feed intake and serum concentrations of growth hormone and luteinizing hormone.
      ;
      • Ehrhardt R.A.
      • Foskolos A.
      • Giesy S.L.
      • Wesolowski S.R.
      • Krumm C.S.
      • Butler W.R.
      • Quirk S.M.
      • Waldron M.R.
      • Boisclair Y.R.
      Increased plasma leptin attenuates adaptive metabolism in early lactating dairy cows.
      ) and seem to be mostly observed after supraphysiological central administration (
      • Henry B.A.
      • Goding J.W.
      • Tilbrook A.J.
      • Dunshea F.R.
      • Clarke I.J.
      Intracerebroventricular infusion of leptin elevates the secretion of luteinising hormone without affecting food intake in long-term food-restricted sheep, but increases growth hormone irrespective of bodyweight.
      ;
      • Morrison C.D.
      • Daniel J.A.
      • Holmberg B.J.
      • Djiane J.
      • Raver N.
      • Gertler A.
      • Keisler D.H.
      Central infusion of leptin into well-fed and undernourished ewe lambs: Effects on feed intake and serum concentrations of growth hormone and luteinizing hormone.
      ;
      • Foskolos A.
      • Ehrhardt R.A.
      • Hileman S.M.
      • Gertler A.
      • Boisclair Y.R.
      Insensitivity of well-conditioned mature sheep to central administration of a leptin receptor antagonist.
      ) with transient or no effects in response to peripheral administration (
      • Morrison C.D.
      • Wood R.
      • Mcfadin E.L.
      • Whitley N.C.
      • Keisler D.H.
      Effect of intravenous infusion of recombinant ovine leptin on feed intake and serum concentrations of GH, LH, insulin, IGF-1, cortisol, and thyroxine in growing prepubertal ewe lambs.
      ;
      • Ehrhardt R.A.
      • Foskolos A.
      • Giesy S.L.
      • Wesolowski S.R.
      • Krumm C.S.
      • Butler W.R.
      • Quirk S.M.
      • Waldron M.R.
      • Boisclair Y.R.
      Increased plasma leptin attenuates adaptive metabolism in early lactating dairy cows.
      ).

      Acute-Phase Proteins

      In the animal sciences, acute-phase proteins (APP) have largely been investigated to understand the immunological or inflammatory status of an animal. The relationship between serum APP concentrations and FI is typically inverse during the initial immune activation (
      • Pfeffer A.
      • Rogers K.M.
      • O'Keeffe L.
      • Osborn P.J.
      Acute phase protein response, food intake, liveweight change and lesions following intrathoracic injection of yeast in sheep.
      ;
      • Kvidera S.K.
      • Dickson M.J.
      • Abuajamieh M.
      • Snider D.B.
      • Fernandez M.V.S.
      • Johnson J.S.
      • Keating A.F.
      • Gorden P.J.
      • Green H.B.
      • Schoenberg K.M.
      • Baumgard L.H.
      Intentionally induced intestinal barrier dysfunction causes inflammation, affects metabolism, and reduces productivity in lactating Holstein cows.
      ;
      • Horst E.A.
      • Mayorga E.J.
      • Al-Qaisi M.
      • Abeyta M.A.
      • Goetz B.M.
      • Ramirez Ramirez H.A.
      • Kleinschmit D.H.
      • Baumgard L.H.
      Effects of dietary zinc source on the metabolic and immunological response to lipopolysaccharide in lactating Holstein dairy cows.
      ), although this is not always the case (
      • Arthington J.D.
      • Cooke R.F.
      • Maddock T.D.
      • Araujo D.B.
      • Moriel P.
      • Dilorenzo N.
      • Lamb G.C.
      Effects of vaccination on the acute-phase protein response and measures of performance in growing beef calves.
      ). A few groups have evaluated statistical relationships between APP and FI. In a large-scale observational study, plasma α-1-acid glycoprotein (AGP) concentration was negatively associated with DMI in postpartum dairy cows (
      • Brown W.E.
      • Garcia M.
      • Mamedova L.K.
      • Christman K.R.
      • Zenobi M.G.
      • Staples C.R.
      • Leno B.M.
      • Overton T.R.
      • Whitlock B.K.
      • Daniel J.A.
      • Bradford B.J.
      Acute-phase protein α-1-acid glycoprotein is negatively associated with feed intake in postpartum dairy cows.
      ), and serum AGP was negatively correlated with FI in 18- and 24-wk-old pigs (
      • Clapperton M.
      • Bishop S.C.
      • Cameron N.D.
      • Glass E.J.
      Associations of acute phase protein levels with growth performance and with selection for growth performance in Large White pigs.
      ). In pigs challenged with LPS, serum amyloid A was the only APP to increase and was negatively associated with FI (
      • Frank J.W.
      • Mellencamp M.A.
      • Carroll J.A.
      • Boyd R.D.
      • Allee G.L.
      Acute feed intake and acute-phase protein responses following a lipopolysaccharide challenge in pigs from two dam lines.
      ). Very limited work has been conducted to elucidate whether APP possess a direct role in hypophagia, with that work focusing on AGP. α-1-Acid glycoprotein is produced primarily in the liver during an acute-phase response (
      • Hochepied T.
      • Berger F.G.
      • Baumann H.
      • Libert C.
      α1-Acid glycoprotein: An acute phase protein with inflammatory and immunomodulating properties.
      ). Infusion of AGP into the CNS decreased FI in rats (
      • Bellinger L.L.
      • Mendel V.E.
      The effects of semi- and HPLC-purified human satietin and alpha-1-glycoprotein on ingestion and body weight.
      ), and similar results were obtained from an elegant study using i.p. and i.v. infusions (
      • Sun Y.
      • Yang Y.
      • Qin Z.
      • Cai J.
      • Guo X.
      • Tang Y.
      • Wan J.
      • Su D.F.
      • Liu X.
      The acute-phase protein orosomucoid regulates food intake and energy homeostasis via leptin receptor signaling pathway.
      ).
      • Sun Y.
      • Yang Y.
      • Qin Z.
      • Cai J.
      • Guo X.
      • Tang Y.
      • Wan J.
      • Su D.F.
      • Liu X.
      The acute-phase protein orosomucoid regulates food intake and energy homeostasis via leptin receptor signaling pathway.
      provided evidence that the mechanism of AGP-induced hypophagia was through AGP binding the hypothalamic leptin receptor and activating the intracellular JAK2-STAT3 pathway. This spurred a flurry of recent work in ruminants seeking a mechanistic link between AGP and FI. There was no evidence of hypophagia in sheep subjected to i.c.v. infusion of bovine AGP (
      • Gregg B.A.
      • Parker P.A.
      • Waller K.M.
      • Schneider L.G.
      • Garcia M.
      • Bradford B.
      • Daniel J.A.
      • Whitlock B.K.
      Effects of central and peripheral administration of an acute-phase protein, α-1-acid-glycoprotein, on feed intake and rectal temperature in sheep.
      ), and both bovine and human AGP failed to activate STAT3 signaling through the bovine leptin receptor in vitro (
      • McGuckin M.M.
      • Giesy S.L.
      • Davis A.N.
      • Abyeta M.A.
      • Horst E.A.
      • Saed Samii S.
      • Zang Y.
      • Butler W.R.
      • Baumgard L.H.
      • McFadden J.W.
      • Boisclair Y.R.
      The acute phase protein orosomucoid 1 is upregulated in early lactation but does not trigger appetite-suppressing STAT3 signaling via the leptin receptor.
      ). The compelling evidence for a mechanistic effect of AGP in rodents but not in ruminants is in some ways similar to the diverging effects of TNF-α on leptin secretion in rodents and ruminants. This suggests different physiological systems that control FI during disease among species. Nevertheless, the possibility that an APP can independently affect FI opens a new realm of possibilities for understanding mechanisms of hypophagia during disease.

      Gastrointestinal Motility and Gastric Emptying

      Disease and inflammation have a marked effect on gastrointestinal motility and secretions, with consequences for the animal's ability to consume food. Rumination and rumen motility are necessary to reduce particle size for passage through the rumen and promote additional feed consumption. In several studies, administration of endotoxin (
      • van Miert A.S.J.P.A.M.
      • van Duin C.T.M.
      • Wensing T.
      Fever and acute phase response induced in dwarf goats by endotoxin and bovine and human recombinant tumour necrosis factor-α.
      ;
      • Plaza M.A.
      • Fioramonti J.
      • Bueno L.
      Role of central interleukin-1β in gastrointestinal motor disturbances induced by lipopolysaccharide in sheep.
      ;
      • Jacobsen S.
      • Toelboell T.
      • Andersen P.H.
      Dose dependency and individual variability in selected clinical, haematological and blood biochemical responses after systemic lipopolysaccharide challenge in cattle.
      ), IL-1β (
      • van Miert A.S.J.P.A.M.
      • Kaya F.
      • van Duin C.T.M.
      Changes in food intake and forestomach motility of dwarf goats by recombinant bovine cytokines (IL-1β, IL-2) and IFN-γ.
      ), and TNF-α (
      • Hermann G.E.
      • Tovar C.A.M.Y.
      • Rogers R.C.
      Induction of endogenous tumor necrosis factor-α: suppression of centrally stimulated gastric motility.
      , 2003) reduced gastrointestinal motility in rodents and small ruminants. In ruminants, the decrease in rumen contraction frequency and amplitude caused by LPS (
      • van Miert A.S.J.P.A.M.
      • van Duin C.T.M.
      • Wensing T.
      Fever and acute phase response induced in dwarf goats by endotoxin and bovine and human recombinant tumour necrosis factor-α.
      ,
      • van Miert A.S.J.P.A.M.
      • Kaya F.
      • van Duin C.T.M.
      Changes in food intake and forestomach motility of dwarf goats by recombinant bovine cytokines (IL-1β, IL-2) and IFN-γ.
      ;
      • Plaza M.A.
      • Fioramonti J.
      • Bueno L.
      Role of central interleukin-1β in gastrointestinal motor disturbances induced by lipopolysaccharide in sheep.
      ) may be the culprit for decreasing the rumen content passage rate (
      • Waggoner J.W.
      • Löest C.A.
      • Mathis C.P.
      • Hallford D.M.
      • Petersen M.K.
      Effects of rumen-protected methionine supplementation and bacterial lipopolysaccharide infusion on nitrogen metabolism and hormonal responses of growing beef steers.
      ,
      • Waggoner J.W.
      • Löest C.A.
      • Turner J.L.
      • Mathis C.P.
      • Hallford D.M.
      Effects of dietary protein and bacterial lipopolysaccharide infusion on nitrogen metabolism and hormonal responses of growing beef steers.
      ;
      • Lippolis K.D.
      • Cooke R.F.
      • Schubach K.M.
      • Marques R.S.
      • Bohnert D.W.
      Effects of intravenous lipopolysaccharide administration on feed intake, ruminal forage degradability, and liquid parameters and physiological responses in beef cattle.
      ). Endotoxin and IL-1β also inhibit gastric secretion and delay gastric emptying (
      • Uehara A.
      • Okumura T.
      • Okamura K.
      • Takasugi Y.
      • Namiki M.
      Lipopolysaccharide-induced inhibition of gastric acid and pepsin secretion in rats.
      ;
      • Robert A.
      • Olafsson A.S.
      • Lancaster C.
      • Zhang W.
      Interleukin-1 is cytoprotective, antisecretory, stimulates PGE2 synthesis by the stomach, and retards gastric emptying.
      ;
      • Jennings G.
      • Lunn P.G.
      • Elia M.
      The effect of endotoxin on gastrointestinal transit time and intestinal permeability.
      ). It must be pointed out, however, that the effects of an immune response on passage rate and gastric function are confounded with reduced FI, because meals trigger increased gastrointestinal motility. Therefore, an assertion of the ability of cytokines or other immune factors to directly mediate these responses should be interpreted cautiously.
      Mechanistically, the action of TNF-α to inhibit gastric motility most likely occurs in the brainstem's dorsal vagal complex (
      • Hermann G.
      • Rogers R.C.
      Tumor necrosis factor-α in the dorsal vagal complex suppresses gastric motility.
      ;
      • Hermann G.E.
      • Tovar C.A.M.Y.
      • Rogers R.C.
      Induction of endogenous tumor necrosis factor-α: suppression of centrally stimulated gastric motility.
      , 2003) and locally in the gut, as illustrated by in vitro work (
      • Montuschi P.
      • Preziosi P.
      • Navarra P.
      Interleukin-1α and tumor necrosis factor inhibit rat gastric fundus motility in vitro.
      ). The dose-dependent peripheral action of IL-1β on gastric motility (
      • Montuschi P.
      • Preziosi P.
      • Navarra P.
      Interleukin-1α and tumor necrosis factor inhibit rat gastric fundus motility in vitro.
      ) may be through inhibition of acetylcholine release from myenteric neurons in circular smooth muscle (
      • Cao W.
      • Cheng L.
      • Behar J.
      • Fiocchi C.
      • Biancani P.
      • Harnett K.M.
      Proinflammatory cytokines alter/reduce esophageal circular muscle contraction in experimental cat esophagitis.
      ). Administration of IL-1ra both i.p. and i.c.v. restores some gastric (
      • Tsuchiya Y.
      • Nozu T.
      • Kumei S.
      • Ohhira M.
      • Okumura T.
      IL-1 receptor antagonist blocks the lipopolysaccharide-induced inhibition of gastric motility in freely moving conscious rats.
      ) and reticulo-rumen motility (
      • Plaza M.A.
      • Fioramonti J.
      • Bueno L.
      Role of central interleukin-1β in gastrointestinal motor disturbances induced by lipopolysaccharide in sheep.
      ).
      Another factor potentially contributing to hypophagia experienced during inflammation is the reduction in blood Ca concentration. Blood ionized and total Ca concentrations decline during endotoxin challenge in dairy cows (
      • Waldron M.R.
      • Nonnecke B.J.
      • Nishida T.
      • Horst R.L.
      • Overton T.R.
      Effect of lipopolysaccharide infusion on serum macromineral and Vitamin D concentrations in dairy cows.
      ;
      • Jacobsen S.
      • Toelboell T.
      • Andersen P.H.
      Dose dependency and individual variability in selected clinical, haematological and blood biochemical responses after systemic lipopolysaccharide challenge in cattle.
      ;
      • Al-Qaisi M.
      • Kvidera S.K.
      • Horst E.A.
      • McCarthy C.S.
      • Mayorga E.J.
      • Abeyta M.A.
      • Goetz B.M.
      • Upah N.C.
      • McKilligan D.M.
      • Ramirez-Ramirez H.A.
      • Timms L.L.
      • Baumgard L.H.
      Effects of an oral supplement containing calcium and live yeast on post-absorptive metabolism, inflammation and production following intravenous lipopolysaccharide infusion in dairy cows.
      ;
      • Horst E.A.
      • Mayorga E.J.
      • Al-Qaisi M.
      • Abeyta M.A.
      • Portner S.L.
      • McCarthy C.S.
      • Goetz B.M.
      • Kvidera S.K.
      • Baumgard L.H.
      Effects of maintaining eucalcemia following immunoactivation in lactating Holstein dairy cows.
      ) to concentrations often considered subclinically hypocalcemic (
      • Martinez N.
      • Rodney R.M.
      • Block E.
      • Hernandez L.L.
      • Nelson C.D.
      • Lean I.J.
      • Santos J.E.P.
      Effects of prepartum dietary cation-anion difference and source of vitamin D in dairy cows: Health and reproductive responses.
      ). Calcium is required for smooth muscle contraction, and experimentally binding blood Ca to induce subclinical hypocalcemia reduces ruminal and abomasal contraction frequency, contraction amplitude (
      • Daniel R.C.W.
      Motility of the rumen and abomasum during hypocalcaemia.
      ;
      • Jørgensen R.J.
      • Nyengaard N.R.
      • Ham S.
      • Enemark J.M.
      • Andersen P.H.
      Rumen motility during induced hyper- and hypocalcaemia.
      ), and FI (
      • Hansen S.S.
      • Nörgaard P.
      • Pedersen C.
      • Jörgensen R.J.
      • Mellau L.S.B.
      The effect of subclinical hypocalcaemia induced by Na2EDTA on the feed intake and chewing activity of dairy cows.
      ;
      • Martinez N.
      • Sinedino L.D.P.
      • Bisinotto R.S.
      • Ribeiro E.S.
      • Gomes G.C.
      • Lima F.S.
      • Greco L.F.
      • Risco C.A.
      • Galvão K.N.
      • Taylor-Rodriguez D.
      • Driver J.P.
      • Thatcher W.W.
      • Santos J.E.P.
      Effect of induced subclinical hypocalcemia on physiological responses and neutrophil function in dairy cows.
      ). Additionally, rumination rate is positively related to plasma Ca concentration in cows with subclinical and clinical hypocalcemia (
      • Goff J.P.
      • Hohman A.
      • Timms L.L.
      Effect of subclinical and clinical hypocalcemia and dietary cation-anion difference on rumination activity in periparturient dairy cows.
      ) with rumination serving as an indicator of rumen motility. Dry matter intake is rapidly recovered when blood Ca concentrations return to normal (
      • Hansen S.S.
      • Nörgaard P.
      • Pedersen C.
      • Jörgensen R.J.
      • Mellau L.S.B.
      The effect of subclinical hypocalcaemia induced by Na2EDTA on the feed intake and chewing activity of dairy cows.
      ;
      • Goff J.P.
      • Hohman A.
      • Timms L.L.
      Effect of subclinical and clinical hypocalcemia and dietary cation-anion difference on rumination activity in periparturient dairy cows.
      ).
      Nonetheless, rumen contraction frequency and amplitude (
      • Van Miert A.S.J.P.A.M.
      Fever, anorexia and forestomach hypomotility in ruminants.
      ) and FI (
      • Horst E.A.
      • Mayorga E.J.
      • Al-Qaisi M.
      • Abeyta M.A.
      • Portner S.L.
      • McCarthy C.S.
      • Goetz B.M.
      • Kvidera S.K.
      • Baumgard L.H.
      Effects of maintaining eucalcemia following immunoactivation in lactating Holstein dairy cows.
      ) are not necessarily rescued when Ca is administered during an endotoxin challenge. Additionally, FI is still impaired in cows that do not fall into the subclinical hypocalcemic category during an endotoxin challenge (
      • Zebeli Q.
      • Sivaraman S.
      • Dunn S.M.
      • Ametaj B.N.
      Intermittent parenteral administration of endotoxin triggers metabolic and immunological alterations typically associated with displaced abomasum and retained placenta in periparturient dairy cows.
      ), and normocalcemia is typically recovered several days before FI returns to normal post challenge (
      • Waldron M.R.
      • Nishida T.
      • Nonnecke B.J.
      • Overton T.R.
      Effect of lipopolysaccharide on indices of peripheral and hepatic metabolism in lactating cows.
      ,
      • Waldron M.R.
      • Nonnecke B.J.
      • Nishida T.
      • Horst R.L.
      • Overton T.R.
      Effect of lipopolysaccharide infusion on serum macromineral and Vitamin D concentrations in dairy cows.
      ;
      • Horst E.A.
      • Mayorga E.J.
      • Al-Qaisi M.
      • Abeyta M.A.
      • Portner S.L.
      • McCarthy C.S.
      • Goetz B.M.
      • Kvidera S.K.
      • Baumgard L.H.
      Effects of maintaining eucalcemia following immunoactivation in lactating Holstein dairy cows.
      ). Although hypocalcemia has very clear effects in reducing ruminal motility and FI, its effects appear to be transitory, and cytokine action (or other signals) during an inflammatory response may have a more powerful and long-lasting role in altering motility and intake.

      IMPLICATIONS IN DAIRY CATTLE

      Transition Dairy Cows

      The transition period in dairy cattle, defined as 3 wk prepartum to 3 wk postpartum, is a challenging time during which the cow encounters a myriad of potential metabolic and infectious diseases. After parturition, there is a considerable spike in circulating positive APP (
      • Jafari A.
      • Emmanuel D.G.V.
      • Christopherson R.J.
      • Thompson J.R.
      • Murdoch G.K.
      • Woodward J.
      • Field C.J.
      • Ametaj B.N.
      Parenteral administration of glutamine modulates acute phase response in postparturient dairy cows.
      ;
      • Zaworski E.M.
      • Shriver-Munsch C.M.
      • Fadden N.A.
      • Sanchez W.K.
      • Yoon I.
      • Bobe G.
      Effects of feeding various dosages of Saccharomyces cerevisiae fermentation product in transition dairy cows.
      ;
      • McGuckin M.M.
      • Giesy S.L.
      • Davis A.N.
      • Abyeta M.A.
      • Horst E.A.
      • Saed Samii S.
      • Zang Y.
      • Butler W.R.
      • Baumgard L.H.
      • McFadden J.W.
      • Boisclair Y.R.
      The acute phase protein orosomucoid 1 is upregulated in early lactation but does not trigger appetite-suppressing STAT3 signaling via the leptin receptor.
      ); on the other hand, limited work shows that cytokines such as IL-1β and TNF-α appear to decline over the transition period (
      • Schoenberg K.M.
      • Perfield K.L.
      • Farney J.K.
      • Bradford B.J.
      • Boisclair Y.R.
      • Overton T.R.
      Effects of prepartum 2,4-thiazolidinedione on insulin sensitivity, plasma concentrations of tumor necrosis factor-α and leptin, and adipose tissue gene expression.
      ;
      • Dervishi E.
      • Zhang G.
      • Hailemariam D.
      • Goldansaz S.A.
      • Deng Q.
      • Dunn S.M.
      • Ametaj B.N.
      Alterations in innate immunity reactants and carbohydrate and lipid metabolism precede occurrence of metritis in transition dairy cows.
      ;
      • Trevisi E.
      • Jahan N.
      • Bertoni G.
      • Ferrari A.
      • Minuti A.
      Pro-inflammatory cytokine profile in dairy cows: Consequences for new lactation.
      ) despite in vitro evidence that production of hypophagic cytokines by immune cells is enhanced peripartum (
      • Sordillo L.M.
      • Pighetti G.M.
      • Davis M.R.
      Enhanced production of bovine tumor necrosis factor-α during the periparturient period.
      ). Although the degree of increase in inflammatory markers depends on quantity and types of disease insults encountered, even apparently healthy cows experience a spike in positive APP postpartum (
      • Qu Y.
      • Fadden A.N.
      • Traber M.G.
      • Bobe G.
      Potential risk indicators of retained placenta and other diseases in multiparous cows.
      ). The increase in inflammatory markers in apparently healthy postpartum cows may be tied to naturally occurring tissue damage during parturition, but a multitude of factors may contribute to postpartum inflammation (
      • Bradford B.J.
      • Yuan K.
      • Farney J.
      • Mamedova L.
      • Carpenter A.
      Invited review: Inflammation during the transition to lactation: New adventures with an old flame.
      ). In general, 4 key conditions likely contribute to transition cow inflammation, with plausible mechanisms for each to contribute to hypophagia: (1) uterine disease, (2) mastitis, (3) gastrointestinal inflammation, and (4) lipid mobilization (
      • Kuhla B.
      Review: Pro-inflammatory cytokines and hypothalamic inflammation: Implications for insufficient feed intake of transition dairy cows.
      ).
      Postpartum uterine diseases, such as metritis, arise through a combination of periparturient shifts in immunity and bacterial invasion in the reproductive tract, manifesting over several weeks postpartum (
      • LeBlanc S.J.
      Interactions of metabolism, inflammation, and reproductive tract health in the postpartum period in dairy cattle.
      ). Clinical endometritis may cause an increase in systemic inflammatory markers (
      • Foley C.
      • Chapwanya A.
      • Callanan J.J.
      • Whiston R.
      • Miranda-CasoLuengo R.
      • Lu J.
      • Meijer W.G.
      • Lynn D.J.
      • O' Farrelly C.
      • Meade K.G.
      Integrated analysis of the local and systemic changes preceding the development of post-partum cytological endometritis.
      ), although cows that experience metritis may also have elevated inflammatory markers for weeks before calving (
      • Dervishi E.
      • Zhang G.
      • Hailemariam D.
      • Goldansaz S.A.
      • Deng Q.
      • Dunn S.M.
      • Ametaj B.N.
      Alterations in innate immunity reactants and carbohydrate and lipid metabolism precede occurrence of metritis in transition dairy cows.
      ). As with metritis, prevalence of mastitis is the highest in postpartum cows compared with any other time point in the lactation curve due to a variety of factors (
      • Pyörälä S.
      Mastitis in post-partum dairy cows.
      ). Mammary infection can create systemic inflammation evident in increases of hepatic cytokine mRNA abundance and corresponding circulating cytokines and positive APP (
      • Eckersall P.D.
      • Young F.J.
      • McComb C.
      • Hogarth C.J.
      • Safi S.
      • Fitzpatrick J.L.
      • Nolan A.M.
      • Weber A.
      • McDonald T.
      Acute phase proteins in serum and milk from dairy cows with clinical mastitis.
      ,
      • Eckersall P.D.
      • Young F.J.
      • Nolan A.M.
      • Knight C.H.
      • McComb C.
      • Waterston M.M.
      • Hogarth C.J.
      • Scott E.M.
      • Fitzpatrick J.L.
      Acute phase proteins in bovine milk in an experimental model of Staphylococcus aureus subclinical mastitis.
      ;
      • Vels L.
      • Røntved C.M.
      • Bjerring M.
      • Ingvartsen K.L.
      Cytokine and acute phase protein gene expression in repeated liver biopsies of dairy cows with a lipopolysaccharide-induced mastitis.
      ). Further, postpartum dairy cows are subjected to a diet change at parturition that usually includes greater starch concentration and increased diet fermentability, which can induce subclinical gut acidosis. Ruminal acidosis damages the epithelial lining of the rumen and allows LPS to translocate into the bloodstream, creating a systemic immune response (Plaizier et al., 2009,
      • Plaizier J.C.
      • Khafipour E.
      • Li S.
      • Gozho G.N.
      • Krause D.O.
      Subacute ruminal acidosis (SARA), endotoxins and health consequences.
      ;
      • Zebeli Q.
      • Ghareeb K.
      • Humer E.
      • Metzler-Zebeli B.U.
      • Besenfelder U.
      Nutrition, rumen health and inflammation in the transition period and their role on overall health and fertility in dairy cows.
      ). In fact, a recent study in postpartum dairy cows found that highly fermentable starch sources in high starch diets increased plasma haptoglobin and TNF-α concentrations (
      • Albornoz R.I.
      • Sordillo L.M.
      • Contreras G.A.
      • Nelli R.
      • Mamedova L.K.
      • Bradford B.J.
      • Allen M.S.
      Diet starch concentration and starch fermentability affect markers of inflammatory response and oxidant status in dairy cows during the early postpartum period.
      ). Finally, transition dairy cows are subject to impressive rates of body fat mobilization reflected in increased circulating free fatty acids (
      • Akbar H.
      • Grala T.M.
      • Vailati Riboni M.
      • Cardoso F.C.
      • Verkerk G.
      • McGowan J.
      • Macdonald K.
      • Webster J.
      • Schutz K.
      • Meier S.
      • Matthews L.
      • Roche J.R.
      • Loor J.J.
      Body condition score at calving affects systemic and hepatic transcriptome indicators of inflammation and nutrient metabolism in grazing dairy cows.
      ;
      • Bernabucci U.
      • Ronchi B.
      • Lacetera N.
      • Nardone A.
      Influence of body condition score on relationships between metabolic status and oxidative stress in periparturient dairy cows.
      ). There is speculation that these free fatty acids are capable of activating toll-like receptor 4 (TLR-4) on monocytes and macrophages, which then activates nuclear factor-κB and subsequent transcriptional upregulation of cytokine production (
      • Sordillo L.M.
      • Contreras G.A.
      • Aitken S.L.
      Metabolic factors affecting the inflammatory response of periparturient dairy cows.
      ;
      • Ingvartsen K.L.
      • Moyes K.
      Nutrition, immune function and health of dairy cattle.
      ).
      The etiology of all 4 of these disorders in the transition dairy cow is complex and incompletely understood to date. The likelihood of cows encountering one or multiple cases of the inflammatory conditions described during the transition period is high and underscores the need for further investigation into the mechanisms for which the immune response may induce hypophagia during this time period. Many dairy cows experience a marked decline in FI during transition, with a nadir at or slightly after parturition (
      • Havekes C.D.
      • Duffield T.F.
      • Carpenter A.J.
      • DeVries T.J.
      Effects of wheat straw chop length in high-straw dry cow diets on intake, health, and performance of dairy cows across the transition period.
      ) despite an increase in energy demand for milk synthesis. Maximizing peripartum FI is key to promoting a successful lactation, but cows with a greater inflammatory state may have lesser FI than their healthy peers. For example, cows with greater circulating concentrations of IL-1β during the dry period had lesser FI and plasma calcium over the transition period (
      • Trevisi E.
      • Jahan N.
      • Bertoni G.
      • Ferrari A.
      • Minuti A.
      Pro-inflammatory cytokine profile in dairy cows: Consequences for new lactation.
      ). Cows that have ketosis, metritis, mastitis, or a combination of multiple diseases have reduced DMI compared with healthy cows (
      • Huzzey J.M.
      • Veira D.M.
      • Weary D.M.
      • Von Keyserlingk M.A.G.
      Prepartum behavior and dry matter intake identify dairy cows at risk for metritis.
      ;
      • Schirmann K.
      • Weary D.M.
      • Heuwieser W.
      • Chapinal N.
      • Cerri R.L.A.
      • von Keyserlingk M.A.G.
      Short communication: Rumination and feeding behaviors differ between healthy and sick dairy cows during the transition period.
      ;
      • Pérez-Báez J.
      • Risco C.A.
      • Chebel R.C.
      • Gomes G.C.
      • Greco L.F.
      • Tao S.
      • Thompson I.M.
      • do Amaral B.C.
      • Zenobi M.G.
      • Martinez N.
      • Staples C.R.
      • Dahl G.E.
      • Hernández J.A.
      • Santos J.E.P.
      • Galvão K.N.
      Association of dry matter intake and energy balance prepartum and postpartum with health disorders postpartum: Part II. Ketosis and clinical mastitis.
      ), which is a function of less time spent eating and consuming feed at a slower rate (
      • Huzzey J.M.
      • Veira D.M.
      • Weary D.M.
      • Von Keyserlingk M.A.G.
      Prepartum behavior and dry matter intake identify dairy cows at risk for metritis.
      ;
      • Schirmann K.
      • Weary D.M.
      • Heuwieser W.
      • Chapinal N.
      • Cerri R.L.A.
      • von Keyserlingk M.A.G.
      Short communication: Rumination and feeding behaviors differ between healthy and sick dairy cows during the transition period.
      ).
      With the recognition of the increased inflammatory status in the transition dairy cow, several research groups have administered nonsteroidal anti-inflammatory drugs to cows to potentially alleviate inflammation postpartum. Nonsteroidal anti-inflammatory drugs given to postpartum cows fail to alter (
      • Farney J.K.
      • Mamedova L.K.
      • Coetzee J.F.
      • Minton J.E.
      • Hollis L.C.
      • Bradford B.J.
      Sodium salicylate treatment in early lactation increases whole-lactation milk and milk fat yield in mature dairy cows.
      ;
      • Pascottini O.B.
      • Van Schyndel S.J.
      • Spricigo J.F.W.
      • Carvalho M.R.
      • Mion B.
      • Ribeiro E.S.
      • LeBlanc S.J.
      Effect of anti-inflammatory treatment on systemic inflammation, immune function, and endometrial health in postpartum dairy cows.
      ) or even decrease DMI (
      • Shwartz G.
      • Hill K.L.
      • VanBaale M.J.
      • Baumgard L.H.
      Effects of flunixin meglumine on pyrexia and bioenergetic variables in postparturient dairy cows.
      ;
      • Carpenter A.J.
      • Ylioja C.
      • Mamedova L.
      • Olagaray K.
      • Bradford B.
      Effects of early postpartum sodium salicylate treatment on long-term milk, intake, and blood parameters of dairy cows.
      ), which is a surprising response considering the protection from hypophagia in late-lactation cows challenged with mastitis and treated with anti-inflammatory agents (
      • Yeiser E.E.
      • Leslie K.E.
      • McGilliard M.L.
      • Petersson-Wolfe C.S.
      The effects of experimentally induced Escherichia coli mastitis and flunixin meglumine administration on activity measures, feed intake, and milk parameters.
      ). Although these anti-inflammatory drugs may have reduced circulating cytokine and acute-phase protein concentrations in limited situations (
      • Farney J.K.
      • Mamedova L.K.
      • Coetzee J.F.
      • Ku Kanich B.
      • Sordillo L.M.
      • Stoakes S.K.
      • Minton J.E.
      • Hollis L.C.
      • Bradford B.J.
      Anti-inflammatory salicylate treatment alters the metabolic adaptations to lactation in dairy cattle.
      ;
      • Pascottini O.B.
      • Van Schyndel S.J.
      • Spricigo J.F.W.
      • Carvalho M.R.
      • Mion B.
      • Ribeiro E.S.
      • LeBlanc S.J.
      Effect of anti-inflammatory treatment on systemic inflammation, immune function, and endometrial health in postpartum dairy cows.
      ), sodium salicylate unexpectedly increased both pro- and anti-inflammatory proteins in adipose tissue (
      • Takiya C.S.
      • Montgomery S.R.
      • Mamedova L.K.
      • Kra G.
      • Nemes-Navon N.
      • Levin Y.
      • Fleming S.D.
      • Bradford B.J.
      • Zachut M.
      Proteomic analysis reveals greater abundance of complement and inflammatory proteins in subcutaneous adipose tissue from postpartum cows treated with sodium salicylate.
      ), demonstrating that inflammation in the transition cow is complex.

      Milk-Fed Calves

      Milk-fed dairy calves experience a high incidence of gastrointestinal and respiratory disease. Milk consumption is generally not decreased by disease when calves are on a lower plane of nutrition versus a higher plane of nutrition (
      • Borderas T.F.
      • Rushen J.
      • von Keyserlingk M.A.G.
      • de Passillé A.M.B.
      Automated measurement of changes in feeding behavior of milk-fed calves associated with illness.
      ;
      • Sutherland M.A.
      • Lowe G.L.
      • Huddart F.J.
      • Waas J.R.
      • Stewart M.
      Measurement of dairy calf behavior prior to onset of clinical disease and in response to disbudding using automated calf feeders and accelerometers.
      ; Figure 2) because the nutrient requirements of the calf are generally not met at lower feeding rates. Perhaps one of the simplest ways to determine alterations in feeding behavior in milk-fed calves is through the data obtained with automatic calf feeders, which are generally programmed to provide a relatively high plane of nutrition. Calves experiencing at least one form of disease have fewer unrewarded visits to the calf feeder, decreased intake, and decreased feeding rate (
      • Svensson C.
      • Jensen M.B.
      Short communication: Identification of diseased calves by use of data from automatic milk feeders.
      ;
      • Borderas T.F.
      • Rushen J.
      • von Keyserlingk M.A.G.
      • de Passillé A.M.B.
      Automated measurement of changes in feeding behavior of milk-fed calves associated with illness.
      ;
      • Swartz T.H.
      • Findlay A.N.
      • Petersson-Wolfe C.S.
      Short communication: Automated detection of behavioral changes from respiratory disease in pre-weaned calves.
      ). In fact, these behavioral changes began at least a couple of days before visual diagnosis of the disease (
      • Knauer W.A.
      • Godden S.M.
      • Dietrich A.
      • James R.E.
      The association between daily average feeding behaviors and morbidity in automatically fed group-housed preweaned dairy calves.
      ;
      • Sutherland M.A.
      • Lowe G.L.
      • Huddart F.J.
      • Waas J.R.
      • Stewart M.
      Measurement of dairy calf behavior prior to onset of clinical disease and in response to disbudding using automated calf feeders and accelerometers.
      ). However, reducing inflammation through administration of meloxicam at the onset of diarrhea resulted in calves that were 2.6 times more likely to consume their full milk allocation for the 2 wk after diagnosis and treatment (
      • Todd C.G.
      • Millman S.T.
      • McKnight D.R.
      • Duffield T.F.
      • Leslie K.E.
      Nonsteroidal anti-inflammatory drug therapy for neonatal calf diarrhea complex: Effects on calf performance.
      ).
      Figure thumbnail gr2
      Figure 2Mean (±SE) daily milk intake of calves on automatic feeders fed a high (n = 28/group) or low (n = 21/group) plane of nutrition. Ill calves were diagnosed on d 0 with respiratory or gastrointestinal issues and are compared with a healthy control of similar age and BW. Differences between sick and healthy calves within each milk allowance: *P < 0.05, +P < 0.10. Figure reproduced from
      • Borderas T.F.
      • Rushen J.
      • von Keyserlingk M.A.G.
      • de Passillé A.M.B.
      Automated measurement of changes in feeding behavior of milk-fed calves associated with illness.
      with permission from the publisher.
      Unfortunately, few calf studies report inflammatory biomarker concentrations, making it difficult to assess mechanistic causes of alterations in feed-seeking behaviors.
      • Sutherland M.A.
      • Lowe G.L.
      • Huddart F.J.
      • Waas J.R.
      • Stewart M.
      Measurement of dairy calf behavior prior to onset of clinical disease and in response to disbudding using automated calf feeders and accelerometers.
      reported no evidence of differences in haptoglobin concentration between diarrheic and healthy calves. In another study in which milk intake was reduced by vaccination, there were inconclusive changes in TNFA mRNA expression in whole blood (
      • Hill T.M.
      • VandeHaar M.J.
      • Sordillo L.M.
      • Catherman D.R.
      • Bateman II, H.G.
      • Schlotterbeck R.L.
      Fatty acid intake alters growth and immunity in milk-fed calves.
      ).

      Mastitis

      Mastitis is one of the costliest diseases in the dairy industry. Although individual FI is rarely observed in commercial dairy herds that employ group feeding systems, controlled research clearly demonstrates that mastitis can negatively affect FI. Most mastitis studies that reported FI observed a decrease (
      • Vels L.
      • Røntved C.M.
      • Bjerring M.
      • Ingvartsen K.L.
      Cytokine and acute phase protein gene expression in repeated liver biopsies of dairy cows with a lipopolysaccharide-induced mastitis.
      ;
      • Fogsgaard K.K.
      • Røntved C.M.
      • Sørensen P.
      • Herskin M.S.
      Sickness behavior in dairy cows during Escherichia coli mastitis.
      ;
      • Sepúlveda-Varas P.
      • Proudfoot K.L.
      • Weary D.M.
      • von Keyserlingk M.A.G.
      Changes in behaviour of dairy cows with clinical mastitis.
      ), although some reported no change in FI (
      • Barrett J.J.
      • Hogan J.S.
      • Weiss W.P.
      • Smith K.L.
      • Sordillo L.M.
      Concentrations of α-tocopherol after intramammary infusion of Escherichia coli or lipopolysaccharide.
      ). In alignment with our previous discussion of immune response effects on gastrointestinal motility, induced mastitis reduces rumination time (
      • Fogsgaard K.K.
      • Røntved C.M.
      • Sørensen P.
      • Herskin M.S.
      Sickness behavior in dairy cows during Escherichia coli mastitis.
      ;
      • Fitzpatrick C.E.
      • Chapinal N.
      • Petersson-Wolfe C.S.
      • DeVries T.J.
      • Kelton D.F.
      • Duffield T.F.
      • Leslie K.E.
      The effect of meloxicam on pain sensitivity, rumination time, and clinical signs in dairy cows with endotoxin-induced clinical mastitis.
      ) and ruminal contraction rate (
      • Vangroenweghe F.
      • Duchateau L.
      • Boutet P.
      • Lekeux P.
      • Rainard P.
      • Paape M.J.
      • Burvenich C.
      Effect of carprofen treatment following experimentally induced Escherichia coli mastitis in primiparous cows.
      ;
      • Zimov J.L.
      • Botheras N.A.
      • Weiss W.P.
      • Hogan J.S.
      Associations among behavioral and acute physiologic responses to lipopolysaccharide-induced clinical mastitis in lactating dairy cows.
      ). These reductions in rumen contractions can be ameliorated with administration of anti-inflammatory agents (Wagner and Apley, 2003;
      • Vangroenweghe F.
      • Duchateau L.
      • Boutet P.
      • Lekeux P.
      • Rainard P.
      • Paape M.J.
      • Burvenich C.
      Effect of carprofen treatment following experimentally induced Escherichia coli mastitis in primiparous cows.
      ;
      • Zimov J.L.
      • Botheras N.A.
      • Weiss W.P.
      • Hogan J.S.
      Associations among behavioral and acute physiologic responses to lipopolysaccharide-induced clinical mastitis in lactating dairy cows.
      ). Interestingly, reductions in FI can be detected up to 5 d before clinical detection of mastitis (
      • Sepúlveda-Varas P.
      • Proudfoot K.L.
      • Weary D.M.
      • von Keyserlingk M.A.G.
      Changes in behaviour of dairy cows with clinical mastitis.
      ), but again it remains unclear whether early stages of mastitis are the primary cause of hypophagia, or if it is secondary to the previously reduced nutrient intake. Unfortunately, data on systemic hypophagic cytokines during mastitis are incredibly limited. Circulating TNF-α concentration has been shown to be stable (
      • Lehtolainen T.
      • Røntved C.
      • Pyörälä S.
      Serum amyloid A and TNFα in serum and milk during experimental endotoxin mastitis.
      ) or to increase (
      • Sordillo L.M.
      • Peel J.E.
      Effect of interferon-γ on the production of tumor necrosis factor during acute Escherichia coli mastitis.
      ;
      • Hoeben D.
      • Burvenich C.
      • Trevisi E.
      • Bertoni G.
      • Hamann J.
      • Bruckmaier R.M.
      • Blum J.W.
      Role of endotoxin and TNF-α in the pathogenesis of experimentally induced coliform mastitis in periparturient cows.
      ;
      • Vels L.
      • Røntved C.M.
      • Bjerring M.
      • Ingvartsen K.L.
      Cytokine and acute phase protein gene expression in repeated liver biopsies of dairy cows with a lipopolysaccharide-induced mastitis.
      ) during induced mastitis. Hepatic expression of TNFA and IL1B is also increased by induced mastitis (
      • Vels L.
      • Røntved C.M.
      • Bjerring M.
      • Ingvartsen K.L.
      Cytokine and acute phase protein gene expression in repeated liver biopsies of dairy cows with a lipopolysaccharide-induced mastitis.
      ). It is important to note that gram-negative and gram-positive pathogens elicit different innate immune responses during intramammary infection (
      • Bannerman D.D.
      • Paape M.J.
      • Lee J.-W.
      • Zhao X.
      • Hope J.C.
      • Rainard P.
      Escherichia coli and Staphylococcus aureus elicit differential innate immune responses following intramammary infection.
      ,
      • Bannerman D.D.
      • Paape M.J.
      • Goff J.P.
      • Kimura K.
      • Lippolis J.D.
      • Hope J.C.
      Innate immune responses to intramammary infection with Serratia marcescens and Streptococcus uberis..
      ), and reductions in FI appear several days after infection with Streptococcus uberis (
      • Lippolis J.D.
      • Reinhardt T.A.
      • Sacco R.A.
      • Nonnecke B.J.
      • Nelson C.D.
      Treatment of an intramammary bacterial infection with 25-hydroxyvitamin D3.
      ;
      • Poindexter M.B.
      • Kweh M.F.
      • Zimpel R.
      • Zuniga J.
      • Lopera C.
      • Zenobi M.G.
      • Jiang Y.
      • Engstrom M.
      • Celi P.
      • Santos J.E.P.
      • Nelson C.D.
      Feeding supplemental 25-hydroxyvitamin D3 increases serum mineral concentrations and alters mammary immunity of lactating dairy cows.
      ) compared with a rapid decrease in FI by the first day after Escherichia coli challenge (
      • Fogsgaard K.K.
      • Røntved C.M.
      • Sørensen P.
      • Herskin M.S.
      Sickness behavior in dairy cows during Escherichia coli mastitis.
      ;
      • Yeiser E.E.
      • Leslie K.E.
      • McGilliard M.L.
      • Petersson-Wolfe C.S.
      The effects of experimentally induced Escherichia coli mastitis and flunixin meglumine administration on activity measures, feed intake, and milk parameters.
      ). In gram-negative mastitis, the concentration of circulating cytokines may be indicative of the severity of infection (
      • Sordillo L.M.
      • Peel J.E.
      Effect of interferon-γ on the production of tumor necrosis factor during acute Escherichia coli mastitis.
      ), and inflammatory mediators warrant further investigation as drivers of FI reduction during mastitis.

      Vaccination

      Vaccination protocols are important for maintaining a healthy dairy herd; however, vaccinations may cause transient reductions in FI resulting from the immune response to the antigen, adjuvant, or both. There are few data sets monitoring FI after vaccination and a lack of quantification of cytokine production over the same period. Several studies highlight a numeric, transient drop in FI in adult dairy cows after vaccination (
      • Hogan J.S.
      • Weiss W.P.
      • Smith K.L.
      • Todhunter D.A.
      • Schoenberger P.S.
      • Williams S.N.
      Vitamin E as an adjuvant in an Escherichia coli J5 vaccine.
      ;
      • Scott H.M.
      • Sargeant J.M.
      • Ireland M.J.
      • Lissemore K.D.
      • Leslie K.E.
      • Kelton D.F.
      • Mallard B.A.
      Effects of a core antigen vaccine against gram-negative bacteria on physiologic and yield parameters of dairy cows during late lactation and the dry period.
      ). Vaccination of beef feedlot steers reduced FI in most instances, but it is generally difficult to detect differences in FI over the period of weeks that data were collected (
      • Chirase N.K.
      • Greene L.W.
      • Graham G.D.
      • Avampato J.M.
      Influence of clostridial vaccines and injection sites on performance, feeding behavior, and lesion size scores of beef steers.
      ;
      • Barling K.S.
      • Lunt D.K.
      • Graham S.L.
      • Choromanski L.J.
      Evaluation of an inactivated Neospora caninum vaccine in beef feedlot steers.
      ). For example, vaccination of beef heifers reduced FI for only 2 d (
      • Rodrigues M.C.
      • Cooke R.F.
      • Marques R.S.
      • Cappellozza B.I.
      • Arispe S.A.
      • Keisler D.H.
      • Bohnert D.W.
      Effects of vaccination against respiratory pathogens on feed intake, metabolic, and inflammatory responses in beef heifers.
      ). Another team vaccinated heifers on the day of arrival or 14 d after arrival, noting a reduction in FI only on d 14, despite increased vaginal temperature at both time points (
      • Sharon K.P.
      • Duff G.C.
      • Paterson J.A.
      • Dailey J.W.
      • Carroll J.A.
      • Marceau E.A.
      Case study: Effects of timing of a modified-live respiratory viral vaccination on performance, feed intake, antibody titer response, and febrile response of beef heifers.
      ). The lack of evidence of differences in FI on d 0 may have been due to mixing of social groups at the initiation of the trial, but also because heifers were introduced to a new feed monitoring system that may have initially limited their intake. This further illustrates the fact that it is difficult to observe FI reductions if animals' nutritional requirements are not met at baseline. Finally, vaccination in milk-fed calves can reduce milk consumption (
      • Hill T.M.
      • VandeHaar M.J.
      • Sordillo L.M.
      • Catherman D.R.
      • Bateman II, H.G.
      • Schlotterbeck R.L.
      Fatty acid intake alters growth and immunity in milk-fed calves.
      ).
      From a management standpoint, recognizing when herd vaccinations will occur may help target adjustments in ration formulation and quantity of feed delivered to maximize efficiency. Another important consideration may be to design dietary formulations for livestock during vaccination to account for reduction in FI and the increase in energy required by the immune response, which may help to ameliorate temporary losses in production efficiency that occur in vaccinated livestock. To date, we are unaware of any data that evaluate such concepts.

      Predicting, Detecting, and Responding to Feed Intake Reductions

      Attempts have been made to model infection-induced hypophagia.
      • Sandberg F.B.
      • Emmans G.C.
      • Kyriazakis I.
      A model for predicting feed intake of growing animals during exposure to pathogens.
      highlighted the variable characteristics of infection-induced hypophagia, including (1) the lag time after infection, (2) rate of relative FI reduction, (3) magnitude of reduction, (4) duration of the reduction, and (5) rate of relative FI recovery. Models to predict FI during parasitic infection have been created, but in vivo studies are generally lacking to support the model (
      • Laurenson Y.C.S.M.
      • Bishop S.C.
      • Kyriazakis I.
      In silico exploration of the mechanisms that underlie parasite-induced anorexia in sheep.
      ) and likely foreshadow the difficulty of developing similar models in transition dairy cows due to the complexity and multiplicity of insults that may occur.
      • Brown W.E.
      • Garcia M.
      • Mamedova L.K.
      • Christman K.R.
      • Zenobi M.G.
      • Staples C.R.
      • Leno B.M.
      • Overton T.R.
      • Whitlock B.K.
      • Daniel J.A.
      • Bradford B.J.
      Acute-phase protein α-1-acid glycoprotein is negatively associated with feed intake in postpartum dairy cows.
      attempted to predict transition dairy cows at risk for low DMI using AGP as a plasma biomarker. Although AGP was negatively associated with DMI postpartum, the prognostic ability of AGP to predict low DMI was marginal.
      Perhaps a more relevant approach is to monitor FI to implement intervention strategies for impending disease insults, considering that perturbations in FI can be detected before visual disease diagnosis (
      • Sepúlveda-Varas P.
      • Proudfoot K.L.
      • Weary D.M.
      • von Keyserlingk M.A.G.
      Changes in behaviour of dairy cows with clinical mastitis.
      ;
      • Knauer W.A.
      • Godden S.M.
      • Dietrich A.
      • James R.E.
      The association between daily average feeding behaviors and morbidity in automatically fed group-housed preweaned dairy calves.
      ;
      • Sutherland M.A.
      • Lowe G.L.
      • Huddart F.J.
      • Waas J.R.
      • Stewart M.
      Measurement of dairy calf behavior prior to onset of clinical disease and in response to disbudding using automated calf feeders and accelerometers.