Interleukin-6 (IL-6) is an integral mediator of the acute phase respon
se to injnry and infection; an exaggerated IL-6 response has been asso
ciated with adverse clinical events. The precise role of IL-6 is uncle
ar, but it appears capable of modulating the functional repertoire of
mature neutrophils (PMNs). Our previous work demonstrated that IL-6-st
imulated PMNs are primed by lower concentrations of platelet-activatin
g factor (PAF) than nonstimulated PMNs. Recently, we have found that I
L-6 suppresses PMN apoptosis via a PAF-like mechanism. We hypothesized
that IL-6 stimulates PMNs to produce PAF. PMNs isolated from healthy
human donors were incubated with IL-6 (0.1-100 ng/ml) at 37 degrees C.
Lipid production was measured by use of thin-layer chromatography, an
d PAF quantitated with a scintillation proximity assay. IL-6 (1 and 10
ng/ml) stimulated PMNs to produce increased quantities of PAF. PAF pr
oduction was associated with an increase in PMN cytosolic calcium. The
se data may provide mechanistic insight into IL-6 regulation of PMN-me
diated cytotoxicity and the role of PAF in mediating IL-6 effects on P
MNs.