Keratinocytes produce a variety of cytokines, including leukemia inhib
itory factor. We hypothesised that this cytokine may play a pro-inflam
matory role in the skin and tested this hypothesis by injecting recomb
inant leukemia inhibitory factor (1-100 ng) into the ear pinnae of C3H
/HeJ mice. To other groups of animals, we injected boiled leukemia inh
ibitory factor or phosphate-buffered saline (negative control) or 0.4
ng human interleukin-1 alpha as a positive control. Following injectio
n of 100 ng leukemia inhibitory factor, ear thickness, measured by mic
rometer, increased 66% over controls at 12 h and 100% at 24 h (overall
p = 0.041 by analysis of variance). Injection of 0.4 ng interleukin-1
alpha caused greater ear swelling. Compared with controls, swelling i
ncreased by 67% at 6 h, 100% at 12 h and 340% after 24 h (overall p le
ss than or equal to 0.00001). Leukemia inhibitory factor (100 ng only)
stimulated a 3.5-fold increase in leukocytes after 6 h. After 12 h, a
14-fold increase was seen in ears injected with 10 ng leukemia inhibi
tory factor and a 12-fold increase with 100 ng leukemia inhibitory fac
tor, which remained elevated (17-fold) at 24 h (overall p = 0.0001). I
njection of interleukin-1 alpha led to a 3.4-fold increase in leukocyt
es (mean per 20 high-power fields) after 6 h, a 14-fold increase at 12
h and a 25-fold increase at 24 h (overall p less than or equal to 0.0
0001). These results demonstrate that leukemia inhibitory factor appea
rs to be a mediator of cutaneous inflammation.