Monocyte derived cytokines (monokines) are important mediators in infl
ammatory diseases and cancer. Control of monokine expression is also a
major therapeutic target in autoimmune inflammation. Whole blood cult
ures permit examination of monokine expression under conditions which
emulate the en-vivo environment whilst avoiding many of the artefacts
associated with monocyte separation and culture. Here we describe a sy
stem for measuring interleukin-1 beta, interleukin-1 alpha, interleuki
n-6 and tumour necrosis factor-alpha mRNA in stimulated human whole bl
ood ex-vivo which can be applied to specimens from treated patients. O
ligodeoxyribonucleotide probes are designed to allow standardisation o
f hybridisation and washing procedures. Washing and reprobing of membr
anes in appropriate sequence permits measurement of each monokine mRNA
and mRNA for glyceraldehyde-3-phosphate dehydrogenase in only 7 mi of
lipopolysaccharide-stimulated human blood. The method has been used s
uccessfully in studies of dexamethasone and methotrexate action on lip
opolysaccharide stimulated IL-beta gene expression.