THE effect of opiate agonists and antagonists on the induction of seru
m interleukin-6 (IL-6), an inflammatory cytokine that plays a major ro
le in the acute phase response, was studied. Morphine (10 mu g, i.c.v.
or 15 mg kg(-1), i.p.), beta-endorphin (0.5 or 5 mu g, i.c.v.) and et
orphin (10 mg kg(-1), i.p.) induced IL-6. Moreover, morphine potentiat
ed the IL-6 response induced by IL-1 beta (400 ng, i.p. or i.c.v.). Wh
en injected intraperitoneally, the opiate antagonist naloxone hydrochl
oride, antagonized the IL-6 response induced by either i.c.v. or i.p.
IL-1 beta. This effect was not seen with naloxone methiodide, which do
es not cross the blood-brain barrier. The data show that central opiat
es are effective modulators of the inflammatory cytokine IL-6.