Liver regeneration stimulated by a loss of liver mass leads to hepatoc
yte and nonparenchymal cell proliferation and rapid restoration of liv
er parenchyma. Mice with targeted disruption of the interleukin-6 (IL-
6) gene had impaired liver regeneration characterized by liver necrosi
s and failure. There was a blunted DNA synthetic response in hepatocyt
es of these mice but not in nonparenchymal liver cells. Furthermore; t
here were discrete G(1) phase (prereplicative stage in the cell cycle)
abnormalities including absence of STAT3 (signal transducer and activ
ator of transcription protein 3) activation and depressed AP-1, Myc, a
nd cyclin D1 expression. Treatment of IL-6-deficient mice with a singl
e preoperative dose of IL-6 returned STAT3 binding, gene expression, a
nd hepatocyte proliferation to near normal and prevented liver damage,
establishing that IL-6 is a critical component of the regenerative re
sponse.