Cerebrospinal fluid (CSF) from 20 infants who died of sudden infant de
ath syndrome (SIDS), 7 cases of infectious death and 5 cases of violen
t death were examined with respect to concentrations of interleukin-6
(IL-6). The measurements were performed by ELISA. IL-6 levels in SIDS
were significantly lower than in infectious death (p < 0.02), but sign
ificantly higher than in violent death (p < 0.02). Since IL-6 plays an
important role in immune responses and may induce fever, the findings
may suggest that immune activation plays a role in SIDS. The presence
of cytokines in the central nervous system (CNS) may cause respirator
y depression, especially in vulnerable infants.