Recent reports have suggested that long-term administration of erythro
mycin (EM) appears to ameliorate some of chronic inflammatory processe
s where macrophages and lymphocytes pity important roles. Our study wa
s initiated to examine the effect of EM on monocyte-macrophage lineage
in vitro. EM (1 similar to 100 mu g/ml) significantly increased the n
umber of adherent monocyte-derived macrophages after 7 days of culture
. The combination of EM and macrophage colony stimulating factor (M-CS
F) synergistically increased the number of monocyte-derived macrophage
s, while the combination of EM and granulocyte-macrophage colony stimu
lating factor exerted an additive effect. Culture with EM induced the
expression of a surface antigen CD71, one of the activation markers of
macrophages as compared with control cultures. The combination of EM
plus M-CSF significantly enhanced H2O2-producing capacity of those cel
ls as compared with M-CSF alone. A differentiation process of monocyto
id THP-1 cells was also augmented by EM. These results indicate that E
M promotes differentiation of human monocyte-macrophage lineage, alter
ing their functions.