The physiological function of interleukin-6 (IL-6) within the central nervo
us system. (CNS) is complex; IL-6 exerts neurotrophic and neuroprotective e
ffects, and yet can also function as a mediator of inflammation, demyelinat
ion, and astrogliosis, depending on the cellular context. In the normal bra
in, IL-6 levels remain low. However, elevated expression occurs ia injury,
infection, stroke, and inflammation. Given the diverse biological functions
of IL-6 and its expression in numerous CNS conditions, it is critical to u
nderstand its regulation in the brain in order to control its expression an
d ultimately its effects. Accumulating data demonstrate that the predominan
t CNS source of IL-6 is the activated astrocyte. Furthermore, a wide range
of factors have been demonstrated to be involved in IL-6 regulation by astr
ocytes. In this review, we summarize information concerning IL-6 regulation
int astrocytes, focusing on the role pf proinflammatory factors, neurotran
smitters, and second messengers. (C) 1999 Elsevier Science B.V. All rights
reserved.