The amiloride-inhibitable Na+/H+ antiporter plays an important role in macr
ophage activation. The intracellular pathways leading to interleukin (IL)-1
2 p40 production by activated macrophages are incompletely understood. In t
he present study, we examined the contribution of the Na+/H+ antiporter to
the production of IL-12 p40. Amiloride or its analogs decreased the product
ion of IL-12 p40 in macrophages stimulated with bacterial lipopolysaccharid
e and interferon-gamma. The order of potency of amiloride analogs was consi
stent with the proposition that the effect of amiloride is mediated by the
inhibition of the Na+/H+ antiporter. The effect of amiloride was post-trans
criptional, as IL-12 p40 mRNA levels induced by lipopolysaccharide and inte
rferon-gamma were not affected by this inhibitor. Furthermore, the inhibito
ry effect of amiloride on IL-12 p40 production was not a result of interfer
ence with the activation of the p38 and p42/44 mitogen-activated protein ki
nases or c-Jun kinase. In summary, the production of IL-12 p40 requires a f
unctional Na+/H+ antiporter. (C) 2001 Elsevier Science B.V. All rights rese
rved.