We previously developed a gene-gun-based in vivo screening system and identified shikonin as a potent suppressor of tumor necrosis factor-␣ (TNF-␣) gene expression. Here, we show that shikonin selectively inhibits the expression of TNF-␣ at the RNA splicing level. Treatment of lipopolysaccharide-stimulated human primary monocytes and THP-1 cells with shikonin resulted in normal transcriptional induction of TNF-␣, but unspliced pre-mRNA accumulated at the expense of functional mRNA. This effect occurred with noncytotoxic doses of shikonin and was highly specific, because mRNA production of neither a housekeeping gene nor another inflammatory cytokine gene, interleukin-8 (IL-8), was affected. Moreover, cotreatment with lipopolysaccharide (LPS) and shikonin increased the endpoint protein production of IL-8, accompanied by suppressed activation of the double-stranded RNA-activated protein kinase (PKR) pathway. Because PKR inactivation has been shown to down-regulate the splicing process of TNF-␣ RNA and interfere with translation, our findings suggest that shikonin may achieve differential modulation of cytokine protein expression through inactivation of the PKR pathway and reveal that regulation of TNF-␣ pre-mRNA splicing may constitute a promising target for future anti-inflammatory application.Normal immune function is maintained by an elaborate balance between the activities of pro-and anti-inflammatory cytokines. One of the most important pro-inflammatory cytokines, TNF-␣, plays a pivotal role in immune and inflammatory responses (Aggarwal et al., 2001;Locksley et al., 2001). Inappropriate expression or overexpression of TNF-␣ can lead to the progression of inflammatory and autoimmune diseases (Locksley et al., 2001;Schottelius et al., 2004;Wood et al., 2006), and recent studies suggest that inhibition of TNF-␣ production is an appealing target for the development of novel anti-inflammatory drugs (Palladino et al., 2003).Expression of the "immediate-early" TNF-␣ gene is tightly controlled at several levels to ensure its silence in the absence of stimulation (Kontoyiannis et al., 1999) and enable a rapid response to noxious stimuli. Activator protein 1 and nuclear factor-B, the two major transcription factors regulating TNF-␣, are currently the primary targets for anti-TNF-␣ drug discovery (Aggarwal et al., 2001;Tsukagoshi et al., 2001), and they are also important in regulating the expression of many other immune-related genes.Shikonin (Fig. 1A), from the herb Lithospermum erythrorhizon, has been shown to possess numerous pharmacological properties, including anti-inflammatory and antitumor properties (Chen et al., 2002;Nakaya and Miyasaka, 2003). Shikonin has also been shown to have insulin-like actions through inhibition of phosphatase and tensin homologue deleted on chromosome 10 (PTEN) and tyrosine phosphatases (Nigorikawa et al., 2006). In our previous report, we identified shikonin to be a potent suppressor of TNF-␣ production (Staniforth et al., 2004). However, the mechanism through which shikoni...