Abstract. Plasmodium coatneyi infection in rhesus monkeys has been used as a model for studying human malaria. Cytokine production in this model, however, has so far not been examined. In this study, four rhesus monkeys were infected with P. coatneyi, with another four animals serving as uninfected controls. Blood samples were taken for the determination of daily parasitemia, and cytokine and prostaglandin E2 (PGE 2 ) levels at days 0, 3, 5, 7, and 10. All inoculated animals became infected, with synchronized appearance of ring-stage parasites. Infected monkeys had increased plasma levels of proinflammatory cytokines (interleukin-1, interferon-␥, and tumor necrosis factor-␣) during the late stage of the infection. They also had increased production of ciliary neurotrophic factor. In conjunction with the production of proinflammatory cytokines, infected monkeys also had gradual increases in the production of PGE 2 . A continued definition of the P. coatneyi/rhesus monkey animal model should be useful for the elucidation of the immunopathogenesis of human malaria.Laboratory animal models have been used in the studies of pathogenesis of human malaria, especially cerebral malaria, caused by Plasmodium falciparum infection. The laboratory animal model currently used by most researchers, P. berghei infection in mice, differs from human falciparum malaria in the nature of cells sequestered in the brain. In human P. falciparum infection, parasitized red blood cells (PRBC) bind to endothelial cells, whereas in the rodent model, leukocytes sequester in the brain. 1,2 In addition, T helper-1 (TH-1) and TH-2 cell responses in humans are much less polarized than those in mice. In humans, in addition to the typical TH-1 and TH-2 cytokines, TH-1 cells produce interleukin-10 (IL-10) (a Th-2 cytokine in the murine system), and TH-2 cells produce interferon-␥ (IFN-␥) (a TH-1 cytokine in the murine system). 3 Furthermore, human monocytes/macrophages produce several logs less nitric oxide than murine macrophages, and its regulation is under considerably different mechanisms. 4 Thus, the pathology of murine malaria is probably different from that of human malaria. 1,2 We and others have recently developed a nonhuman primate model for investigations of human malaria. 5 This model uses P. coatneyi infection in rhesus monkeys, and has pathologic characteristics similar to human cerebral malaria, such as the presence of knobs on PRBC, the binding of PRBC to endothelial cells, the expression of ligands on endothelial cells, and the pattern of sequestration in the brain. [5][6][7][8] Thus, this nonhuman primate malaria model has overcome some of the problems associated with the murine cerebral malaria model, and should be useful in studies in the pathogenesis of cerebral malaria.In this study, we have examined the plasma profile of cytokine production in rhesus monkeys infected with P. coatneyi. Because proinflammatory cytokines are considered important in the pathogenesis of malaria, 9-11 we have investigated changes of these cytokines ...