Treatment with a single low dose (80 to 800 ng) of interleukin-1 (IL-1) 24 h before a lethal bacterial challenge of granulocytopenic and normal mice enhances nonspecific resistance. Since IL-1 induces secretion of acute-phase proteins, liver proteins which possess several detoxifying effects, we investigated the role of these proteins in the IL-i-induced protection. Inhibition of liver protein synthesis with D-galactosamine (GALN) completely inhibited the IL-i-induced synthesis of acute-phase proteins. GALN pretreatment abolished the protective effect of IL-1 on survival completely (neutropenic mice infected with Pseudomonas aeruginosa) or partially (nonneutropenic mice infected with KlebsieUla pneumoniae). Pretreatment with IL-6, a cytokine induced by IL-1, did not reproduce the protection offered after IL-1 pretreatment, nor did it enhance or deteriorate the IL-i-enhanced resistance to infection. A protective effect of IL-1 via effects on glucose homeostasis during the acute-phase response was investigated by comparing plasma glucose levels in IL-1-treated mice and control mice before and during infection. Although glucose levels in IL-1-pretreated mice were somewhat higher in the later stages of infection, no significant differences from levels in control mice were present, and the glucose levels in control-treated animals never fell to hypoglycemic values. We conclude that the IL-1-induced nonspecific resistance is mediated neither by the induction of IL-6 nor by the effects of IL-1 on glucose homeostasis. Acute-phase proteins generated after IL-1 pretreatment, however, seem to play a critical role in the IL-i-induced protection to infection.Administration of the proinflammatory cytokine interleukin-1 (IL-1) has been shown to enhance nonspecific resistance in animals to several gram-positive and gram-negative bacteria, fungi, and plasmodia (35). The exact mechanism of this protection is still unclear. A direct antimicrobial effect of IL-1 in vitro (30) has been excluded, and enhanced clearance of microorganisms induced by IL-1 in vivo has not been a constant finding (22,30). The protective effect of IL-1 to infectious challenges in granulocytopenic mice indicates that an effect on neutrophils does not mediate the IL-1-induced resistance (30,35). Additional studies have provided evidence against a major role of IL-1-induced cyclo-oxygenase metabolites, glucocorticosteroids, or cytokines like IL-8 or tumor necrosis factor (TNF) in the IL-1-induced protection (30,(33)(34)(35).In the present study, we investigated whether the effects of IL-1 on the acute-phase response could be responsible for the increased resistance induced by IL-1.The acute-phase response comprises a constellation of metabolic, endocrinologic, neurologic, and immunologic alterations which starts within hours of an initiating stimulus. These changes appear to be meant to balance or curtail the potential adverse consequences of the inflammatory process and restore homeostasis (15). Synthesis of acute-phase proteins by the liver is a major co...