The cytokine interleukin-1 (IL-1) has been implicated in many forms of neurodegeneration. Expression of IL-1 is increased in the brain (mainly by microglia) of animals and humans in response to acute insults (e.g., stroke and brain injury) and in chronic neurodegenerative conditions. Although IL-1 does not kill otherwise healthy neurons, small quantities of the cytokine dramatically enhance ischemic, traumatic, or excitotoxic damage in animals. Inhibition of the synthesis, release, or action of IL-1 (e.g., by administration of IL-1 receptor antagonist) markedly reduces all of these forms of experimental neurodegeneration, indicating that approaches to block or inhibit IL-1 activity may be of benefit in clinical neurodegenerative disease. NEURO-SCIENTIST 4:195-201, 1998 KEY WORDS Cytokmes, Interleukin-1, Neurodegeneration Degeneration of neurons, resulting in ultimate disability or death of the patient, is the key feature of many acute and chronic neurological diseases. These diseases include stroke, brain injury, epilepsy, Parkinson's disease and other movement disorders, multiple sclerosis, amyotrophic lateral sclerosis, and dementias, such as Alzheimer's disease, Lewy body disease, and transmissible spongiform encephalopathies (e.g., Creutzfeldt-Jakob disease). Each of these conditions has very different causes, disease courses, and pathologies, but in all cases, neuronal loss is a key feature and a major determinant of morbidity and mortality. It is becoming increasingly obvious that some common mechanisms of neuronal death contribute to diverse neurodegenerative diseases. Among these common features are excessive release of excitatory amino acids and excitotoxicity, release of free radicals such as nitric oxide, disrupted intracellular ion homeostasis (particularly calcium homeostasis), and, most recently discovered, activation of immune or inflammatory processes.Brain inflammation is an accepted component of multiple sclerosis. However, although it is recognized that the immune and inflammatory responses of the CNS differ significantly from those in other tissues, many inflammatory molecules and processes are activated in most, if not all, forms of neurodegeneration. These responses include glial activation (microglia represent the primary phagocytic cell in the brain), release of eicosanoids and kinins, activation of complement, and expression of acute-phase proteins (e.g., b-amyloid precursor protein), adhesion molecules, and cytokines. This review focuses on the archetypical &dquo;proinflammatory&dquo; cytokine interleukin-1 (IL-1), because there is now considerable evidence implicating this protein in many forms of neurodegeneration.The Interleukin-1 (IL-1 ) Family IL-1, like most cytokines (Box 1), was first described as a molecule produced by peripheral immune cells involved in inflammation, yet it was probably the first cytokine shown to influence the brain as an inducer of fever (1). In fact, IL-1 comprises a family of related molecules (Fig. 1). IL-1 a and -r3, the two known agonists, share signi...