Objective. To prevent the negative effects of interleukin-1 (IL-1) and IL-1-induced IL-6 on cartilage proteoglycan (PG) synthesis, we used an antisense oligonucleotide (ASO) specific for IL-6 messenger RNA (mRNA) to inhibit IL-6 production.Methods. Explants of human articular cartilage were cultured in the presence or absence of IL-6-ASO, IL-1, and exogenous IL-6. As metabolic parameters, cartilage production of IL-6 was determined in the B9 bioassay and PG as incorporation of "SO4.Results. The IL-&AS0 prevented IL-1-induced production of IL-6 in the cartilage explants, as well as IL-1-induced inhibition of PG synthesis. This inhibition was restored, despite the presence of IL-&ASO, when exogenous IL-6 was added. A control AS0 (not specific for IL-6 mRNA) was not effective.Conclusion. The IL-&AS0 used can penetrate the extracellular matrix of articular cartilage, enter the chondrocytes, and inhibit the IL-1-induced production of IL-6. Furthermore, IL-&AS0 can prevent the IL-1-induced inhibition of cartilage PG synthesis. The effect of exogenous IL-6 shows that IL-1 requires IL-6 for inhibition of PG synthesis.When explants of human articular cartilage are cultured in the presence of interleukin-1 (IL-l), the synthesis of proteoglycans (PG), essential structural components of the extracellular matrix of articular cartilage (1-5), is inhibited. This inhibition of chondrocyte PG synthesis is believed to play a key role in the destruction of cartilage during rheumatoid arthritis. Furthermore, IL-l induces the chondrocytes to produce IL-6 in a dose-dependent way, as has been shown (6,7).Our previous results (8) strongly suggested that for chondrocytes, IL-6 is not the effector of the IL-I-induced inhibition of PG synthesis. We found that (a) exogenous IL-6 on its own was more than 1,000 times less potent than IL-1 as an inhibitor of chondrocyte PG synthesis; and (b) at an IL-1 concentration that caused complete inhibition of PG synthesis, IL-6 production could still be increased more than 2-fold by increasing the concentration of IL-1.Nevertheless, IL-6 plays a crucial role in IL-1-induced inhibition of PG synthesis. Our previously reported experiments with antibodies against IL-6 showed that the presence of the IL-1-induced IL-6 is required for IL-1 to be able to inhibit the synthesis of PG in the chondrocytes (8). In an experimental arthritis model, application of such antibodies to bind IL-6 will eventually cause immunologic problems because of the immunogenicity of the antibodies. We have therefore sought other ways to block the IL-1-induced IL-6 production in cartilage.Recent in vivo studies (9,lO) have described the presence of so-called "antisense" nucleotides that inhibit (or regulate) the translation of messenger RNA (mRNA) by the formation of a duplex. In the present study, we used antisense oligonucleotides (ASO) that are specific for IL-6 mRNA. We investigated the effect on IL-1-induced production of IL-6 in human articular cartilage explants and the effect on IL-1-induced inhibition of PG synthesis.