Hypoosmotic exposure (205 mosmol/l) of rat liver macrophages together with lipopolysaccharide (LPS) inhibited the LPS-induced tumor necrosis factor-a (TNF-a) release by about 60% and markedly diminished the LPS-induced increase of TNF-a mRNA levels. Hyperosmotic exposure (405 mosmolfl) had no effect on total TNF-a release, however, both TNF-a accumulation in the medium and the LPS-induced increase of TNF-a mRNA levels were significantly delayed under these conditions. This delay was abolished upon addition of betaine, which acts as an osmolyte in Kupffer cells. When LPS was added to Kupffer cells that had been preexposed to hyperosmotic medium for 24 h, the LPS-induced TNF-a release was inhibited by 90% when compared to normoosmotic conditions. Likewise, the LPS-induced increase in TNF-a mRNA levels was largely abolished. Inhibition of TNF-a release and of the increase in the TNF-a mRNA level in response to hyperosmolarity/LPS, however, was largely overcome when indomethacin or betaine was present during the hyperosmotic preincubation period. Because betaine has recently been shown to inhibit the hyperosmolarity-induced induction of cyclooxygenase-2 and stimulation of prostaglandin production, these findings suggest that the effect of betaine in restoring the LPS-induced TNF-a response in hyperosmotically exposed Kupffer cells is mediated by an inhibition of prostaglandin synthesis. The findings point to a regulatory role of cell volume and betaine for TNF-a production by liver macrophages, suggesting a new role of osmolytes in modulating immune function.the expression of Cox-2 when ambient osmolarity increases from 300 to 350 mosmol/1 [3]. This remarkably sensitive and potent osmoregulation suggested that cell volume homeostasis is critical for Kupffer cell function. Subsequent studies identified betaine as an organic osmolyte in Kupffer cells [10] and RAW 264.7 mouse macrophages [11]. The mRNA levels coding for the betaine transporter BGT-1 are strongly induced by hyperosmolarity in these cells [10,11]. Organic osmolytes are compounds which are specifically accumulated or released by the cells in response to hyperosmotic cell shrinkage or hypoosmotic cell swelling in order to maintain cell volume homeostasis (for reviews see [12][13][14]). The functional significance of hyperosmolarity-induced betaine accumulation in Kupffer cells is suggested by the fact that betaine was shown to suppress the hyperosmolarity-induced stimulation of prostaglandin formation and Cox-2 expression [10]. Thus, osmolyte availability and BGT-1 expression are another site of regulation of Kupffer cell function. The present study was undertaken in order to get insight into the role of anisoosmolarity and betaine in the regulation of tumor necrosis factor-a (TNF-a) formation in rat Kupffer cells. The data show that lipopolysaccharide-induced TNF formation is strongly affected by anisotonicity and betaine and point to a role of betaine in the modulation of the immune response by Kupffer cells.