The role of the anti-inflammatory cytokine interleukin-10 (IL-10) was investigated in the mouse model of liver injury induced by carbon tetrachloride (CCl 4 ). To address the role of endogenous IL-10 production, acute hepatitis was induced by CCl 4 in C57Bl/6 IL-10 gene knock out (KO) and wild-type (WT) mice. After CCl 4 challenge, serum and liver levels of tumor necrosis factor-alpha (TNF-␣) and serum levels of transforming growth factor-beta 1 (TGF-1) increased and were significantly higher in IL-10 KO mice, whereas IL-6 serum levels were only slightly increased compared with WT mice. At histological examination, the livers disclosed a significantly more prominent neutrophilic infiltration in IL-10 KO mice 12 and 24 hours after CCl 4 injection. In contrast, hepatocyte necrosis, evaluated by histological examination and serum alanine aminotransferase levels, was only marginally affected. The proliferative response of hepatocytes, assessed by the proliferating cell nuclear-antigen labeling index, was significantly increased in IL-10 KO mice, compared with WT mice 48 hours after CCl 4 injection. Finally, repeated CCl 4 injections led to more liver fibrosis in IL-10 KO mice after 7 weeks. In conclusion, endogenous IL-10 marginally affects the hepatocyte necrosis although it controls the acute inflammatory burst induced by CCl 4 . During liver repair, it limits the proliferative response of hepatocytes and the development of fibrosis. (HEPATOLOGY 1998;28:1607-1615.)