The regulation of the three major acute-phase proteins a,-macroglobulin, cysteine proteinase inhibitor and a,-antitrypsin by recombinant human interleukin-1 fi, recombinant human interleukin-6 and recombinant human tumor necrosis factor a was studied in rat hepatocyte primary cultures. Synthesis and secretion of the acute-phase proteins was measured after labeling with [3sS]methionine and immunoprecipitation.Incubation of hepatocytes with interleukin-6 led to dose-dependent and time-dependent changes in the synthesis of the three major acute-phase proteins and albumin, similar to those occurring in vivo during experimental inflammation. a2-Macroglobulin and cysteine proteinase inhibitor synthesis was induced 54-fold and %fold, respectively, 24 h after the addition of 100 units/ml interleukin-6. At the same time synthesis of the negative acute-phase protein albumin was reduced to 30% of controls. Half-maximal effects were achieved with 4 units interleukin-6/ml. Interleukin-1fi had only a partial effect on the regulation of the four proteins studied: only a twofold stimulation of a,-macroglobulin and a 60% reduction of albumin synthesis were observed. Tumor necrosis factor a did not alter the synthesis of acute-phase proteins.The stimulation of a2-macroglobulin and cysteine proteinase inhibitor synthesis by interleukin-6 was inhibited by interleukin-1 p in a dose-dependent manner.In pulse-chase experiments the effect of interleukin-lfi, interleukin-6 and tumor necrosis factor CI on the secretion of acute-phase proteins was examined. Interleukin-6 markedly accelerated the secretion of total proteins and a,-macroglobulin, whereas the secretion of cysteine proteinase inhibitor, a,-antitrypsin and albumin was not affected. The inhibition of N-glycosylation by tunicamycin abolished the effect of interleukin-6 on the secretion of a2-macroglobulin, indicating a possible role of interleukin-6 on N-glycosylation.Bacterial or parasitic infections, physical and chemical traumata, malignant tumors and immunologic disorders lead to a series of local and systemic reactions of the organism, the so-called acute-phase response [l, 21. The local reaction includes the dilation of blood vessels, alteration in blood flow and clotting, immigration of neutrophils and macrophages, release of lysosomal proteases and the formation of inflammatory mediators. These mediators cause a systemic reaction characterized by fever and pain, leukocytosis, decrease in plasma iron and zinc levels and increased synthesis of acutephase proteins (reviewed in [l, 21). Many of the acute-phase proteins are proteinase inhibitors involved in the protection of healthy tissue from proteinases such as elastase, collagenase and cathepsin G released from granulocytes and macrophagesIn the rat the proteinase inhibitors a,-macroglobulin (azM), cysteine proteinase inhibitor and al-antitrypsin (a,AT) represent positive acute-phase reactants. During acute inflammation their serum levels increase about 100-fold, 8-fold, and 2-fold respectively 14-61. The increase in seru...