“…Although diverse effects of D factor have been identified in vitro (5)(6)(7)(8)(9)(10)(11) and in vivo (12)(13)(14)(15)(16), little is known about its role during acute and chronic inflammation. It can be produced by a variety of cells, including fibroblasts (3,17), monocytes, macrophages (18), and T lymphocytes (19), and its synthesis can be induced by TNF, IL-1, and endotoxin (LPS) (17,20,21). In addition, elevated levels of D factor have been identified in the body fluids of patients with a variety of acute and chronic inflammatory conditions, such as septic shock, rheumatoid arthritis, renal aUograft rejection, and cancer (20,22,23).…”