Objective: The aim of the present study was to investigate the effect of exogenously administered GH on serum levels of interleukin (IL)-1b, IL-2, IL-12, tumor necrosis factor (TNF)-a and interferon (IFN)-g and their relation with IGF-I levels in normal short stature children. Design and methods: 23 short prepubertal non GH-deficient children (10 females and 13 males) whose mean^S.D. chronological age was 11.95^1.85 years (from 8.80 to 14.89 years), and mean^S.D. bone age was 10.48^2.44 years, were evaluated during a somatomedin generation test (human GH 0.1 IU/kg per day for 4 days) to exclude a partial GH resistance as the cause of short stature; 34 sex-and age-matched healthy subjects were studied as controls. Circulating cytokine values were measured in basal conditions in all children, and 12 h following the 4th GH subcutaneous injection in the 23 short children only. Results: No significant differences were found between short children and controls in basal values of serum .2 ng/ml respectively). In short subjects there was a significant increase in serum IGF-I levels after the 4th GH injection (from 192.1^18.3 ng/ml, i.e. 2 1.16^0.16 standard deviation score (SDS) to 338.2^27.1 ng/ml, i.e. 0.14^0.17; P , 0.00001). No significant differences were found between short children and controls in basal concentrations of serum INF-g (19^4 and 26^5 mIU/ml respectively), IL-1a (24.950^3.613 and 20.896^2.778 pg/ml respectively), IL-2 (3.945^1.209 and 4.794^0.562 pg/ml respectively), IL-12 (1.093^0.269 and 1.976^0.596 pg/ml respectively), and TNF-a (1.794^0.559 and 2.188^0.346 pg/ml respectively). Likewise, a significant increase was found in serum INF-g (before 19^4 and after four GH injections 185^57 mIU/ml respectively; P , 0.008), IL-1b (24.950^3.613 to 43.339^5.431 pg/ml respectively; P , 0.0001), IL-2 (3.945^1.209 to 9.165^2.331 pg/ml respectively; P , 0.003), IL-12 (1.093^0.269 to 3.724^0.637 pg/ml respectively; P , 0.0007) and TNF-a (1.794^0.559 to 9.266^3.066 pg/ml respectively; P , 0.01). Conclusions: Cytokine release can be affected by short-term GH administration in normal children indicating a direct influence of GH on the immune system.