“…Some inhibit the synthesis of IL-1, TNF-␣ and IL-6 in LPS-stimulated human monocyte cultures [11][12][13][14], others induce an enhancement of IL-2 and interferon ␥ (IFN-␥) release in lymphocyte cultures [10]. Some increase mRNA levels of cytokines, such as IL-1, IL-3, IL-4, IL-6, TNF-␣, granulocyte-macrophage colony-stimulating factor (GM-CSF) and lymphotoxin [10,11,15]. In a recent study, Mattsson et al [16] demonstrated that -lactam antibiotics, macrolides, vancomycin or clindamycin themselves did not induce TNF-␣ release, while other authors have described that the quinolones trovafloxacin and grepafloxacin and the macrolide clarithromycin were capable of inhibiting the in vitro production of IL-1␣, IL-1, TNF-␣, IL-6 and IL-8 by human monocytes [17][18][19].…”