. Acute IL-6 treatment increases fatty acid turnover in elderly humans in vivo and in tissue culture in vitro. Am J Physiol Endocrinol Metab 288: E155-E162, 2005. First published September 21, 2004; doi:10.1152/ ajpendo.00257.2004.-To determine whether IL-6 increases lipolysis and fat oxidation in patients with type 2 diabetes and/or whether it exerts this effect independently of changes to the hormonal milieu, patients with type 2 diabetes (D) and healthy control subjects (CON) underwent recombinant human (rh)IL-6 infusion for 3 h. Rates of appearance (Ra) and disappearance (Rd) of [U-13 C]palmitate and [6,6-2 H2]glucose were determined. rhIL-6 infusion increased (P Ͻ 0.05) palmitate Ra and Rd in a similar fashion in both groups. Neither plasma glucose concentration nor glucose Ra/Rd was affected by rhIL-6 infusion in either group, whereas rhIL-6 infusion resulted in a reduction (P Ͻ 0.05) in circulating insulin in D. Plasma growth hormone (GH) was increased (P Ͻ 0.05) by IL-6 in CON, and cortisol increased (P Ͻ 0.05) in response to IL-6 in both groups. To determine whether IL-6 was exerting its effect directly or through activation of these hormones, we performed cell culture experiments. Fully differentiated 3T3-L1 adipocytes were treated with PBS (control) IL-6, or IL-6 plus dexamethasone and GH. IL-6 treatment alone increased (P Ͻ 0.05) lipolysis, but this effect was reduced by the addition of dexamethasone and GH such that IL-6 plus dexamethasone and GH had blunted (P Ͻ 0.05) lipolysis compared with IL-6 alone. To assess whether IL-6 increases fat oxidation, L6 myotubes were treated with PBS (Control), IL-6, or AICAR, a compound known to increase lipid oxidation. Both IL-6 and AICAR markedly increased (P Ͻ 0.05) oxidation of [ 14 C]palmitate compared with Control. Acute IL-6 treatment increased fatty acid turnover in D patients as well as healthy CON subjects. Moreover, IL-6 appears to be activating lipolysis independently of elevations in GH and/or cortisol and appears to be a potent catalyst for fat oxidation in muscle cells. cytokines; metabolism; insulin sensitivity THE CYTOKINE INTERLEUKIN-6 (IL-6) has traditionally been known for its immunomodulatory effects, but recent research has focused on its metabolic role in the etiology of obesity and type 2 diabetes. Studies have demonstrated that acute IL-6 administration can alter fat metabolism and lipolysis. We (28) and others (13) have demonstrated that the infusion of recombinant human (rh)IL-6 into healthy humans increases whole body lipolysis and free fatty acid (FFA) oxidation. In addition, Wallenius et al. (30) recently demonstrated that an IL-6 knockout mouse became obese, a phenotype which was partially reduced with IL-6 treatment. Hence, it has been suggested that IL-6 is a possible target therapy for obesity-related disorders (30). In line with altered fatty acid metabolism, the effect of IL-6 on insulin sensitivity is not completely clear, since a number of both in vitro and in vivo studies have demonstrated that IL-6 decreases (3,10,11,18,2...