“…Extracellular HMGB1 acts as ligand and sensor for innate immunity to promote recruitments of inflammatory cells and to elicit release of inflammatory cytokines, thus initiating a vicious circle between injured neurons and uncontrolled inflammation (13,72,77). In traumatic spinal cord of rat, HMGB1 was significantly up-regulated from 6 h, acting on the roles of the release of TNF-␣, IL-1, and IL-6 (15,18). Monocytes cultured with HMGB1 release TNF-␣, IL-1, IL-6, IL-8, and macrophage inflammatory protein-1 but not anti-inflammatory cytokines, such as IL-10 and IL-12 (23,25).…”