We demonstrated previously that Actinobacillus actinomycetemcomitans leukotoxin (Ltx) is greatly able to induce apoptotic signaling in cells that are positive for lymphocyte function-associated antigen 1 (LFA-1), a cell receptor of Ltx. We investigated in this study whether inflammatory cytokines can regulate apoptosis of human leukemic HL-60 cells induced by Ltx. Of the cytokines tested, tumor necrosis factor alpha (TNF-␣) significantly enhanced the Ltx-induced cell apoptosis. Northern and Western blotting analyses showed that TNF-␣ enhanced the expression of CD11a in the cells at both the mRNA and protein levels but did not do so for CD18 expression. TNF-␣ also enhanced the binding of Ltx to the cells. We also observed by measuring the mitochondrial transmembrane potential and the generation of superoxide anion that the cytokine enhanced Ltx-induced apoptosis in HL-60 cells. In addition, interleukin-1 significantly enhanced Ltx-induced cell apoptosis, although the enhancing activity was lower than that of TNF-␣. These stimulatory effects of both cytokines were also observed for human polymorphonuclear leukocytes. The ability of TNF-␣ to increase cell susceptibility to Ltx could be inhibited by preincubation of the cells with a monoclonal antibody against TNF receptor 1 but not by preincubation of the cells with a monoclonal antibody against anti-TNF receptor 2. Furthermore, the results of an assay of caspase 3 intracellular activity (PhiPhiLuxG 1 D 2 ) showed that Ltxinduced caspase 3 activation was completely neutralized by CD18 antibody treatment, although significant neutralization was also observed with anti-CD11a antibody. Taken together, the results of the present study indicate that TNF-␣ acts as a potent stimulator of Ltx-induced HL-60 cell apoptosis via TNF receptor 1-mediated upregulation of LFA-1 expression.Apoptosis plays an important role in the inflammatory response, tumorigenesis, and embryonic development (10, 21). It has been shown that several pathogenic bacteria act as promoters or inhibitors of apoptosis of monocytes/macrophages (6, 9, 22). These observations suggest that several cell components and metabolic products of these bacteria are involved in an important pathogenic mechanism promoting inflammatory responses via apoptosis of monocytes/macrophages.Actinobacillus actinomycetemcomitans is a gram-negative bacterium that has been identified in several human infectious diseases, such as endocarditis, meningitis, osteomyelitis (23), and aggressive periodontitis (33). It has been demonstrated by many studies that this organism produces a 116-kDa leukotoxin (Ltx) that destroys specific target cells via an apoptotic effect (16,29). Interestingly, we clearly identified lymphocyte function-associated antigen 1 (LFA-1) as a 2 integrin, a cell receptor for Ltx (17). Also, we showed that the Ltx-induced apoptotic signal was initiated through LFA-1 binding of the toxin. These observations suggest that elimination of LFA-1-positive inflammatory cells such as monocytes/macrophages and neutrophils ...