The cytotoxic quinolone CP-115,953 specifically exerts its inhibitory effect upon eukaryotic topoisomerase II. CP-115,953 stimulates DNA cleavage mediated by topoisomerase II with a potency approximately 600 times greater than that of ciprofloxacin, a quinolone antibacterial agent that currently is in clinical use. Because ciprofloxacin has been reported to strongly enhance interleukin-2 production, we considered it important to study the effect of CP-115,953 on interleukin-2 and gamma interferon (IFN-␥) mRNA and protein expression in mitogen-stimulated human peripheral blood lymphocytes. For comparison, novobiocin and the antineoplastic drug etoposide were also included in the study. CP-115,953 (25 M) enhanced interleukin-2 mRNA levels up to 8-fold and IFN-␥ mRNA concentrations up to 6.5-fold. In contrast, ciprofloxacin (282 M) induced mRNAs for interleukin-2 and IFN-␥ up to 20-fold and 7.8-fold, respectively. However, CP-115,953 showed more prolonged kinetics of IFN-␥ mRNA production than ciprofloxacin. At high concentrations (Ն141 M), ciprofloxacin was a greater inducer of interleukin-2 production and exhibited a higher level of stimulatory action than CP-115,953 on IFN-␥ synthesis. At low concentrations, however, CP-115,953 (Յ25 M) was more potent than ciprofloxacin in inducing interleukin-2 and IFN-␥ synthesis. Etoposide or novobiocin did not influence cytokine mRNA expression. Thus, among the topoisomerase II inhibitors tested, fluoroquinolones are unique in stimulating cytokine synthesis in lymphocyte cultures.DNA topoisomerases are a class of enzymes that primarily alter DNA conformation through a concerted breaking and rejoining of DNA strands, thereby controlling the topological state of DNA (3, 4, 49). Topoisomerase II is not only crucially involved in DNA replication but also participates in transcription, DNA repair, and recombination (18). Nucleotide sequencing of genes encoding the topoisomerase enzymes from eukaryotic and prokaryotic cells shows all type II topoisomerases to be structurally and phylogenetically related. Eukaryotic DNA topoisomerase II corresponds to the bacterial DNA gyrase and is a ubiquitous ATP-dependent type II topoisomerase (4). Eukaryotic topoisomerase II is the primary cellular target for several clinically important antitumor agents (e.g., etoposide) (7, 46), while the prokaryotic counterpart is the target for fluoroquinolone antibacterial drugs (24).The lethal target of fluoroquinolone antibiotics in bacteria is the association between DNA and DNA gyrase (24, 34). Fluoroquinolones in clinical use have, in general, been found to be only weak inhibitors of the eukaryotic topoisomerase II in in vitro assays exploring relaxation or catenation of supercoiled double-stranded DNA (19,25,26). However, a number of new fluoroquinolone derivatives with enhanced activity against eukaryotic topoisomerase II exhibited by their strong inhibitory effects on eukaryotic DNA replication have been characterized, and their structure-activity relationships have been determined (3,9,12,13,17,1...