Communicated by Leon 0. Jacobson, January 25, 1982 ABSTRACT Human peripheral blood lymphocytes, in the presence of human neutrophils, initiate DNA synthesis and cell cycling when exposed to mevalonic acid. The ability of lymphocytes to respond in this manner is a radiosensitive property of the cells, whereas the help provided by neutrophils is maintained despite their prior exposure to x-irradiation. Other organic acid anions, including precursors of mevalonic acid biosynthesis and a variety ofproducts ofmevalonate metabolism, fail to initiate DNA synthesis when added to human lymphocytes. Because only the metabolically active R(-) enantiomer of mevalonic acid initiates lymphocyte DNA synthesis, we presume that physiological pathways of mevalonate metabolism are involved. The response to mevalonic acid of ML-236B (compactin)-inhibited lymphocytes is increased, and the threshold concentration ofmevalonate at which lymphocyte DNA synthesis first appears is decreased, when the cells are cultured in lipoprotein-containing (as opposed to lipoprotein-depleted) medium. The response to mevalonic acid oflymphocytes cultured in lipoprotein-depleted medium can be enhanced by addition to the cultures of low density lipoprotein but not by addition of high density lipoprotein. Based upon the flux diversion hypothesis of mevalonate metabolism, these observations suggest that a nonsterol product of mevalonate metabolism may be responsible for the initiation oflymphocyte DNA synthesis by mevalonic acid.