Myristoylated alanine-rich C kinase substrate (MARCKS) is a ubiquitously expressed protein kinase C substrate that has emerged as a potential therapeutic target for the amelioration of mucin secretion and inflammation in patients with chronic obstructive pulmonary disease. MARCKS also plays a key role in regulating the adhesion, migration, and degranulation of neutrophils. Moreover, given its biological role in epithelial and immune cells, we hypothesized that MARCKS may play an integral role in cytokine secretion by neutrophils. Because the amino terminus of MARCKS is highly conserved across vertebrate species, we successfully applied the well-characterized human MARCKS inhibitory peptide, myristoylated N-terminal sequence (MANS), to attenuate the function of MARCKS in isolated canine neutrophils. Pretreatment of canine neutrophils with MANS peptide significantly reduced both mRNA and protein expression in a broad range of LPS-induced cytokines, including IL-8, a chemokine (C-X-C motif) ligand-1 orthologue, and TNF-a, in comparison with untreated cells or those treated with a control peptide. This reduction in cytokine expression was observed even when neutrophils were treated with MANS 2 hours after LPS exposure. The observed reduction in cytokine secretion was not attributable to protein retention or cell death, but was associated with reduced cytokine transcript synthesis. These observations identify MARCKS protein as a promising therapeutic target in the treatment of inflammatory diseases or syndromes attributed to neutrophil influx and inflammatory cytokine production, such as sepsis, acute lung injury, and acute respiratory distress syndrome.Keywords: MARCKS; cytokine; inflammation; neutrophil Neutrophils are "professional" phagocytic cells that provide the host with a first line of defense against acute bacterial and fungal infection. After recruitment to a site of infection, neutrophils adhere to the capillary endothelium, migrate through vessel walls and interstitial tissues, and then phagocytose, kill, and destroy invading microorganisms, using a wide array of proinflammatory mediators and proteolytic enzymes. During this series of events, neutrophils damage normal tissue. Prolonged or exacerbated neutrophil recruitment and activation causes excessive and often irreversible tissue damage that has been directly linked to patient morbidity and mortality in acute lung injury (ALI), acute respiratory distress syndrome (ARDS), septicemia with multiorgan failure, and ischemia-reperfusion (1). Mortality rates in these syndromes range from 40 to 70%, and are predominantly attributed to irreversible systemic tissue damage. The identification of molecular mechanisms defining neutrophil migration and cytokine release is paramount in the treatment of patients with these acute inflammatory syndromes.Recent observations suggest that the myristoylated alaninerich C kinase substrate (MARCKS) protein plays a critical role in neutrophil function, and thus may offer a therapeutic target for the treatment of neutrophil-a...