SUMMARYThe induction of immunoregulatory cytokines IL-1 , IL-6, IL-12, tumour necrosis factor-alpha (TNF-) and interferon-gamma (IFN-) was studied with neonatal (cord blood) monocyte-derived macrophages (MDM) after in vitro infection with respiratory syncytial virus (RSV). The expression of mRNAs for these cytokines in RSV-infected MDM was examined by reverse transcriptase-polymerase chain reaction (RT-PCR). The activities of these cytokines were assayed by ELISA. Significant increase of expression of mRNA for IL-6, IL-12, TNF-and IFN-occurred within 2 h after infection and decreased within 6 h after infection. At 20 h after infection the MDM produced and secreted moderate levels of IL-6 and TNF-; however, no IL-12 and IFN-activities were detected. Moderate IL-1 mRNA was expressed before RSV infection, and its expression increased at 2 h after infection. However, no detectable IL-1 was secreted in culture fluids. These observations suggest that RSVinfected neonatal macrophages produce and secrete IL-6 and TNF-quickly during the eclipse phase of RSV infection and therefore may play a prominent role in the initiation of the immune response to RSV.