We explored the possible role of transforming growth factor .I1 (TGF-fi), a cytokine that appears to be an TGF-,8 had no effect on haptoglobin or a,-acid glycoprotein secretion, either directly or in the presence of interleukin 6, which is capable of inducing these proteins. These studies demonstrate that TGF-fi can affect hepatic synthesis and secretion of a subset of acute-phase proteins, both directly and by modulating the effect of interleukin 6. The affected group of plasma proteins is distinct from those affected by other recognized acute-phase protein-inducing cytokines. These findings support the view that combinations of cytokines mediate the response of the hepatocyte to inflammatory stimuli.Tissue injury and infection lead to a broad array of systemic and metabolic alterations, collectively termed the acutephase response (1, 2). Among these alterations are changes in hepatic synthesis of a number of plasma proteins, referred to as acute-phase proteins; synthesis of some proteins, the positive acute-phase proteins, increases, while synthesis of others, the negative acute-phase proteins, decreases. Studies in primary hepatocyte cultures and hepatoma cell lines have shown that hepatic synthesis of human acute-phase proteins can be influenced by several cytokines including interleukin 6 (IL-6), a major inducer ofacute-phase changes, interleukins la and -p8 (IL-1), cachectin/tumor necrosis factor a (TNF), interferon y, and leukemia inhibitory factor (3-18). One cytokine can modulate the effect of other cytokines in human model systems-e.g., IL-1 diminishes the inducing effect of IL-6 on fibrinogen synthesis (7,12,18) and interferon yThe publication costs of this article were defrayed in part by page charge payment. This article must therefore be hereby marked "advertisement"in accordance with 18 U.S.C. §1734 solely to indicate this fact.