Necrotizing enterocolitis (NEC) is a common and devastating gastrointestinal disease of premature infants. Because the proinflammatory cytokines IL-18, IL-12, and interferon (IFN)-␥ have been implicated in other diseases of the small intestine, we hypothesized that these cytokines would play an important role in NEC pathogenesis. NEC was induced in newborn rats via enteral feeding with rat milk substitute and asphyxia and cold stress (RMS). Dam-fed, asphyxia-and cold-stressed littermates were used as controls (DF). After 96 h, the distal ileum was removed from all animals and processed to determine expression and localization of IL-18, IL-12, and IFN-␥ using real-time reverse transcriptase PCR and immunohistology. IL-18 and IL-12 mRNA from the RMS group were increased (p Յ 0.05) compared with DF controls, and there was a correlation between increasing IL-18 and IL-12 mRNA levels and progression of tissue damage (r ϭ 0.629 and 0.588, respectively; p Յ 0.05). NEC is the most common gastrointestinal disease of premature infants (1). Its etiology, however, remains elusive (2). It has been suggested that the major risk factors for NECprematurity, formula feeding, intestinal ischemia/hypoxia, and bacterial colonization-promote an inflammatory cascade that results in the pathology associated with this disease (3, 4). The development of animal models has been vital to the understanding of NEC (5). The neonatal rat model, where NEC is induced in newborn rats by enteral feeding of artificial formula coupled with asphyxia and cold stress, is an established model for study of this disease (6 -11).The intestinal environment is capable of producing an array of cytokines important in the development and control of inflammatory responses (12, 13). Among these, proinflammatory IL-18 (14 -17), , and IFN-␥ (21, 22) have been implicated in inflammatory diseases of the small intestine. Individually, IL-18 and IL-12 can induce small amounts of IFN-␥ from T, natural killer (NK), and B cells. Together, IL-18 and IL-12 can work synergistically to induce greater quantities of IFN-␥ from these immunocompetent cells, and IL-18 and IL-12 can induce intestinal inflammation in the presence of IFN-␥ in mice (23). Both IL-18 and IL-12 are produced by MC, however, IL-18 is produced by IEC as well (12, 24 -26).Cytokine profiles in NEC are poorly defined and sometimes contradictory. IFN-␥ mRNA showed a slight trend toward up-regulation in rats with experimental NEC (10) and was increased in infants with NEC (27, 28