In inflamed tissues, neutrophils are exposed to a variety of stimulatory molecules of different origin that condition their microbicidal and tissue-damaging activities . The best known stimuli are FMLP related to bacterial products (1), C5a formed upon complement activation (2), and two bioactive lipids, plateletactivating factor (PAF)' and leukotriene B4 (LTB4) (3-5). Products like PAF and LTB 4, which are released by stimulated phagocytes and have themselves stimulatory properties, may act as enhancers of antimicrobial defense and inflammation (6, 7). Of particular interest are products of activated mononuclear phagocytes, which are likely to influence neutrophil function at sites of chronic inflammation . We have cultured human blood mononuclear cells in the presence of LPS and different lectins and have tested the conditioned media for the presence of factors acting on the neutrophils . In this paper we describe a neutrophil-activating factor (NAF) produced by stimulated monocytes that induces exocytosis and the respiratory burst. The effects of NAF on human neutrophils are similar to those of FMLP and C5a, but appear mediated by a novel and selective surface rceptor .The results presented here were obtained over the current year using a partially purified preparation of NAF. Only upon completion of the present study did we succeed in purifying NAF to homogeneity . The identification of 32 of 50 presumed residues by amino acid sequencing showed that NAF is a novel polypeptide (8) . Pure NAF has an^-80-fold higher specific activity than the partially purified preparation . Both preparations, however, were qualitatively similar ; they induced exocytosis and a rapid and transient respiratory burst response in human neutrophils, and showed complete cross-desensitization upon repeated application to the cells.Volume