The innate immune response of macrophages (M) to spores, the environmentally acquired form of Bacillus anthracis, is poorly characterized. We therefore examined the early M cytokine response to B. anthracis spores, before germination. M were exposed to bacilli and spores of Sterne strain 34F2 and its congenic nongerminating mutant (⌬gerH), and cytokine expression was measured by real-time PCR and an enzymelinked immunosorbent assay. The exosporium spore layer was retained (exo ؉ ) or removed by sonication (exo ؊ ). Spores consistently induced a strong cytokine response, with the exo ؊ spores eliciting a two-to threefold-higher response than exo ؉ spores. The threshold for interleukin-1 (IL-1) production by wild-type M was significantly lower than that required for tumor necrosis factor alpha expression. Cytokine production was largely dependent on MyD88, suggesting Toll-like receptor involvement; however, the expression of beta interferon in MyD88 ؊/؊ M suggests involvement of a MyD88-independent pathway. We conclude that (i) the B. anthracis spore is not immunologically inert, (ii) the exosporium masks epitopes recognized by the M, (iii) the M cytokine response to B. anthracis involves multiple pattern recognition receptors and signaling pathways, and (iv) compared to other cytokines, IL-1 is expressed at a lower spore concentration.Bacillus anthracis, the causative agent of anthrax, is a highly virulent gram-positive, spore-forming bacterium that is typically acquired through exposure to spores from anthrax sporeinfected animals or animal products or atypically through intentional exposure as a biological weapon (7, 13). Virulent strains of B. anthracis carry two large plasmids, pXO1 and pXO2, which carry the genes encoding anthrax toxin production and capsule formation, respectively, each of which is critical to the pathogenesis of anthrax infection.B. anthracis exists in the environment as dormant spores capable of resisting adverse conditions. Upon uptake by macrophages (M), B. anthracis spores, the form initially encountered by M, rapidly germinate, with the outgrowth of vegetative bacilli constituting the first stage of anthrax spore infection (14). Spore germination enables the bacteria to actively proliferate, synthesize their virulence factors (lethal and edema toxins, capsule), and disseminate within the host, leading to massive septicemia (7). Thus, the recognition and elimination of B. anthracis by M (6, 7, 28, 29, 45, 46) represent critical early events in anthrax pathogenesis.Since a successful innate immune response to B. anthracis might prevent the replication and dissemination of the vegetative form, we examined the M cytokine response to B. anthracis spores. Little is known about the ability of B. anthracis spores to induce M cytokine responses, which might be expected to activate macrophagicidal activity, thereby lowering the replication and dissemination of bacilli. To address this question, we used two approaches. First, we used the germination-proficient B. anthracis Sterne strain 34F2 ...