Abstract-Cardiac myocytes isolated from rats with peritonitis (cecal ligation and perforation; CLP) promote PMN transendothelial migration. Herein, we assessed (1) the mechanisms involved in cardiac myocyte activation during peritonitis and (2) the means by which these activated myocytes promote PMN transendothelial migration. Plasma obtained from mice subjected to CLP (septic plasma) activated isolated cardiac myocytes as evidenced by (1) increased nuclear levels of nuclear factor-B (NF-B) and (2) their ability to promote PMN migration across endothelial cell monolayers. Pretreatment of septic plasma with an antibody against tumor necrosis factor-␣ (TNF-␣), but not interleukin-1 (IL-1), blunted the ability of septic plasma to activate the myocytes. However, septic plasma obtained from TNF-␣-deficient mice could still activate the myocytes; an effect attenuated by an antibody against IL-1. If the myocytes were pretreated with a proteasome inhibitor (MG 132) to prevent NF-B activation, the myocyte-induced PMN transendothelial migration was compromised. The activated myocytes released platelet-activating factor (PAF), and myocyte-induced PMN migration was abrogated by a PAF receptor antagonist (WEB 2086