Eosinophilic infiltration, elevated levels of eosinophil major basic protein (MBP), and a close approximation of eosinophils and fibroblasts are prominent features of the asthmatic airway. Eosinophil-fibroblast interactions have been shown to regulate fibroblast proliferation and eosinophil survival. The importance of these interactions, however, in generating and/or maintaining local inflammation, is not completely understood. Previous work from our laboratory has demonstrated that human lung fibroblasts are potent sources of immunomodulatory cytokines. Thus, we hypothesized that eosinophils are important regulators of this effector function, in part via the ability of eosinophil-derived granule proteins to regulate fibroblast cytokine elaboration. To test this hypothesis, we used ELISA quantification and Northern blot analysis to characterize the effects of purified MBP and eosinophil-derived neurotoxin (EDN) on cytokine production by both unstimulated and recombinant human interleukin-1 alpha (rIL-1-α)- or transforming growth factor- beta (TGF-β)-stimulated human lung fibroblasts. Unstimulated fibroblasts did not produce significant amounts of IL-6, IL-11, leukemia inhibitory factor (LIF), IL-8, or granulocyte-macrophage colony-stimulating factor (GM-CSF). Concentrations of MBP (>44 μg/mL) stimulated the production of IL-6 and IL-11. Lower doses of MBP interacted with rIL-1-α in a synergistic fashion to augment IL-l-induced IL-6, IL-11, IL-8, and GM-CSF production, and with TGF-β to further augment fibroblast production of IL-11 and LIF. These effects were dose- and time-dependent, and were evident following incubation of fibroblasts with rlL-1-α+/—MBP for as little as 4 h and as much as 48 h. Fibroblasts incubated with rIL-1-α (2.5 ng/mL) plus MBP (44 μg/mL) produced threefold to fivefold more IL-6, threefold to tenfold more IL-11, twofold to fivefold more GM-CSF, and twofold to fivefold more IL-8 than fibroblasts incubated with rIL-1-α alone. Fibroblasts incubated with TGFβ (10 ng/mL) plus MBP (22 μg/mL) produced twofold to fourfold more IL-11 and fourfold to fivefold more LIF than cells incubated with TGF-β alone. The synergy of MBP with rIL-1-α or TGF-β was not generalizable to all fibroblast functions, because MBP did not synergize with IL-1 to induce type I collagen or hepatocyte growth factor (HGF) production, or with TGF-β in the induction of IL-6 or HGF. This effect was also not generalizable to all eosinophil granule-derived molecules since EDN did not synergize with rIL-1-α in the induction of IL-11. The effects of MBP appeared to be pretranslationally mediated, since MBP-induced alterations in cytokine protein production were associated with proportional changes in mRNA accumulation. They also appeared to be at least partially charge-mediated since (1) poly-L-arginine, another highly cationic molecule, also synergized with rIL-1-α and TGF-β to augment fibroblast IL-11 and IL-6 protein production and mRNA accumulation; and (2) the effects of MBP on IL-11 production were abolished when fibroblasts were coincubated with MBP and the anionic molecule heparin. These studies demonstrate that MBP stimulates fibroblast IL-6 and IL-11 production and interacts with IL-1-α and TGF-β to synergistically augment fibroblast cytokine production. These effects of MBP may be mediated, at least in part, by cationic charge. Stimulation of stromal cell cytokine production caused by MBP may serve to augment and/or perpetuate the inflammatory response in eosinophil-associated human diseases such as asthma.