We investigated the effects of various pro-inflammatory cytokines on the proliferation rate of isolated human osteoblastic cells in primary cultures. Interleukin-1 beta (IL-1 beta) and tumor necrosis factor-beta (TNF-beta) time- and dose-dependently enhanced the proliferation of human osteoblasts. Both of these cytokines also enhanced endogenous prostaglandin E2 (PGE2) formation. Exogenous PGE2 dose- and time-dependently-stimulated cell proliferation. However, the stimulatory effects of IL-1 beta and TNF-beta on osteoblast proliferation were not abolished by indomethacin, indicating a direct effect by these cytokines on the rate of proliferation. TNF-alpha stimulated proliferation at low doses, while it significantly inhibited proliferation at higher concentrations (at and above 100 pM) and with prolonged incubation times. This biphasic effect was unaffected by indomethacin. Interleukin-6, finally, did not affect the rate of proliferation. Our findings show that inflammatory cytokines may stimulate or inhibit the proliferation of isolated human osteoblasts, depending on concentration and time.