P38 plays a protective role in NSAID/cytokine-induced cytotoxicity. HepG2 cells were treated with (A) AA derivatives (DCLF: 250 µM, BRM: 750 µM or SLD sulfide: 200 μM), or (B) PA derivatives (IBU: 6 mM or NAP: 10 mM) alone or in combination with TNFα and/or IFNγ. NSAID/cytokine combinations were also incubated in the presence and absence of the p38 inhibitor SB203580 (20 μM). Cytotoxicity was measured 24 h later. a, significantly different from VEH within NSAID/inhibitor treatment; b, significantly different from TNFα within NSAID/inhibitor treatment; c, significantly different from Control within a cytokine group; d, significantly different from NSAID without inhibitor within a cytokine group. Data are represented as mean ± S.E.M of at least 4 separate experiments. VEH, vehicle; TNF, tumor necrosis factor-alpha; IFN, interferon-gamma; LDH, lactate dehydrogenase; DCLF, diclofenac; BRM, bromfenac; SLD, sulindac; IBU, ibuprofen; NAP, naproxen.