Micro-organisms ingested by polyrnorphonuclear leukocytes (PMNs) I are exposed to a variety of anti-microbial systems; some require oxygen, whereas others are effective under anaerobic conditions (1, 2). The importance of the oxygen-dependent anti-microbial systems is emphasized by the presence of a major microbicidal defect associated with an impairment in the phagocytosis-induced respiratory burst in the PMNs of patients with chronic granulomatous disease (CGD). One of the oxygen-dependent anti-microbial systems of the PMN consists of myeloperoxidase (MPO), H2Os, and a halide. After phagocytosis, MPO is released into the phagocytic vacuole from adjacent lysosomal granules where it interacts with H202 generated either by leukocytic or microbial metabolism and a halide such as chloride or iodide to form an agent or agents toxic to the ingested organisms. The evidence in support of a role for the MPO-mediated anti-microbial system in the microbicidal activity of the intact cell is substantial (I, 2). Of particular pertinence is the finding of a major fungicidal and bactericidal defect in leukocytes which lack MPO, i.e., from patients with hereditary MPO deficiency (3, 4).Oxygen-dependent anti-microbial agents which do not require MPO also are present in the PMN; among these may be the hydroxyl radical (OH.), generated by the interaction of the superoxide anion (O~-) and H202. The superoxide anion is formed by the univalent reduction of oxygen and its dismutation to form H202 readily occurs either spontaneously or catalyzed by superoxide dismutase (SOD). A mechanism for the formation of OH-was proposed by Haber and Weiss (5):Of-+ H202 ~ OH. + OH-+ 02.
(a)When a chemical reaction is induced by a Of-H2()2 generating system, the inhibition of that reaction by SOD, catalase, and OH. scavengers such as mannitol, ethanol, and benzoate and its stimulation by H202, have been employed as evidence for the involvement of OH-generated by the Haber-Weiss reaction (6). The Haber-Weiss reaction has recently been questioned as an efficient mechanism for the generation of OH. (7, 8); however a number of reactions respond to inhibitors in a manner suggestive of the participation of O~-, H202 and OH., leaving open the possibility that OH. is generated by an, as yet, unknown mechanism requiring O~-and H202.Both O~-(9) and H202 (10) are generated by PMNs during phagocytosis and the formation of OH. by phagocytosing PMNs might therefore be anticipated. * Supported in part by grants AI07763 and CA18354 from the U. S. Public Health Service.Abbreviations used in this paper: CGD, chronic granulomatous disease; DABCO, 1,4-diazabicyclo [2,2,2] octane; D20, deuterium oxide; KMB, 2-kete-4-thiomethylbutyric acid; MPO, myeloperoxidase; O~ -, superoxide anion; 102, singlet oxygen; OH., hydroxyl radical; PMN, polymorphonuclear leukocyte; SOD, superoxide dismutase.
490J. Exp. MED.