A voltage-gated proton conductance is activated during the respiratory burst in human neutrophils (1-6). The resulting H ϩ efflux compensates for the electrogenic action of NADPH oxidase (1). Several lines of evidence have suggested that the gp91 phox component of the NADPH oxidase complex might be the proton channel that is activated during the respiratory burst (2,3,7,8). The presence of H ϩ currents in monocytes from gp91 phox -deficient CGD 1 patients appeared to refute this idea (9), but Henderson and Chappell (10) argued that these data were inconclusive. Furthermore, it has been reported that heterologous expression of gp91 phox results in the appearance of proton fluxes or proton currents resembling those activated during the respiratory burst (8,(11)(12)(13)(14)(15) phox cDNA) were all induced by incubation with 0.5% N,N-dimethylformamide (DMF; Sigma) for 4 -7 days. Some whole-cell studies were done on PLB KO cells before DMF induction, designated PLB KO* . The absence of gp91 phox expression in the PLB KO granulocytes is well documented (20 -23). X-CGD granulocytes (mainly neutrophils) were isolated by density gradient centrifugation as described (24) from three patients with CGD, all of whom had documented absent neutrophil superoxide production and mutations that would prevent stable expression of gp91 phox (25). The specific mutations were (a) Cys 1347 3 Ala in Exon 11, changing the codon for Cys 445 to a premature STOP codon; (b) deletion of Cys 1028 in Exon 9, leading to a frameshift after Pro 339 and a premature STOP three codons downstream; and (c) insertion of Cys after Gly 169 in Exon 3, leading to a frameshift after Leu 52 and a premature STOP codon in Exon 5. In patient c, the absence of cytochrome b 558 was demonstrated spectrophotometrically in neutrophil extracts. Blood from patient c was refrigerated overnight before use, and most surviving granulocytes were identified as eosinophils in a Wrightstained cytospin preparation.Electrophysiology-Whole-cell and permeabilized patch voltageclamp recordings were done as described (26, 27) with micropipettes pulled from 7052 glass (Garner Glass). Whole-cell solutions (pipette and bath) included 100 mM buffer near its pK a with tetramethylammonium ϩ and methanesulfonate Ϫ as the main ions, 1 mM EGTA, and 1-2 mM