Exposure to decreasing oxygen tensions progressively increased xanthine dehydrogenase (XD) and xanthIne oxidase (XO) activities over 48 hr in cultured pulmonary artery endothelial cells (EC) without altering XD/XO ratios. Increases in XD and XO activity in EC induced by hypoxia were associated upon reoxygenation with increased (P < 0.05) extraceflular superoxide anion (O2 ) levels that were inhibited by treatment with XO inhibitors (tungsten, allopurinol) or an anion-channel blocker (4,4'-diisothiocyanatoslbene-2,2'-disulfonic acid). EC monolayers subjected to hypoxia/reoxygenation also leaked more preioaded 51Cr, were more adherent to neutrophils, and permitted greater albumin transit than control monolayers.Treatment with tungsten, aflopurinol, and/or superoxide dismutase decreased (P < 0.05) 5'Cr release, neutrophil adherence, and albumin transit in EC monolayers exposed to hypoxia/reoxygenation. We conclude that prolonged hypoxia increases both XO and XD activity in EC and may predispose the endothelium to oxidative and inflammatory damage. Recently, we found a marked suppression of XD and XO activity in EC exposed to high oxygen tensions (6). Accordingly, we examined the effects of prolonged hypoxia on EC XD and XO activities. We found that prolonged hypoxia increased both XD and XO activities in cultured EC and, further, that increases in XD and XO activities contributed to 0j -mediated injury and neutrophil adherence to EC. Measurement of XD and XO Activity. EC were grown in 75-cm2 flasks (Falcon, Becton Dickinson). Medium was removed from confluent EC monolayers and replaced with Hanks' balanced salt solution/5% fetal calf serum; then flasks were placed in sealed chambers, flushed with 5% C02/0-95% 02 and 95-0o N2, and incubated at 370C. 02 tensions of parallel saline samples measured with a Clark electrode were 15, 33, 66, 120, and 660 torr (1 torr = 133.3 Pa) after 48-hr incubations in 0, 3, 10, 21, and 95% 02, respectively, at Denver altitude. In some experiments, EC were grown for three-passages in sodium tungstate (10 ppm final) before use; or allopurinol (100 AM), 4,4'-diisocyanatostilbene-2,2'-disulfonic acid (DIDS, 100 ,AM), or SOD (10 jug/ml) was added to EC before incubation. Monolayers of EC were triply washed with phosphate-buffered saline (20 mM, pH 7.4), mechanically harvested with a plastic policeman in 50 mM phosphate buffer, pH 7.8/1 mM EDTA/1 mM phenylmethylsulfonyl fluoride/1 mM dithioerythritol/SOD at 20 ,ug/ml/catalase at 20 ,ug/ml and sonicated on ice. Nuclei were removed by centrifugation, and supernatants were desalted by using a Centricon filter system. Aliquots (0.25 ml) were incubated aerobically at 370C for 3 hr with xanthine (200 AuM) to measure XO activity or xanthine plus NAD' (300 AM) to measure XO plus XD activity in a final volume of 0.5 ml. Lactic dehydrogenase (70 units per ml) and pyruvate (1.75 mM) were added to tubes containing NAD' to prevent inhibition of XD by NADH (9). Baseline values were obAbbreviations: XO, xanthine oxidase; O-., superoxide anion; XD,...