We combined two techniques, radiolabeled aerosol inhalation delivery and induced sputum, to examine in vivo the time course of particle uptake by airway macrophages in 10 healthy volunteers. On three separate visits, induced sputum was obtained 40, 100, and 160 min after inhalation of radiolabeled sulfur colloid (SC) aerosol (Tc99 m-SC, 0.2 m colloid size delivered in 6-m droplets). On a fourth visit (control) with no SC inhalation, induced sputum was obtained and SC particles were incubated (37؇C) in vitro with sputum cells for 40, 100, and 160 min (matching the times associated with in vivo sampling). Total and differential cell counts were recorded for each sputum sample. Compared with 40 min (6 Ϯ 3%), uptake in vivo was significantly elevated at 100 (31 Ϯ 5%) and 160 min (27 Ϯ 4%); both were strongly associated with the number of airway macrophages (R ϭ 0.8 and 0.7, respectively); and the number and proportion of macrophages at 40 min were significantly (P Ͻ 0.05) elevated compared with control (1,248 Ϯ 256 versus 555 Ϯ 114 cells/mg; 76 Ϯ 6% versus 60 Ϯ 5%). Uptake in vitro increased in a linear fashion over time and was maximal at 160 min (40 min, 12 Ϯ 2%; 100 min, 16 Ϯ 4%; 160 min, 24 Ϯ 6%). These data suggest that airway surface macrophages in healthy subjects rapidly engulf insoluble particles. Further, macrophage recruitment and phagocytosismodifying agents are factors in vivo that likely affect particle uptake and its time course.Keywords: airway macrophages; induced sputum; mucociliary clearance; radiolabeled particlesOver the past several years, induced sputum has become a method of choice to noninvasively assess markers of airways inflammation in human subjects. We have previously demonstrated that when compared with bronchoalveolar lavage (BAL)-derived cells, sputum cells (macrophages, monocytes, and neutrophils) are equally viable and functional, with respect to phagocytic capacity, oxidative burst generation, and expression of cell-surface receptors associated with inflammation and innate host defense (1). We also showed, through the use of radiolabeled aerosol bolus delivery techniques, that induced sputum retrieves samples selectively from the surfaces of the bronchial airways as compared to peripheral airways (2). In healthy individuals, the predominant cell type recovered in sputum samples are macrophages, followed by neutrophils (3). Due to their surface location, these cells represent one of the first lines of cellular defense against inhaled pathogens from the external environment. For this reason, sputum cells are ideal for under- Traditionally, the bronchial airways in human volunteers have been a difficult region of the lung to examine in a noninvasive fashion. Hence, both quantitative and qualitative data to characterize the cellular and biochemical events that occur within them is limited. As a result, information on the functional properties of phagocytic cells (in particular their ability and time course for taking up particles), and the effect of macrophage numbers on these paramet...