The relationship of intracellular pH (pH1) to superoxide radical (02) generation was investigated in chemotactic factor-stimulated human neutrophils. Exposure of cells to 100 nM N-formylmethionyl-leucyl-phenylalanine (FMLP) caused activation of Na/H exchange which, in 140 mM Na medium (pHo 7.40), led to a rise in pH1 from 7.22 to 7.80. This pH, change was sensitive to amiloride (apparent K1 78 MM), an inhibitor of Na/H countertransport. The time course of the alkalinization was similar to that of FMLP-stimulated 02 production, which was complete by 5 min. In the presence of 1 mM amiloride, which nearly blocked the pH, transient elicited by FMLP, or in the absence of external Na, where intracellular acidification was observed in FMLP-stimulated cells, 02-release was still roughly 25-45% of normal. Thus, an alkalinization cannot be an obligatory requirement for 02-generation. By independently varying either pH0, pH1, or the internal or external concentrations of Na, both the direction and magnitude of the FMLP-induced pH, transients could be altered. In each instance, the amount of 02-release correlated directly with pHi and was enhanced by intracellular alkalinization.In the absence of FMLP, a rise in pH, to 7.7-7.8 by exposure of cells to 30 mM NH4CI, 10 MM monensin (a Na/H exchanging ionophore), or after a prepulse with 18% CO2 did not result in 02 generation. Thus, these results imply that an alkalinization per se is not a sufficient trigger. Neutrophils exposed to 4 nM FMLP exhibited a threefold slower rate of alkalinization (reaching pHj 1 7.80 by 20-30 min) as compared to that obtained with 100 nM FMLP and did not release significant amounts of 02 under normal incubation conditions. However, these cells could be induced to generate 0°when the degree of alka tion was enhanced by internal Na depletion or by pretreatment with 18% Co2. Together, these results indicate a modulating effect of pH3 on 02 production and suggest that other functional responses of neutrophils may be regulated by their pH1.