To characterize the role of oxidative stress in cultured rat sinusoidal endothelial cells, we studied the production of superoxide after reoxygenation, the relationship of reduced glutathione (GSH) levels to cell injury, and the protective efficacy of antioxidants. Hypoxia (pO 2 1-2 mm Hg) was achieved by culturing cells under 95% N 2 5% CO 2 for 4 hours. Reoxygenation was then reestablished, and viability was determined at 24 hours by trypan blue exclusion; putative protective agents were added at the time of reoxygenation (4 hours). As previously reported, reoxygenation after 4 hours hypoxia accentuated sinusoidal cell death fourfold compared with hypoxic or normoxic controls (P F .0001). Superoxide was not produced on reoxygenation, and superoxide dismutase provided no protection against reoxygenation injury. Cellular levels of GSH fell to 37 ؎ 4% of normoxic controls (P F .0001) following reoxygenation. These changes were essentially abrogated by Trolox (Aldrich Chemical Co., Milwaukee, WI) and dimethyl sulfoxide, both of which also completely protected against reoxygenation injury. When cellular GSH levels were lowered by addition of diethylmaleate (which conjugates GSH), this reduced the viability of endothelial cells cultured under normoxic conditions and greatly augmented reoxygenation injury. Conversely, addition of exogenous GSH partially protected endothelial cells against hypoxia-reoxygenation injury. Desferrioxamine also protected against reoxygenation injury, but catalase was only partly protective. It is concluded that sinusoidal endothelial cells undergo significant intracellular oxidative stress following reoxygenation, and their viability is critically dependent on GSH levels. Reactive oxygen species are likely mediators of oxidative stress in hepatic sinusoidal endothelial cells. (HEPATOLOGY 2000;31:160-165.)In the intact liver, oxidative stress appears to be part of the mechanism for ischemia-reperfusion injury and is related to the generation of reactive oxygen species (ROS) 1-4 and possibly nitric oxide. 5 However, the role of individual cell types in the production of these potentially cytotoxic mediators remains uncertain. Conversely, sinusoidal endothelial cells appear to be a major target of ischemia-reperfusion (or hypoxia-reoxygenation) injury. [6][7][8] The resultant endothelial injury disrupts the microcirculation, reducing blood flow and enhancing further tissue necrosis. Neutrophils adhere to damaged endothelial cells and their resultant activation is likely to be one source of ROS. In the present studies, we have explored the possibility that sinusoidal endothelial cells could themselves generate oxidative stress.Earlier in vitro studies on the effects of hypoxia-reoxygenation on endothelial cells have usually been performed on cultures of endothelial cells derived from large blood vessels, such as the pulmonary artery and umbilical vein. 9,10 From this work, it is apparent that nonhepatic endothelial cells are susceptible to hypoxia-reoxygenation injury through the generation of...