A B S T R A C T The capacity of human blood monocytes to secrete hydrogen peroxide (H202) and superoxide (O-) was measured as the cells differentiated during 4 wk of culture. Morphologic transformation of monocytes into macrophages, epithelioid cells, and multinucleated giant cells accompanied a steady increase in the content of protein per cell, from 0.77 mg/ 107 cells on days 0 to 11.77 mg/107 cells on days 20 to 29. In contrast, secretion of H202 by adherent monocytes was 859±73 nmol/60 min per mg protein (mean ±SEM, n = 18) on day 0, rose 40% on day 3, and then fell rapidly, remaining below 6% of the initial values after day 10. The decline in capacity to secrete reactive oxygen intermediates was observed whether H202 or O-were measured, whether the cells were challenged with phorbol myristate acetate or with opsonized zymosan, and whether the results were expressed per milligram cell protein or per cell.Superoxide dismutase activity tripled in adherent monocytes from day 0 to day 3, and thereafter remained elevated through at least day 16. In contrast, the activity of myeloperoxidase declined rapidly, catalase and glutathione peroxidase declined more gradually, and glutathione reductase and glutathione remained constant throughout the period of observation. Thus, the decline in capacity to secrete H202 could not be attributed to increases in cellular levels of these antioxidants.On the first day of culture, H202 release was enhanced up to fourfold by inclusion of sodium azide or potassium cyanide in the assay medium. This enhancement appeared to be due to inhibition of monocyte A preliminary report of this study was presented at the