The mechanism by which polymorphonuclear neutrophils kill most microorganisms includes conversion of oxygen by the cell to superoxide anion (O2-), 1 hydrogen peroxide (H202), hydroxyl radical (.OH), and, possibly, singlet oxygen (1). These toxic species kill ingested organisms, presumably through oxidation reactions and in conjunction with the contents of lysosomal granules. The mirobicidal mechanisms of macrophages are still obscure (2). However, mouse peritoneal macrophages have been shown to respond to phagocytosis or plasma membrane perturbation with the vigorous release of H202 (3) and 02-(4), and it has been suggested that the microbicidal mechanisms of macrophages may be similar to those of the neutrophil, at least for some organisms (2-5). We report here that macrophages elicited by injection of lipopolysaccharide (LPS) or obtained from animals infected with bacillus CalmetteGu~rin (BCG), shown previously to release greater amounts of 02-and H202 when stimulated, killed candida better than did resident cells. The killing of both Candida albicans and Candida parapsilosis was inhibited by scavengers of oxygen radicals, suggesting that oxygen metabolites play an important role in macrophage candidacidal activity. We also report that C. parapsilosis, which was killed more effectively than C. albicans, elicited a greater oxidative metabolic response from macrophages.
Materials and Methods
Macrophages. Mouse peritoneal macrophages were harvested as previously described (4).Approximately lO s washed cells in 1 ml of medium supplemented with 20% heat-inactivated fetal calf serum (FCS) (Flow Laboratories, Inc., Rockville, Md.) (4) were plated on 16-mm diameter tissue culture dishes (Costar, Data Packaging, Cambridge, Mass.) or, in phagocytosis experiments, on 13-mm diameter glass cover slips. After incubation for 120 min at 37°C in 5% CO2-95% air, plated cells were washed vigorously with medium twice, then cultured in medium with 20% FCS, penicillin, and streptomycin (4). After overnight in culture, adherent cells were washed with vigorous swirling with Hanks' balanced salt solution (HBSS; Grand Island Biological Co., Grand Island, N. Y.) before assay. Cultures of the murine cell line J774.1 and peritoneal macrophages elicited with LPS or removed from BCG-infected mice were obtained and processed as previously described. l Abbreviations used in this paper: BCG, bacille Calmette-Gu~rin; FCS, fetal calf serum; HBSS, Hanks' balanced salt solution; H202, hydrogen peroxide; LPS, lipopolysaccharide; O2-, superoxide anion; .OH, hydroxyl radical; PBS, phosphate-buffered saline; PMA, phorbol myristate acetate; SOD, superoxide dismutase.J. ExP. MED.