Pseudomonas exotoxin A has been shown previously to induce suppression of the murine immune response. In the present study, various parameters were examined which may have an effect on immunosuppression. The addition of 10-4 ng of exotoxin A induced suppression of the immune response to trinitrophenylated Ficoll from days 3 to 10, while 10 ng of toxin exerted no suppressive effect over the same examination periods. When the toxin was administered 1 or 2 days before antigen stimulation, suppression of the response was observed with both 10 and 10-4 ng. Priming splenocytes with toxin either in vivo or in vitro for 1 or 2 days suppressed the response of fresh cultured splenocytes to antigenic stimulation. Heated toxin, photoaffinity-labeled toxin, or preincubation of the toxin with rabbit anti-exotoxin A antiserum eliminated the toxin-induced suppression. These results suggest that Pseudomonas exotoxin A can generate multiple biological effects.Exotoxin A is a protein toxin produced by the gramnegative bacterium Pseudomonas aeruginosa. The toxin has been shown to be directly cytotoxic for a number of mammalian cells primarily through the ADP ribosylation of protein elongation factor 2, thereby inhibiting cellular polypeptide synthesis (18,20,21). We have been studying the effects of exotoxin A on the murine immune response and have found that the toxin can induce suppression in euthymic nul+ mice to thymus-dependent and thymusindependent antigens both in vitro and in vivo (11). The suppression was observed over a toxin range of 1 to 10-6 ng, while 10 and 100 ng had no apparent effect (11). A number of parameters can influence the overall action of immunomodifiers. Tubercle bacilli have been observed to elicit an immunoenhancing effect when administered with the antigen (7) but to induce suppression of the response when given before the antigen (31). A similar effect has also been observed for cholera toxin (13, 16) and Bordetella pertussis vaccine (6). We now report that timing of exotoxin A administration relative to antigenic stimulation can have a dramatic effect on the ability of the toxin to modify the immune response. Given concomitantly with the antigen, 10 ng of exotoxin A is not immunosuppressive. However, this same dose of toxin induced suppression when administered 1 or 2 days before the antigen stimulation. Modification of the toxin by heating, photoaffinity labeling, or preincubation with rabbit anti-exotoxin A antibodies eliminated the capacity of exotoxin A to induce suppression. These studies support the concept that Pseuidomonas exotoxin A is a potent biological response modifier. MATERIALS AND METHODS Mice. NFR/N (H-2q) nul+ mice were derived from brother-and-sister breeding pairs maintained in the animal care facilities at the University of Missouri-Columbia School of Medicine from breeding stock originally obtained from Carl * Corresponding author. t Present address: Veterinary Toxicology and Entomology Research Laboratory, U.S. Department of Agriculture, College Station, TX 77841.Hansen, Nationa...