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An antioxidant effect of manganese (Mn) complexes due to the scavenging of the superoxide anion (Of) or to the decomposition of hydrogen peroxide (H2O2) has been described. We report here that Mn also can exert a prooxidant effect under certain experimental conditions. Thus Mn2+ in phosphate buffer increased the bactericidal effect of phorbol myristate acetate-stimulated polymorphonuclear leukocytes (PMNs) on extracellular Escherichia coli. This effect was inhibited by azide, catalase, and a decrease in chloride concentration and was not observed when normal PMNs were replaced by those of patients with chronic granulomatous disease or myeloperoxidase (MPO) deficiency. Mn2+ could be replaced by Mn3+ or by superoxide dismutase (SOD). These findings suggest that Mn (or SOD), by increasing the conversion of Of to H2O2, can increase the activity of the MPO-H2O2-chloride antimicrobial system released by stimulated PMNs. J. Leukoc. Biol. 53: 666–672; 1993.

stimulating factor (GM-CSF), formylmethionyl-leucyl-phenylalanine (FMLP), opsonized zymosan, and lipopolysaccharide (LPS), as compared with cells comparably preincubated in the absence of IFN-y. The decline in the staphylocidal activity of the stored PMN was also prevented in part by IFN-y, as was the depressed adherence of PMN stimulated with phorbo1 myristate acetate (PMA), FMLP, TNF, GM-CSF, and LPS. This protective effect of IFN-y on PMN function was associated with the prolonged surface expression of the complement receptor three (CR3) *chain (CDllb), CR3 pchain (CD18). FcRll (CD32). and FcRlll (CD16), and the appearance -INTERFERON (IFN-y) is well recognized as a lymphoY kine that can convert macrophages to an activated form with an associated increase in their respiratory burst and cytotoxic activity. However, IFN-y also can modulate the activity of polymorphonuclear leukocytes (PMN). Thus, the preincubation of normal PMN with IFN-y has been reported to increase phagocytosis14 (however, see ref 5), respiratory burst a~tivity~,~-l~ (however, see refs 5, 14), protein synthesi~,~~J~ degranulati~n,~.~ chemotaxis,16 microbicidal activity,3,10,13,14,17,18 and antibody-dependent cellular cytotoxicity (ADCC).”J9-21 This modulation of PMN function is associated with the appearance of functional highaffinity Fc receptor (FcR) for monomeric IgG (FcRI, CD64)334,z and with an increase in the level of the cytochrome b heavy chain (gp91-phox) transcript.u,x IFN-y added in vitro=.% or administered to humans in viv0~,2~928 also partially (or completely) reversed the depressed PMN respiratory burst and microbicidal activity of some patients with chronic granulomatous disease (CGD), an effect that was associated with increased expression of the gp91-phox IFN-y also decreases the frequency of serious infections in CGD.29 It has been proposed that IFN-y treatment of normal PMN results in prolonged survival in a functionally active state.3 We report here on the effect of IFN-y on the function of stored PMN. Human PMN preincubated overnight with IFN-y were found to have increased metabolic and microbicidal activity, adherence properties, surface CR3 and Fc receptor density, and steady-state mRNA levels for a number of phagocyte oxidase (phoK) components and CR3 and Fc receptors, as compared pith PMN comparably preincubated in the absence of IFN-y.

Oxygen free radicals are highly reactive species generated by many cellular oxidation-reduction processes. These radicals damage cellular constituents and have been causally implicated in the pathogenesis of many human diseases. We report here that oxygen free radicals generated by Fe2+ in aqueous solution are mutagenic. Aerobic incubation of luminal diameter X174 am3 (amber 3 mutation) DNA with Fe2+ results in decreased phage survival when the treated DNA is transfected into Escherichia coli spheroplasts. Transfection of the treated DNA into SOS-induced spheroplasts results in an increase in mutagenesis as great as 50-fold. Both killing and mutagenesis can be prevented by binding of Fe2+ with deferoxamine or by the addition of catalase or mannitol. These results suggest that DNA damage and mutagenesis brought about by Fe2+ are likely to occur by a Fenton-type mechanism that involves the generation of (i) hydrogen peroxide by the autoxidation of iron and (ii) hydroxyl radicals by the interaction of the hydrogen peroxide with Fe2+. DNA sequence analysis of the Fe2+-induced mutants indicates that reversion of the phage phenotype to wild type occurs largely by a transversion type of mutation involving substitution of deoxyadenosine for thymidine opposite a template deoxyadenosine. Mutagenesis is not abolished by incubation of Fe2+-treated luminal diameter X174 am3 DNA with an apurinic endonuclease and only partially abolished by incubation with alkali, suggesting that a large fraction of the mutagenesis by oxygen free radicals is not caused by formation of apurinic sites but instead involves an as-yet-to-be-defined alteration in deoxyadenosine. These findings raise the possibility that free iron localized in cellular DNA may cause mutations by the generation of oxygen free radicals.

Myeloperoxidase, a granule-associated enzyme of neutrophils and monocytes, combines with H2O2 and chloride to form a potent microbicidal system that contributes to phagocyte antimicrobial activity. The nature of the lesion or lesions induced by the myeloperoxidase system which are responsible for the loss of microbial replicative activity (viability) remains unknown. Using Escherichia coli grown to late log or stationary phase under conditions of low aeration with succinate as the sole carbon source, we found that myeloperoxidase-induced loss of microbial viability could be correlated with a decrease in succinate-dependent respiration (succinate oxidase activity). Succinate dehydrogenase activity fell rapidly to undetectable levels during incubation with the myeloperoxidase system, suggesting that damage to the dehydrogenase was a major factor in the loss of oxidase activity. Other components of the succinate oxidase system were resistant to the actions of myeloperoxidase. The ubiquinone-8 and cytochrome components of the respiratory chain remained nearly constant in amount despite reduction of respiration to undetectable levels. However, as expected from the loss of succinate dehydrogenase activity, succinate-ubiquinone reductase and succinate-cytochrome reductase activities were markedly impaired. We propose that the loss of E. coli viability induced by the myeloperoxidase-H2O2-chloride system is due in part to the loss of electron transport function consequent to the oxidation of critical catalytic centers in susceptible dehydrogenases.

Deferoxamine accelerates the autooxidation of iron as measured by the rapid disappearance of Fe2+, the associated appearance of Fe3+, and the uptake of oxygen. Protons are released in the reaction. The formation of H2O2 was detected by the horseradish peroxidase-catalyzed oxidation of scopoletin, and the formation of hydroxyl radicals (OH·) was suggested by the formation of the OH· spin trap adduct (DMPO/OH)· with the spin trap 5,5-dimethyl-1-pyrroline N-oxide (DMPO) and the generation of the methyl radical adduct on the further addition of dimethyl sulfoxide. (DMPO/OH)· adduct formation was inhibited by catalase but not by superoxide dismutase. The oxidant formed converted iodide to a trichloroacetic acid-precipitable form (iodination) and was bactericidal to logarithmic phase Escherichia coli. Both iodination and bactericidal activity was inhibited by catalase and by OH· scavengers, but not by superoxide dismutase. Iodination was optimal in 5 × 10-4 M acetate buffer, pH 5.0, and when the Fe2+ and deferoxamine concentrations were equimolar at 10-4 M. Fe2+ could not be replaced by Fe3+, Co2+, Zn2+, Ca2+, Mg2+, or Mn2+, or deferoxamine by EDTA, diethylenetriaminepentaacetic acid, or bathophenanthroline. These findings indicate that Fe2+ and deferoxamine can act as an oxygen radical generating system, which may contribute to its biological effects in vitro and in vivo.

Publisher Summary Peroxidases when combined with H 2 O 2 and a halide (chloride, bromide, iodide, and pseudohalide thiocyanate) form a potent cytotoxic system, which contributes to the host defense against invading microorganisms and possibly tumor cells. Neutrophils and monocytes contain the same peroxidase (myeloperoxidase, MPO), and eosinophils a different peroxidase (eosinophil peroxidase, EPO), in cytoplasmic granules, and these enzymes are discharged into the phagosome following particle ingestion. Phagocytosis also is associated with a respiratory burst and much of the added oxygen consumed is converted to H 2 O 2 . Peroxidase, H 2 O 2 , and a halide interact in the phagosome to destroy the ingested organism. The components of the peroxidase system can also be released extracellularly where they may attack adjacent normal or malignant cells, uningested organisms, or soluble mediators. A variety of methods has been employed for the measurement of the toxicity of the peroxidase system. These methods depend on the nature of the target cell and include the measurement of replication in growth medium, Cr release, metabolic activity, and morphologic changes. This chapter focuses on bactericidal activity as measured by decrease in colony-forming units, using Escherichia coli as the target, MPO as the peroxidase, and chloride as the halide.

Phagocytes generate superoxide (O⨪2) and hydrogen peroxide (H2O2) and their interaction in an iron-catalyzed reaction to form hydroxyl radicals (OH.) (Haber-Weiss reaction) has been proposed. Deferoxamine chelates iron in a catalytically inactive form, and thus inhibition by deferoxamine has been employed as evidence for the involvement of OH. generated by the Haber-Weiss reaction. We report here that deferoxamine also inhibits reactions catalyzed by the peroxidases of phagocytes, i.e., myeloperoxidase (MPO) and eosinophil peroxidase (EPO). The reactions inhibited include iodination in the presence and absence of chloride and the oxidation of guaiacol. Iodination by MPO and H2O2 is stimulated by chloride due to the intermediate formation of hypochlorous acid (HOCl). Iodination by reagent HOCl also is inhibited by deferoxamine with the associated consumption of HOCl. Iron saturation of deferoxamine significantly decreased but did not abolish its inhibitory effect on iodination by MPO + H2O2 or HOCl. Deferoxamine did not affect the absorption spectrum of MPO, suggesting that it does not react with or remove the heme iron. The conversion of MPO to Compound II by H2O2 was not seen when H2O2 was added to MPO in the presence of deferoxamine, suggesting either that deferoxamine inhibited the formation of Compound II by acting as an electron donor for MPO Compound I or that deferoxamine immediately reduced the Compound II formed. Iodination by stimulated neutrophils also was inhibited by deferoxamine, suggesting an effect on peroxidase-catalyzed reactions in intact cells. Thus deferoxamine has multiple effects on the formation and activity of phagocyte-derived oxidants and therefore its inhibitory effect on oxidantdependent damage needs to be interpreted with caution.