Abstract. Toxic, partially reduced metabolites of oxygen (toxic oxygen radicals) are increasingly implicated in acute leukocyte-mediated tissue injury. To further probe the roles of oxygen radicals in acute lung edema, I studied the effects of a recently described and very potent oxygen radical scavenger, dimethylthiourea (DMTU) (Fox, R. B., R. N. Harada, R. M. Tate, and J. E. Repine, 1983, J. AppL Physiol., 55:1456-1459) on polymorphonuclear leukocyte (PMN) oxidant function and on two types of lung injury mediated by oxygen radicals and PMN. DMTU (10 mM) blocked 79% of hydroxyl radical ('OH) production by PMN in vitro without interfering with other PMN functions, such as 0-production, myeloperoxidase activity, chemotaxis, degranulation, or aggregation. When isolated rat lung preparations were perfused with PMN activated to produce 'OH, lung weights were increased from 2.3±0.2 to 11.2±0.8 g. DMTU (10 mM) prevented 70% of these increases (lung weights, 5.0±1.1 g, P < 0.005). Finally, when intact rats were exposed to 100% 02 for 66 h, lung weight:body weight ratios were increased from 5.78±0.33 to 8.87±0.16 g. DMTU (500 mg/kg) prevented 83% of this hyperoxia-induced lung edema in vivo (lung:body weight ratios, 6.05±0.21, P < 0.001

A B S T R A C T Methane (CH4) production from the anti-inflammatory agent, dimethyl sulfoxide (DMSO), was used to measure *OH from chemical reactions or human phagocytes. Reactions producing * OH (xanthine/xanthine oxidase or Fe++/EDTA/H202) generated CH4 from DMSO, whereas reactions yielding primarily 0r or H202 failed to produce CH4. Neutrophils (PMN), monocytes, and alveolar macrophages also produced CH4 from DMSO. Mass spectroscopy using cJ-DMSO showed formnation of d3-CH, indicating that CH4 was derived from DMSO. Methane generation by normal but not chronic granulomatous disease or heat-killed phagocytes increased after stimulation with opsonized zymosan particles or the chemical, phorbol myristate acetate. Methane production from DMSO increased as the number of stimulated PMN was increased and the kinetics of CH4 production approximated other metabolic activities of stimulated PMN. Methane production from stimulated phagocytes and DMSO was markedly decreased by purportedly potent -OH scavengers (thiourea or tryptophane) and diminished to lesser degrees by weaker -OH scavengers (mannitol, ethanol, or Indeed, stimulated neutrophils (PMN), monocytes (MN) or alveolar marcophages (AM) do produce C2H4 from methional or KMB (6-10). However, the strict dependence of C2H4 production upon -OH is in doubt (8,(10)(11)(12)(13)(14). Methional spontaneously forms C2H4, especially during prolonged incubations with tissues (8), and can also react with H202 to form C2H4 (10). The specificity of KMB as a detector of -OH is also in question because C2H4 production from KMB may reflect, at least in part, reactions with 02 or hypochlorous acid (10).In Ca++ and Mg++ (26). Contaminating erythrocytes were lysed by adding 6 ml of ice-cold sterile distilled water and mixing gently for 35 s. Tonicity was rapidly restored with 2 ml of hypertonic (4x) Ca++ and Mg++ free HBSS. The mixture was then centrifuged at 170 g for 10 min. Cells in the pellet were then washed once more, resuspended in HBSS with Ca++ and Mg++, counted, and used immediately. PMN preparations contained >98% PMN with only a few lymphocytes and rare erythrocytes, platelets or MN. Suspensions of MN were similarly prepared. The percentages of MN were determined by differential counting of 600 cells on Wright's stained smears and cytochemically confirmed by esterase stain. MN preparations contained -30% MN, <1% PMN, and the remainder lymphocytes. AM were obtained by bronchoscopic sterile saline lavage of the unaffected subsegments of the lungs of patients undergoing evaluations for localized pulmonary disease or from healthy volunteers (9). AM were recovered from lavage fluids, washed once, and counted. The final preparations contained >90% AM and <2% PMN. More than 85% of the AM excluded trypan blue. Concentrations of lymphocytes or platelets that were comparable to those remaining in phagocyte preparations did not produce significant amounts of CH4 from DMSO.Preparation of pooled human serum, opsonized zymosan, or PMA. Pooled human serum was prepared from clotted ...

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The primary objective of this clinical trial was to evaluate the safety, feasibility, and biologic effects of administering costimulated, interleukin (IL)-4 polarized donor CD4(+) T cells in the setting of HLA-matched sibling, T cell-replete allogeneic hematopoietic cell transplantation (HCT). Forty-seven subjects with hematologic malignancy received granulocyte colony-stimulating factor-mobilized allogeneic hematopoietic cell transplants and cyclosporine graft-versus-host disease (GVHD) prophylaxis after reduced intensity conditioning. Initial subjects received no additional cells (n = 19); subsequent subjects received additional donor CD4(+) T cells generated ex vivo by CD3/CD28 costimulation in medium containing IL-4 and IL-2 (administered day 1 after HCT at 5, 25, or 125 x 10(6) cells/kg). Studies after HCT included measurement of monocyte IL-1alpha and tumor necrosis factor alpha, detection of T cells with antitumor specificity, and characterization of T cell cytokine phenotype. The culture method generated donor CD4(+) T cells that secreted increased T helper 2 (Th2) cytokines and decreased T helper 1 (Th1) cytokines. Such Th2-like cells were administered without infusional or dose-limiting toxicity. The Th2 cohort had accelerated lymphocyte reconstitution; both cohorts had rapid hematopoietic recovery and alloengraftment. Acute GVHD and overall survival were similar in the Th2 and non-Th2 cohorts. Th2 cell recipients tended to have increased monocyte IL-1alpha and had increased tumor necrosis factor alpha secretion. CD8(+) T cells with antitumor specificity were observed in Th2 and non-Th2 cohorts. Post-transplantation T cells from Th2 cell recipients secreted IL-4 and IL-10 (Th2 cytokines) and IL-2 and interferon gamma (Th1 cytokines). Allograft augmentation with costimulated, IL-4-polarized donor CD4(+) T cells resulted in activated Th1, Th2, and inflammatory cytokine pathways without an apparent increase in GVHD.

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