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