“…It has a number of deleterious effects on eukaryotic cells, including epithelial cells, endothelial cells, and leukocytes (20,28,32,33,42,45,46,52,59,65). These include reversible ciliary dysfunction in human respiratory and sheep tracheal epithelial cells (1,28,33,70,71), bronchoconstriction and neutrophilia in sheep (18,37), and a decrease in in vivo tracheal mucus velocity in several animal models (13,47,56). In vitro, pyocyanin inhibits neutrophil, monocyte, and lymphocyte microbicidal functions (42-46, 48, 59, 60); enhances neutrophil inactivation of ␣ 1 -protease inhibitor (53); inhibits endothelial cell and macrophage nitric oxide production (23,27,57,68); blocks endothelial cell prostacyclin production (32); and promotes apoptosis in neutrophils (66).…”