The roles of the Pseudomonas aeruginosa-derived pigment pyocyanin (PYO) as an oxidant and activator of the proinflammatory transcription factor NF-B were tested in a cystic fibrosis (CF) airway epithelial cell line, CF15. 100 M PYO on its own had no effect or only small effects to activate NF-B (<1.5-fold), but PYO synergized with the TLR5 agonist flagellin. Flagellin activated NF-B 4 -20-fold, and PYO increased these activations >2. Pseudomonas aeruginosa is commonly present in lungs of cystic fibrosis (CF) 2 and immunocompromised patients (1, 2). The bacterium secretes a large number of products that contribute to virulence. These include type III-secreted exotoxins that disrupt the cytoskeleton and lyse the cells, as well as proteases, phospholipase, rhamnolipids, and hemolysin (3-8). In addition, P. aeruginosa produce and secrete the blue pigment pyocyanin (PYO), which is found in the sputum of patients with CF and bronchiectasis at concentrations up to 100 M; this is responsible for the blue-green color often observed in CF sputum (4, 5, 9, 10). PYO-deficient P. aeruginosa elicits less mortality in P. aeruginosa-mediated burn-sepsis model in mice, and PYO appears to be important for persistence of P. aeruginosa in lungs of CF patients (3, 4, 11). PYO has a multitude of effects on the physiology of epithelial cells, including inhibition or alteration of antioxidant enzymes (12, 13), ciliary function (14), cellular metabolism, and organelle H Ï© v-ATPase (2, 15). A key aspect of PYO pathology may result from its ability to trigger inflammation leading to the influx of neutrophils to the P. aeruginosa-infected region; PYO stimulates ICAM-1 and IL8 production on its own and also synergizes with IL1†and TNF⣠in stimulating IL8 production (16 -18). The resulting IL8 production triggers polymorphonuclear leukocyte infiltration. The polymorphonuclear leukocytes are critical for fighting infections through production of reactive oxygen species (ROS) and proteases, but these products also contribute to the tissue destruction characteristic of CF.PYO activation of IL8 production may occur through effects on cellular signaling leading to activation of the transcription factors AP-1, NF-IL6/C-EBP, and/or NF-B, which control IL8 production (19). It is widely assumed that the effects of PYO on signaling are mediated at least in part through its ability to redox cycle with cellular NADPH and/or GSH leading to the production of ROS (9,13,20,21) and oxidation of the cytosol and/or mitochondria (21,22). Experiments using the electron spin resonance method showed that PYO caused the production of superoxide (O 2 . ) but not hydroxyl radical (HO â
), indicating that O 2 . and, through the action of superoxide dismutase, H 2 O 2 might contribute to proinflammatory signaling by PYO (16). In addition, the antioxidant N-acetylcysteine and the HO â
scavenger DMSO reduced the proinflammatory effects of PYO, consistent with PYO triggering inflammatory processes through its pro-oxidant effects (18). However, none of these experiment...