Oxygen free radicals have been demonstrated to be important mediators of postischemic reperfusion injury in a broad variety of tissues; however, the cellular source of free radical generation is still unknown. In this study, electron paramagnetic resonance measurements with the spin trap 5,5'-dimethyl-1-pyrroline-N-oxide (DMPO) demonstrate that bovine endothelial cells subjected to anoxia and reoxygenation become potent generators of superoxide and hydroxyl free radicals. A prominent DMPO-OH signal aN = aH = 14.9 G is observed on reoxygenation after 45 min of anoxic incubation. Quantitatiye measurements of this free radical generation and the time course of radical generation are performed. Both superoxide dismutase and catalase totally abolish this radical signal, suggesting that O2 is sequentially reduced from 0 -to H202 to OHS. Addition of ethanol resulted in trapping of the ethQxy radical, further confirming the generation of OH-. Endothelial radical generation was shown to cause cell death, as evidenced by trypan blue uptake. Radical generation was partially inhibited and partially scavenged by the xanthine oxidase inhibitor allopurinol. Marked inhibition of radical generation was observed with the potent xanthine oxidase inhibitor oxypurinol. These studies 'demonstrate that endothelial cells subjected to anoxia and reoxygenation, conditions observed in ischemic and reperfused tissues, generate a burst of superoxide-derived hydroxyl free radicals that in turn cause cell injury and cell death. Most of this free radical generation appears to be from the enzyme xanthine oxidase. Thus, endothelial cell free radical generation may be a central mechanism of cellular injury in postischemic tissues.Over the past decade, increasing evidence has accumulated suggesting that reactive oxygen free radicals are generated in cells and tissues and are important mediators of a variety of important pathologic processes. Oxygen free radicals have been proposed to mediate postischemic reperfusion damage in a variety of tissues, including the heart, lung, kidney, gastrointestinal tract, and brain (1). In all of these tissues, it has been shown that intravascular administration of free radical scavenging enzymes or drugs can prevent reperfusion injury and enhance postischemic functional recovery. Thus, these studies have provided indirect evidence for free radical generation in a wide variety of organs. Free radical generation in postischemic tissues has been measured with electron paramagnetic resonance (EPR) techniques (2). Both direct and spin-trapping EPR techniques have demonstrated that there is a burst of oxygen free radical generation after postischemic reperfusion of the heart (2-7).While there is a compelling body of literature suggesting that oxygen free radicals are generated in postischemic tissues, the mechanism of this free radical generation is still poorly understood. It
MATERIALS AND METHODSFetal bovine aortic endothelial cells were isolated essentially as described (8) except that 0.1% (wt/vol) tryps...