SUMMARYHuman monoeytes and monocyte-derived macrophages were studied for their ability to phagoeytose Pncumocyslis carinii and produce superoxide (O^ ) during the proeess. One x lO'' freshly isolated monocytes. incubated with 0*1 3'75 x lO'' P. carinii cysts, increased OT production in a dose-related way. Antibodies were essential f~or the process sinee opsonized, but not unopsonized. pneumocysts induced O^ production significantly above the response obtained by lung tissue from rats (10-7 and 4-9 versus 30 fmol/cell per 90 min). The difference between pneumocysts opsonized in untreated versus complement-depleted serum was not significant (10-7 versus 12-6 fmol/eell per 90 min). Monoeyte-derived macrophages also activated the respiratory burst when stimulated with pneumocysts, and this effect could be significantly increased, from 4-2 to 8-8 fmol/cell per 90 min, when cells were primed with interfcron-gamma (IEN-7). Cells primed with IL-3 also increased O2 production, though to a lesser extent. In contrast, granulocyte-macrophage colony-stimulating factor (GM-CSF) had only a small effect on the respiratory burst in cells stimulated with P. carinii. Priming with IEN--y increased the rate of phagocytosis in macrophages. After incubation for 90 min or more, however, the percentage of cells with phagocytic vacuoles was only slightly higher in IEN-7-primed eelts. When examined by electron microscopy (EM), most vacuoles contained partially or totally degraded pneumocysts. In conclusion, we have demonstrated the ability of monocytes and monocyte-derived macrophages to ingest and degrade pneumoeysts. activating the respiratory burst during the process.