(PFC) in acute lung injury is associated with anti-inflammatory effects. A direct impact on leukocytic function may be involved. To further elucidate PFC effects on cellular activation, we compared in an in vitro model the response of concanavalin A (ConA)-stimulated lymphocytes and monocytes exposed to perfluorohexane. We hypothesized that perfluorohexane attenuates the action of the lectin ConA by altering stimulant-receptor interaction on the cell surface. Mononuclear blood cells were stimulated by incubation with ConA in the presence of different amounts of perfluorohexane. The response of lymphocytes and monocytes was determined by means of IL-2 secretion and tissue factor (TF) expression, respectively. The influence of perfluorohexane on cell-surface binding of fluorescence-labeled ConA was studied using flow cytofluorometry and fluorescence microscopy. Perfluorohexane itself did not induce a cellular activation but significantly inhibited both monocytic TF expression and, to a far greater extent, IL-2 secretion of ConAstimulated mononuclear blood cells. The effect of perfluorohexane was due neither to an alteration of cell viability nor to a binding of the stimulant. The amount of cell surface-bound ConA was not altered by perfluorohexane, and the overall pattern of ConA receptor rearrangement did not differ between controls and treated cells. In the present study, we provide further evidence for an anti-inflammatory effect of PFC that might be beneficial in states of pulmonary hyperinflammation. A PFC-induced alteration of stimulant-receptor interaction on the surface membrane does not seem to be the cause of attenuated cell activation.acute lung injury; anti-inflammatory; immune cells; cell-surface receptor IN NUMEROUS STUDIES of experimental and human acute lung injury, beneficial effects of liquid ventilation with perfluorocarbons (PFC) have been demonstrated (16,17,21,22). Application of the biochemically inert liquids resulted in improved gas exchange, lung mechanics, and ventilation/perfusion matching. In part, these observations may be due to several unique properties of PFC such as their high density, an impressive oxygen-carrying capacity, and low surface tension. Besides a positive influence on pulmonary function, animals treated with liquid ventilation also exhibited histological evidence of attenuated lung injury and concomitantly reduced leucocytic infiltration (7,17,27,28). Whereas some authors (3, 14, 35) attributed this reduced pulmonary inflammation exclusively to mechanical phenomena (e.g., lavage of alveolar fluid, water-insoluble PFC forming a barrier between lung epithelium and inflammatory cells and mediators), PFC may also directly influence immune cell function. In support of the latter suggestion, our group as well as other investigators found a compromised responsiveness of phagocytic cell populations in terms of cytokine secretion, chemotaxis, adherence, and release of reactive oxygen species in vitro (4,19,26,32,34). Previous in vivo studies using liquid and aerosolized PFC ...