The changes in short circuit current (electrogenic a-secretion) of rat colon brought about by xanthine/xanthine oxidase in the Ussing chamber were inhibited by catalase and diethyldithiocarbamate, but not by superoxide dismutase. These results, the reproduction of the response with glucose/glucose oxidase and with exogenous H202, and the lack of effect of preincubation with deferoxamine or thiourea implicate H202, and not 02 or OH, as the important reactive oxygen metabolite altering intestinal electrolyte transport. 1 mM H202 stimulated colonic PGE2 and PGI2 production 8-and 15-fold, respectively, inhibited neutral NaCl absorption, and stimulated biphasic electrogenic a secretion with little effect on enterocyte lactic dehydrogenase release, epithelial conductance, or histology. a-secretion was reduced by cyclooxygenase inhibition. Also, the Cl-secretion, but not the increase in prostaglandin production, was reduced by enteric nervous system blockade with tetrodotoxin, hexamethonium, or atropine. Thus, H202 appears to alter electrolyte transport by releasing prostaglandins that activate the enteric nervous system. The change in short circuit current in response to Iloprost, but not PGE2, was blocked by tetrodotoxin. Therefore, PGI2 may be the mediator of the H202 response. H202 produced in nontoxic concentrations in the inflamed gut could have significant physiologic effects on intestinal water and electrolyte transport. (J.