Brown LAS, Ping X-D, Harris FL, Gauthier TW. Glutathione availability modulates alveolar macrophage function in the chronic ethanol-fed rat. Am J Physiol Lung Cell Mol Physiol 292: L824-L832, 2007. First published November 22, 2006; doi:10.1152/ajplung.00346.2006.-We have previously demonstrated that chronic alcohol exposure decreases glutathione in the alveolar space. Although alcohol use is associated with decreased alveolar macrophage function, the mechanism by which alcohol impairs macrophage phagocytosis is unknown. In the current study, we examined the possibility that ethanol-induced alveolar macrophage dysfunction was secondary to decreased glutathione and subsequent chronic oxidative stress in the alveolar space. After 6 wk of ethanol ingestion, oxidant stress in the alveolar macrophages was evidenced by a 30-mV oxidation of the GSH/GSSG redox potential (P Յ 0.05). For control macrophages, ϳ80% internalized fluorescent Staphylococcus aureus were added in vitro. In contrast, only 20% of the macrophages from the ethanol-fed rats were able to bind and internalize fluorescent S. aureus. This ethanol-induced decreased capacity for phagocytosis was paralleled by increased apoptosis. When added to the ethanol diet, the glutathione precursors procysteine or N-acetyl cysteine normalized glutathione and oxidant stress in the epithelial lining fluid as well as the alveolar macrophages to control values. This attenuation of oxidant stress was associated with normalization of macrophage phagocytosis and viability. These results suggested that decreased glutathione availability in the alcoholic lung contribute to alveolar macrophage dysfunction via oxidative stress, resulting in not only decreased function but decreased viability. oxidative stress; apoptosis; lung; antioxidants A HISTORY OF CHRONIC ALCOHOL abuse increases the risk for infection, particularly in the lung (2). Although many mechanisms are undoubtedly involved, the increased risk of respiratory infections by alcoholics is partially due to an impaired immune response of the resident alveolar inflammatory cell, the alveolar macrophage. This impaired response is due in part to decreased ability of alveolar macrophages to phagocytose and clear infectious particles from the airways (3, 11). Equally important is impaired release of proinflammatory cytokines, chemokines, and oxidant radicals required for microbial killing (28).In the epithelial lining fluid (ELF) of the alveoli, the antioxidant glutathione (GSH) is essential for the detoxification of endogenous and exogenous oxidant radicals and protection of cells residing in the airway and alveolus. Under stressed conditions such as hyperoxia, the alveolar macrophage rely on the ELF pool of GSH to provide amino acids for de novo GSH synthesis (9), to protect themselves from oxidant injury (20) and maintain membrane integrity during their respiratory burst (30). Thus availability of extracellular GSH or its precursor amino acids is essential to maintain intracellular macrophage GSH homeostasis necessary for o...