Intracellular free calcium concentrations ([Ca++li) were studied in polymorphonuclear leukocytes (PMNs) from 13 athyreotic patients who had been previously treated by total thyroidectomy and radioiodine therapy for differentiated thyroid carcinoma, and from age-and sex-matched euthyroid healthy controls. Patients were studied twice, when hypothyroid (visit 1) and after restoration of euthyroidism by L-T 4 TSH-suppressive therapy (visit 2). PMNs from patients at visit 1 had significantly lower resting lCa++). levels compared to both visit 2 and controls. Values at visit 2 did not differ from those of the controls. Stimulus-induced [Ca"], rise was also significantly blunted at visit 1 -and normalized at visit 2, possibly through a differential contribution of distinct intracellular Ca" stores, as suggested by the response pattern to the chemotactic agent, N-formyl-Met-Leu-Phe (fMLP), to the selective SERCA pump inhibitor, thapsigargine, and to the mitochondrial uncoupler, carbonyl cyanide p-trifluoromethoxyphenyl-hydrazone (FCCP). In vitro treatment of PMNs from healthy subjects with high TSH concentrations impaired intracellular Ca" store function. Both resting [Ca"], levels and fMLP-induced [Ca"], rise increased in the presence either of low-concentration TSH or of T 4 , but effects of TSH and T 4 were not additive. T J , rT J , and TRIAC had no effect. In conclusion, this study provides evidence for a direct relationship between thyroid status and [Ca"], homeostasis in human PMNs, mainly related to direct actions of TSH and T 4 on these cells.Human leukocytes express both nuclear receptors for triiodothyronine (T3) and plasma membrane receptors for thyroid-stimulating hormone (TSH; 1-3), but effects of thyroid hormones and TSH on these cells are poorly documented at present. In particular, available data