A B S T R A C T The capacity of human phagocytes to generate superoxide anion (02-), a free radical of oxygen, and a possible role for this radical or its derivatives in the killing of phagocytized bacteria were explored using leukocytes from normal individuals and patients with chronic granulomatous disease (CGD). Superoxide dismutase, which removes 02-, consistently inhibited phagocytosis-associated nitroblue tetrazolium (NBT) reduction indicating the involvement of O2 in this process. Similarly, superoxide dismutase inhibited the luminescence that occurs with phagocytosis, implicating 0-in this phenomenon, perhaps through its spontaneous dismutation into singlet oxygen. Subcellular fractions from homogenates of both normal and CGD leukocytes generated 02-effectively in the presence of NADH as substrate. However strating the interrelationship between NBT reduction and 02 generation in phagocytizing cells. Activity of superoxide dismutase, the enzyme responsible for protecting the cell from the damaging effects of 02-, was approximately equal in homogenates of normal and CGD granulocytes. Polyacrylamide electrophoresis separated this activity into a minor band that appeared to be the manganese-containing superoxide dismutase associated with mitochondria and a more concentrated, cyanide-sensitive, cytosol form of the enzyme with electrophoretic mobility that corresponded to that of erythrocyte cuprozinc superoxide dismutase.Superoxide dismutase inhibited the phagocytic killing of Escherichia coli, Staphylococcus aureus, and Streptococcus viridans. A similar inhibitory effect was noted with catalase which removes hydrogen peroxide. Neither enzyme inhibited the ingestion of bacteria. Peroxide and 02-are believed to interact to generate the potent oxidant, hydroxyl radical (-OH). A requirement for -OH in the phagocytic bactericidal event might explain the apparent requirement for both 02-and H202 for such activity. In agreement with this possibility, benzoate and mannitol, scavengers of -OH, inhibited phagocytic bactericidal activity. Generation of singlet oxygen from 02-and -OH also might explain these findings.