Affiliation:
1. Department of Molecular Biophysics and Physiology, Rush University Medical Center, 1750 West Harrison, Chicago, IL 60612, USA.
Abstract
The NADPH (reduced form of nicotinamide adenine dinucleotide phosphate) oxidase enzyme complex, a crucial component of innate immunity, produces superoxide anion (O
2
–
), which is a precursor to many reactive oxygen species. NADPH oxidase produces O
2
–
by transferring electrons from intracellular NADPH across the membrane to extracellular (or phagosomal) oxygen and is thus electrogenic. It is widely believed that electroneutrality is preserved by proton flux through voltage-gated proton channels. A series of recent papers have challenged several key aspects of this view of the "respiratory burst." The most recent study solidifies the proposal that O
2
-
and other reactive oxygen species produced by phagocytes are not toxic to microbes under physiological conditions. Further, an essential role for high-conductance, Ca
2+
-activated K
+
(maxi-K
+
) channels in microbe killing is proposed. Finally, the results cast doubt on the widely held view that H
+
efflux through voltage-gated proton channels (i) is the main mechanism of charge compensation, and (ii) is essential to continuous O
2
-
production by the NADPH oxidase. My analysis of the new data and of a large body of data in the literature indicates that the proposed role of maxi-K
+
channels in the respiratory burst is not yet credibly established. H
+
efflux through proton channels thus remains the most viable mechanism for charge compensation and continuous O
2
–
production. The important question of the toxicity of reactive oxygen species in phagocytes and in other cells, which has long been simply taken for granted, is a widespread assumption that deserves critical study.
Publisher
American Association for the Advancement of Science (AAAS)
Cited by
20 articles.
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