Evidence for pH Sensitivity of Tumor Necrosis Factor-Release by Alveolar Macrophages A. Bidani, C. Z. Wang, S. J. Saggi, and T. A. Heming Departments of Internal Medicine, and Physiology and Biophysics, and the Shriners Burns Institute, University of Texas Medical Branch, Galveston, TX 77555-0561, USA Abstract. Alveolar macrophages (m) participate in inflammatory and immune responses in acidic microenvironments such as the interstitial fluids of tumors and abscesses. Two plasmalemmal H + extruders interact to control the acid-base status of alveolar m, namely a V-type H + pump (V-ATPase) and a Na + /H + exchanger. The present study examined the effects of extracellular pH (pH o ) and H + transport inhibitors on tumor necrosis factor-(TNF-) release induced by endotoxin (lipo- polysaccharide) in rabbit alveolar m. The amount and activity of TNF-in m- conditioned media were determined by enzyme-linked immunosorbent assay and L929 fibroblast bioassay, respectively. TNF-release was suppressed progressively at lower pH o values (7.0). Also, bafilomycin A 1 (a specific inhibitor of V- ATPases) significantly reduced the amount and activity of TNF-in m- conditioned media (pH o 7.4). However, bafilomycin caused a significant increase in the nonspecific cytotoxicity (i.e. bioactivity insensitive to TNF-antibody) of m- conditioned media. The effects of bafilomycin specifically on TNF-release fol- lowed a time course similar to that of acidic pH o , suggesting that both treatments acted on similar events in the lipopolysaccharide signal transduction pathway. Amiloride (an inhibitor of Na + transporters including the Na + /H + exchanger) also suppressed TNF-release but displayed a time course of action different from the acidic pH o or bafilomycin. Key words: Cytokine—V-ATPase—Na + /H + exchange—Bafilomycin A 1 Amiloride. Introduction Tumor necrosis factor-(TNF-) is a pleiotropic cytokine produced by mononuclear phagocytes in the setting of neoplastic and infectious diseases [11, 15, 19, 26]. It serves Offprint requests to: Akhil Bidani, Pulmonary Division, Department of Internal Medicine, University of Texas Medical Branch, Galveston, TX 77555-0561, USA Lung (1998) 176:111–121 © Springer-Verlag New York Inc. 1998