Phagocytes mediate their innate immunological response by releasing pr
oducts that damage invading microorganisms. These products include pro
teins such as lysozyme, peroxidases, and elastase as well as reactive
oxygen species such as superoxide, hydrogen peroxide, hypohalous acid,
and hydroxyl radical. Although it is clear that many phagocytic secre
tory products have direct cytotoxic potential, understanding is limite
d of how multiple products interact to generate and modulate the cytot
oxic response. This review focuses on recent findings that elucidate t
he biochemical nature of secretory product interaction in the formatio
n of free radicals, particularly the highly reactive hydroxyl radical.
The possible role of these reactions in phagocyte microbicidal activi
ty and inflammatory tissue injury is discussed.