Based on our previous evidence indicating that the elevated sister chr
omatid exchange that characterizes Bloom syndrome (BS) cells may arise
in response to elevated production of active oxygen, we have quantita
ted the levels of active oxygen in two control, two BS and one BS reve
rtant cell lines. Luminol-dependent chemiluminescence was used as a me
asure of active oxygen production following treatment of the cells wit
h the calcium ionophore A23187 or the chemotactic tripeptide N-formylm
ethionylleucylphenylalanine. A peptide factor present in plasma was re
quired for priming the cells to undergo the oxidative response. As det
ermined with A23187, active oxygen production was elevated in BS cell
lines by 48.6% above control. Using N-formylmethionylleucylphenylalani
ne, active oxygen production was found to be increased by 250-314%. Ch
emiluminescence was inhibited in a dose-dependent manner by diphenylen
e iodonium, which specifically binds to and inhibits membrane-associat
ed NADPH oxidase activity. This compound inhibited oxygen radical prod
uction nearly 3 times more effectively in control cells than in BS cel
ls. The capacity to produce elevated levels of oxygen radicals may con
tribute to the spontaneous chromosomal instability of BS cells and to
the associated high incidence of neoplasia in individuals with BS.