BACKGROUND: Nucleotides have polymorphonuclear neutrophil (PMN)-stimul
ating actions resembling those of 5-hydroxyicosatetraenoate and its ox
o analog, 5-oxoETE. Their effects on degranulation, however, are dispu
ted even though this response may underlie their in vivo toxicity and
is well-suited for comparing their mechanism of action with e.g., 5-ox
oETE. EXPERIMENTAL DESIGN: We measured the direct, synergistic, and cr
oss-desensitizing actions of nine nucleotides and six other stimuli in
degranulating unprimed and tumor necrosis factor (TNF)-alpha-primed h
uman PMN. RESULTS: Nucleotides weakly degranulated unprimed PMN but ca
used far larger responses in TNF-alpha-primed cells. Their actions, wh
ile differing from those of N-formyl-MET-LEU-PHE, platelet-activating
factor, leukotriene B-4, ionomycin, or dioctanoylglycerol, resembled t
hose of 5-oxoETE. Nucleotides also enhanced PMN degranulation response
s to the latter stimuli, particularly 5-oxoETE. Nucleotide degranulati
ng and enhancing potencies were: UTP greater than or equal to ATP grea
ter than or equal to ATP gamma S > ITP > ADP > 2-MeSATP, nonphosphohyd
rolyzable analogs lacked activity, and adenosine and AMP blacked PMN d
egranulation. Finally, nucleotides desensitized degranulation response
s to each other but not to 5-oxoETE or other agonists, and 5-oxoETE de
sensitized to itself but not to nucleotides.