We evaluated the apoptosis of neutrophils during the resolution of acu
te pulmonary inflammation induced by exposure to ozone. The inflammato
ry response was assessed in rat lungs 0, 1, 3, and 7 days after 4-h ex
posure to air or 2 ppm ozone. Analysis of bronchoalveolar lavage fluid
demonstrated significant increases in albumin concentrations on days
0 and 1 and in the number of lavageable neutrophils on days 0, 1, and
3, indicating the presence of acute pulmonary inflammation. These para
meters returned to control values on day 7, which suggests that the ac
ute pulmonary inflammation induced by ozone was reversible. On days 1
and 3, but not on day 0, the neutrophils showed morphologic evidence o
f apoptosis. Based on morphologic analysis, the proportion of apoptoti
c neutrophils was 23.3 +/- 2.2% on day 1 and 55.7 +/- 3.2% on day 3. T
erminal deoxynucleotidyl transferase-mediated dUTP end labeling (TUNEL
), in contrast, revealed that the proportion of apoptotic cells was 59
.7 +/- 9.1% on day 1 and 68.0 +/- 4.3% on day 3. On day 3, light micro
scopy and electron microscopy demonstrated engulfment of the neutrophi
ls by macrophages. These findings indicate that the apoptosis of neutr
ophils followed by their engulfment by macrophages contributes to the
clearance of neutrophils from the sites of inflammation. Moreover, TUN
EL detected apoptotic neutrophils with greater sensitivity compared wi
th morphologic assessment.