The hypothesis that oxidative damage arising from heat shock might sig
nificantly contribute to cell death and in particular to apoptosis has
been tested in human peripheral blood lymphocytes. Cellular glutathio
ne content and protein carbonyl groups were measured as indicators of
oxidative injury. Cell viability and proliferative capacity were evalu
ated as measures of irreversible damage. Heat shock caused dose-depend
ent decreases in cell viability, and apoptotic cell death was found to
be a major component of heat-shock-mediated mortality, However, only
the more severe heat treatment (1 h, 45 degrees C) caused an immediate
decrease in glutathione content. The content in carbonyl groups was n
ot significantly affected by heat shock. N-acetyl-cysteine, when added
before the hyperthermic treatment, did increase the glutathione conte
nt of the cells, but this did not favourably affect the survival of he
at-shocked lymphocytes. It is suggested that oxidative damage is not a
significant component of heat shock-mediated cell injury, and that, a
t least in this experimental model, apoptosis is triggered by stimuli
other than an altered redox state of the cell.