Leukotoxin is a linoleic acic oxide produced by leukocytes and has bee
n associated with the multiple organ failure and adult respiratory dis
tress syndrome seen in some severe burn patients. Leukotoxin has been
reported to be toxic when injected into animals intravenously. Herein,
we report that this lipid is not, directly cytotoxic in at least two
in vitro systems. Using a baculovirus expression system we demonstrate
that leukotoxin is only cytotoxic in the presence of epoxide hydrolas
es. In addition, it is the diol metabolite that proves toxic to pulmon
ary alveolar epithelial cells, suggesting a critical role for the diol
in leukotoxin-associated respiratory disease, In vivo data also suppo
rt the toxicity of leukotoxin diol. For the first time we demonstrate
that soluble epoxide hydrolase can bioactivate epoxides to diols that
are apparently cytotoxic. Thus leukotoxin should be regarded as a prot
oxin corresponding to the more toxic diol. This clearly has implicatio
ns for designing new clinical interventions.