Human neutrophils respond with a potent and sustained production of superox
ide by NADPH oxidase activity after exposure to various stimulants. Superox
ide is then converted to other reactive oxygen species. These oxidants part
icipate in microbial killing, cause injury to surrounding tissues, regulate
apoptosis of neutrophils, and, further, are viewed as a signal transductio
n messenger. We present herein the cytochemical approach for detecting NADP
H oxidase activity in human neutrophils under both an electron microscope a
nd a CCD camera-equipped fluorescence microscope. The applications of the c
ytochemical methodology are also mentioned in this review. Especially, the
following mechanisms for the release of superoxide from human neutrophils a
re considered: the active NADPH oxidase is located exclusively in intracell
ular compartments which are delivered to the plasma membrane by membrane fu
sion events, and the vesicles whose membrane contain the active oxidase cyc
le between the interior of the cell and the plasma membrane.