The quinoid pigments phthiocol, produced by Mycobacterium tuberculosis, and pyocyanine, produced by Pseudomonas aeruginosa, were examined for their effects on O-2(.-) production in cultured human lung epithelial-like A549 cells. Intracellular O-2(.-) levels were measured using the O-2(.-)-sensitive aconitase(s), and rates of O-2(.-) generation were assessed from rates of antimycin-resistant respiration. Elevated O-2(.-) was detected in cells exposed to <25 mu M phthiocol and <2 mu M pyocyanine in neutral pH medium, and both agents impaired cell growth. The O-2(.-) scavenging mangano-porphyrin, Mn(III)TMPyP, partially protected cells against pyocyanine and phthiocol-mediated growth inhibition. O-2(.-) production by phthiocol and pyocyanine was enhanced by acidification of the growth medium. Surprisingly, the dicumarol-inhibitable quinoid detoxification enzyme DT-diaphorase was a significant source of phthiocol and pyocyanine-mediated O-2(.-) generation in cells. O-2(.-) production in macrophages by the phthiocol analog, menadione, was shown to impair macrophage mitochondrial respiration and bactericidal activity toward Escherichia coli. Phthiocol and pyocyanine, by producing O-2(.-)/H2O2, and inhibiting host cell aconitase activity, energetics, and other host cell functions, may contribute to the pathogenicity of M. tuberculosis and P. aeruginosa. (C) 1996 Academic Press, Inc.