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Respiratory Burst

Molecular Biology · NLM MeSH · updated 2026-10-29 · version 1

Citations verified against PubMedNot yet clinician-reviewed10 referencesApproximately 4 min read

A large increase in oxygen uptake by neutrophils and most types of tissue macrophages through activation of an nadph-cytochrome b-dependent oxidase that reduces oxygen to a superoxide.

Table of Contents

1. Definition2. Research landscape3. Reading the evidence4. Open-access studies5. Key reviews6. References7. About this article

Definition and research guide

This page combines a MeSH definition, publication statistics and selected research abstracts. It is a starting point for reading the literature, not a medical textbook or a systematic evidence review.

Content available: 4 complete abstracts (828 words), 10 references. Full article text is not stored or reproduced here; follow the PMID, DOI or PMC links to read the original sources and their access terms.

Definition

A large increase in oxygen uptake by neutrophils and most types of tissue macrophages through activation of an nadph-cytochrome b-dependent oxidase that reduces oxygen to a superoxide. Individuals with an inherited defect in which the oxidase that reduces oxygen to superoxide is decreased or absent (granulomatous disease, chronic) often die as a result of recurrent bacterial infections.

Definition: NLM Medical Subject Headings (MeSH) scope note (Public domain (U.S. National Library of Medicine); attribution requested). View the MeSH record.

Also known as: Burst, Respiratory; Bursts, Respiratory; Respiratory Bursts; Oxidative Burst; Burst, Oxidative; Bursts, Oxidative; Oxidative Bursts.

Where it fits in the MeSH classification

Broader topics
Cell Respiration
See also
Granulomatous Disease, Chronic

Related concepts

  • Nadph-
  • Granulomatous Disease
  • Chronic

Research landscape

PubMed indexes 5,403 records tagged with the MeSH heading “Respiratory Burst” (counts retrieved 2026-10-29). 294 of them (5.4%) were published from 2020 onward, and the busiest period so far is 2000-2009 with 1,959 records.

Reviews account for 308 records (5.7%) and meta-analyses for 1. Randomized controlled trials number 121 (2.2%) as a share of all records on the topic.

PubMed records by publication periodthrough 1999: 1,870 records; 2000-2009: 1,959 records; 2010-2019: 1,280 records; 2020 onward: 294 records1,870through 19991,9592000-20091,2802010-20192942020 onward
Records in PubMed indexed with this heading, by publication period. Real counts from NCBI E-utilities; the final period covers only part of the current year. Volume reflects how much has been published, not how strong the evidence is.
Show the data
PeriodRecords
through 19991,870
2000-20091,959
2010-20191,280
2020 onward294
Share of records by publication typeReviews: 5.7 percent; Meta-analyses: 0.0 percent; Randomized controlled trials: 2.2 percentReviews5.7% (308)Meta-analyses0.0% (1)Randomized controlled trials2.2% (121)
Share of all PubMed records on this heading that carry each publication type. Types overlap with other records, so the shares do not sum to 100%.
Publication-type chart data
Publication types among 5,403 PubMed records
TypeRecordsShare
Reviews3085.7%
Meta-analyses10.0%
Randomized controlled trials1212.2%

Method: PubMed query "Respiratory Burst"[MeSH Terms] with publication-type and date filters, retrieved 2026-10-29.

Reading the evidence in molecular biology

Molecular biology establishes mechanisms through controlled experiments, often in simplified systems such as purified proteins, cultured cells or model organisms. Such work can show what is possible in a defined system, but whether a pathway matters in a whole organism or in human disease needs further evidence. Check the experimental system, whether findings were reproduced by independent groups, and whether the authors tested the mechanism directly or inferred it from correlation.

Evidence from open-access studies

These open-access studies come from PubMed’s best-match results for this heading (papers whose main topic it is), ranked here by citation count, with one recent addition. Each abstract is reproduced in full under its recorded open licence so that you can read the authors’ own words. They illustrate the literature; they are not a systematic summary of it. Citation counts measure attention, not reliability or clinical benefit.

Study comparison — selected abstracts, not a systematic review
Study / authorsYearSource label / designEurope PMC citationsLicence / source
Neutrophils to the ROScue: Mechanisms of NADPH Oxidase Activation and Bacterial Resistance
Nguyen GT, Green ER, Mecsas J
2017Review article
Design not recorded in structured metadata
592cc by
PMID 28890882 · DOI · PMC5574878
Neutrophils in Psoriasis
Chiang CC, Cheng WJ, Korinek M, Lin CY, Hwang TL
2019Review article
Design not recorded in structured metadata
253cc by
PMID 31649677 · DOI · PMC6794444
Switching to the cyclic pentose phosphate pathway powers the oxidative burst in activated neutrophils
Britt EC, Lika J, Giese MA, Schoen TJ, Seim GL, Huang Z, et al.
2022Research article
Design not recorded in structured metadata
191cc by
PMID 35347316 · DOI · PMC8964420
Floridoside Phosphotriester Derivatives: Synthesis and Inhibition of Human Neutrophils' Oxidative Burst
Pinheiro L, Cipriano C, Santos F, Máximo P, Fernandes E, Freitas M, et al.
2025Research article
Design not recorded in structured metadata
0cc by
PMID 40649364 · DOI · PMC12251482

Neutrophils to the ROScue: Mechanisms of NADPH Oxidase Activation and Bacterial Resistance [1]

Review article Nguyen GT, Green ER, Mecsas J · · 2017 · cited 592 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Reactive oxygen species (ROS) generated by NADPH oxidase play an important role in antimicrobial host defense and inflammation.
Closing excerpt
Here, we review mechanisms of oxidative burst in PMNs in response to bacterial infections, as well as the mechanisms by which bacterial pathogens thwart restriction by ROS to survive under conditions of oxidative stress.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (354 words)

Reactive oxygen species (ROS) generated by NADPH oxidase play an important role in antimicrobial host defense and inflammation. Their deficiency in humans results in recurrent and severe bacterial infections, while their unregulated release leads to pathology from excessive inflammation. The release of high concentrations of ROS aids in clearance of invading bacteria. Localization of ROS release to phagosomes containing pathogens limits tissue damage. Host immune cells, like neutrophils, also known as PMNs, will release large amounts of ROS at the site of infection following the activation of surface receptors. The binding of ligands to G-protein-coupled receptors (GPCRs), toll-like receptors, and cytokine receptors can prime PMNs for a more robust response if additional signals are encountered. Meanwhile, activation of Fc and integrin directly induces high levels of ROS production. Additionally, GPCRs that bind to the bacterial-peptide analog fMLP, a neutrophil chemoattractant, can both prime cells and trigger low levels of ROS production. Engagement of these receptors initiates intracellular signaling pathways, resulting in activation of downstream effector proteins, assembly of the NADPH oxidase complex, and ultimately, the production of ROS by this complex. Within PMNs, ROS released by the NADPH oxidase complex can activate granular proteases and induce the formation of neutrophil extracellular traps (NETs). Additionally, ROS can cross the membranes of bacterial pathogens and damage their nucleic acids, proteins, and cell membranes. Consequently, in order to establish infections, bacterial pathogens employ various strategies to prevent restriction by PMN-derived ROS or downstream consequences of ROS production. Some pathogens are able to directly prevent the oxidative burst of phagocytes using secreted effector proteins or toxins that interfere with translocation of the NADPH oxidase complex or signaling pathways needed for its activation. Nonetheless, these pathogens often rely on repair and detoxifying proteins in addition to these secreted effectors and toxins in order to resist mammalian sources of ROS. This suggests that pathogens have both intrinsic and extrinsic mechanisms to avoid restriction by PMN-derived ROS. Here, we review mechanisms of oxidative burst in PMNs in response to bacterial infections, as well as the mechanisms by which bacterial pathogens thwart restriction by ROS to survive under conditions of oxidative stress.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 28890882 · DOI · PMC5574878

Neutrophils in Psoriasis [2]

Review article Chiang CC, Cheng WJ, Korinek M, Lin CY, Hwang TL · · 2019 · cited 253 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Neutrophils are the most abundant innate immune cells.
Closing excerpt
This review provides an overview on the recent (up to 2019) advances in understanding the role of neutrophils in the pathophysiology of psoriasis, including the effects of respiratory burst, degranulation, and neutrophil extracellular trap formation on psoriatic immunity and the clinical relationships.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (119 words)

Neutrophils are the most abundant innate immune cells. The pathogenic roles of neutrophils are related to chronic inflammation and autoimmune diseases. Psoriasis is a chronic systemic inflammatory disease affecting ~2-3% of the world population. The abundant presence of neutrophils in the psoriatic skin lesions serves as a typical histopathologic hallmark of psoriasis. Recent reports indicated that oxidative stress, granular components, and neutrophil extracellular traps from psoriatic neutrophils are related to the initial and maintenance phases of psoriasis. This review provides an overview on the recent (up to 2019) advances in understanding the role of neutrophils in the pathophysiology of psoriasis, including the effects of respiratory burst, degranulation, and neutrophil extracellular trap formation on psoriatic immunity and the clinical relationships.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 31649677 · DOI · PMC6794444

Switching to the cyclic pentose phosphate pathway powers the oxidative burst in activated neutrophils [3]

Research article Britt EC, Lika J, Giese MA, Schoen TJ, Seim GL, Huang Z, et al. · · 2022 · cited 191 times (Europe PMC)

Abstract reading summary — source excerpts
Opening excerpt
Neutrophils are cells at the frontline of innate immunity that can quickly activate effector functions to eliminate pathogens upon stimulation.
Closing excerpt
Together, these results demonstrate the remarkable metabolic flexibility of neutrophils, which is essential for their functions as the first responders in innate immunity.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (156 words)

Neutrophils are cells at the frontline of innate immunity that can quickly activate effector functions to eliminate pathogens upon stimulation. However, little is known about the metabolic adaptations that power these functions. Here we show rapid metabolic alterations in neutrophils upon activation, particularly drastic reconfiguration around the pentose phosphate pathway, which is specifically and quantitatively coupled to an oxidative burst. During this oxidative burst, neutrophils switch from glycolysis-dominant metabolism to a unique metabolic mode termed 'pentose cycle', where all glucose-6-phosphate is diverted into oxidative pentose phosphate pathway and net flux through upper glycolysis is reversed to allow substantial recycling of pentose phosphates. This reconfiguration maximizes NADPH yield to fuel superoxide production via NADPH oxidase. Disruptions of pentose cycle greatly suppress oxidative burst, the release of neutrophil extracellular traps and pathogen killing by neutrophils. Together, these results demonstrate the remarkable metabolic flexibility of neutrophils, which is essential for their functions as the first responders in innate immunity.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 35347316 · DOI · PMC8964420

Floridoside Phosphotriester Derivatives: Synthesis and Inhibition of Human Neutrophils' Oxidative Burst [4]

Research article Pinheiro L, Cipriano C, Santos F, Máximo P, Fernandes E, Freitas M, et al. · · 2025

Abstract reading summary — source excerpts
Opening excerpt
Floridoside (2-O-D-glycerol-α-D-galactopyranoside) is a natural product typically found in red algae.
Closing excerpt
These findings highlight the potential of floridoside-based derivatives as candidates for targeting inflammatory pathways.
Interpretation limits
Verbatim excerpts from the authors’ abstract; the closing excerpt may describe a finding, limitation or recommendation. Design, population, effect size and uncertainty have not been independently extracted or appraised. Read the complete abstract and linked paper before interpreting the findings.
Read complete abstract (199 words)

Floridoside (2-O-D-glycerol-α-D-galactopyranoside) is a natural product typically found in red algae. It serves as the algae's carbon reserve and is produced as a protective response against osmotic and heat stress. Both floridoside and its acylated derivatives have been associated with modulating redox homeostasis and inflammatory responses. Therefore, we aimed to evaluate whether the newly synthesized floridoside phosphotriesters (1b-1d, 1f-1h) and acylated floridoside derivative (1e) can modulate the oxidative burst in stimulated human neutrophils. Synthetic strategies included the glycosylation of the thioglycoside donor with glycerol derivatives, having NIS/TfOH as the promoter. Phosphorylation was achieved with POCl3 in the presence of pyridine. The compounds were analysed for their cytotoxicity, with 1b and 1h being cytotoxic at 50 μM, while the others showed no cytotoxicity in the tested concentrations. The detection of the neutrophils' oxidative burst was performed using multiple probes [luminol, aminophenyl fluorescein (APF), and Amplex Red (AR)] to evaluate reactive species levels. Compound 1e prevented the oxidative burst in activated human neutrophils (IC50 = 83 ± 7 μM). All the other tested compounds were ineffective in inhibiting APF and AR oxidation under the present experimental conditions. These findings highlight the potential of floridoside-based derivatives as candidates for targeting inflammatory pathways.

Abstract reproduced from the open-access article under the recorded cc by licence; © the authors. PMID 40649364 · DOI · PMC12251482

Key reviews and meta-analyses

The most cited review-type papers among PubMed’s best-match results for this heading, listed with bibliographic details only. Follow the links for the full text and access terms.

  • Research article Respiratory burst oxidases: the engines of ROS signaling [5]
    Suzuki N, Miller G, Morales J, Shulaev V, Torres MA, Mittler R · Curr Opin Plant Biol · 2011 · cited 650 times (Europe PMC)
  • Research article Reactive oxygen species and cell signaling: respiratory burst in macrophage signaling [6]
    Forman HJ, Torres M · Am J Respir Crit Care Med · 2002 · cited 612 times (Europe PMC)
  • Research article Inside the neutrophil phagosome: oxidants, myeloperoxidase, and bacterial killing [7]
    Hampton MB, Kettle AJ, Winterbourn CC · Blood · 1998 · cited 586 times (Europe PMC)
  • Research article Respiratory burst in human neutrophils [8]
    Dahlgren C, Karlsson A · J Immunol Methods · 1999 · cited 565 times (Europe PMC)
  • Research article Priming of the neutrophil respiratory burst: role in host defense and inflammation [9]
    El-Benna J, Hurtado-Nedelec M, Marzaioli V, Marie JC, Gougerot-Pocidalo MA, Dang PM · Immunol Rev · 2016 · cited 377 times (Europe PMC)
  • Research article The respiratory burst oxidase [10]
    Chanock SJ, el Benna J, Smith RM, Babior BM · J Biol Chem · 1994 · cited 350 times (Europe PMC)

References

  1. Nguyen GT, Green ER, Mecsas J. Neutrophils to the ROScue: Mechanisms of NADPH Oxidase Activation and Bacterial Resistance. . 2017. PMID 28890882 · DOI · PMC5574878
  2. Chiang CC, Cheng WJ, Korinek M, Lin CY, Hwang TL. Neutrophils in Psoriasis. . 2019. PMID 31649677 · DOI · PMC6794444
  3. Britt EC, Lika J, Giese MA, Schoen TJ, Seim GL, Huang Z, et al.. Switching to the cyclic pentose phosphate pathway powers the oxidative burst in activated neutrophils. . 2022. PMID 35347316 · DOI · PMC8964420
  4. Pinheiro L, Cipriano C, Santos F, Máximo P, Fernandes E, Freitas M, et al.. Floridoside Phosphotriester Derivatives: Synthesis and Inhibition of Human Neutrophils' Oxidative Burst. . 2025. PMID 40649364 · DOI · PMC12251482
  5. Suzuki N, Miller G, Morales J, Shulaev V, Torres MA, Mittler R. Respiratory burst oxidases: the engines of ROS signaling. Curr Opin Plant Biol. 2011. PMID 21862390 · DOI
  6. Forman HJ, Torres M. Reactive oxygen species and cell signaling: respiratory burst in macrophage signaling. Am J Respir Crit Care Med. 2002. PMID 12471082 · DOI
  7. Hampton MB, Kettle AJ, Winterbourn CC. Inside the neutrophil phagosome: oxidants, myeloperoxidase, and bacterial killing. Blood. 1998. PMID 9787133 · DOI
  8. Dahlgren C, Karlsson A. Respiratory burst in human neutrophils. J Immunol Methods. 1999. PMID 10618505 · DOI
  9. El-Benna J, Hurtado-Nedelec M, Marzaioli V, Marie JC, Gougerot-Pocidalo MA, Dang PM. Priming of the neutrophil respiratory burst: role in host defense and inflammation. Immunol Rev. 2016. PMID 27558335 · DOI
  10. Chanock SJ, el Benna J, Smith RM, Babior BM. The respiratory burst oxidase. J Biol Chem. 1994. PMID 7929117 · DOI

About this article

Sources
NLM Medical Subject Headings (definition, synonyms); NCBI PubMed (counts, identifiers); Europe PMC (open-access abstracts and citation counts).
Verification
Every reference was resolved against PubMed on 2026-10-31; title, year and DOI matched.
Review state
automated source verified; no human expert review has been recorded yet.
Version
1, last updated 2026-10-29.

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Related research topics

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At a glance

5,403
PubMed records on this heading
5%
published since 2020
308
review articles
121
randomized trials
10
verified references below

Counts come from PubMed on 2026-10-29; they show how much has been written, not how strong the evidence is.

Related topics See all →

  • Electron TransportMolecular Biology
  • Cellular SenescenceMolecular Biology
  • Pentose Phosphate PathwayMolecular Biology
  • Respiratory RateAnatomy and Physiology
  • Respiratory Sinus ArrhythmiaCardiovascular Medicine

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