Endocrine regulation of the neutrophilic component of innate immunity with a particular focus on the production of reactive oxygen species (ROS) is the subject of this review. Endocrine hormones contribute to neutrophil mediated pathology in several ways either by directly activating the cells, as is the case with an angiotensin activation of NADPH oxidase on neutrophils and monocytes to contribute to atherosclerosis, or by having biphasic effects depending upon the stage of systemic inflammation, i.e. in a hyper-inflammatory phase or a hypo-inflammatory or anergic state, as seen with growth hormone. Some factors, such as a novel anti-inflammatory peptide from salivary glands, the tripeptide FEG, and hypothalamic proline-rich peptide have more subtle effects and appear to negatively regulate the priming events required for neutrophil activation. Investigations on the impact and role of endocrine hormones on neutrophil function and ROS production have contributed to the understanding of the efficacy of some medications in treating inflammation, as is the case with the angiotensin receptor blockers, and should lead to the development of novel drugs that modulate innate immune system function and the severity of an inflammatory response.With the exception of a small number of anaerobic bacteria oxidation reactions are essential for life. Management of oxygen metabolism is a fine balance between necessary life support and the highly toxic effects of oxygen and its metabolites. In 1969 it was recognized that superoxide dismutase, a free radical scavenger, formed a part of the routine defense against endogenously generated reactive oxygen species (ROS) [1]. The significance of this observation became apparent 12 years later when superoxide radicals, produced by neutrophils, were identified as the responsible agents for the increased capillary permeability in the ischemic bowel [2]. In short order neutrophils superoxide anion and ROS moved to the forefront of biomedical sciences, where they were perceived predominately as molecular outlaws, posing as a major threat to health [3].Various therapies have been proposed to treat ROSmediated pathology from the use of antagonists of selectins and integrins to prevent neutrophilic infiltration into tissue [4], antioxidant vitamin therapy [5], macrolide antibiotics to inhibit the production of proinflammatory cytokines [6], reduction-oxidation (redox)-sensitive transcription factors [7,8], probiotics [9], peroxisome proliferator-activated receptor agonists and statins [10]. These therapies attempt to block either the activation of the cells responsible for generating excess ROS or the proximal mediators of the ROS-dependent inflammatory response.Another therapeutic strategy to manage ROS production is to modulate the endocrine factors signaling their generation, as occurs with angiotensin II type 1 (AT 1 ) receptor antagonists and angiotensin-converting enzyme (ACE) inhibitors [11,12]. However, little attention has been paid to using the body's natural defenses, offered by endoc...