Reactive microglia in the CNS have been implicated in the pathogenesis of white matter disorders, such as periventricular leukomalacia and multiple sclerosis. However, the mechanism by which activated microglia kill oligodendrocytes (OLs) remains elusive. Here we show that lipopolysaccharide (LPS)-induced death of developing OLs is caused by microglia-derived peroxynitrite, the reaction product of nitric oxide (NO) and superoxide anion. Blocking peroxynitrite formation with nitric oxide synthase inhibitors, superoxide dismutase mimics, or a decomposition catalyst abrogated the cytotoxicity. Only microglia, but not OLs, expressed inducible NO synthase (iNOS) after LPS challenge; microglia from iNOS knockout mice were not cytotoxic upon activation. The molecular source for superoxide was identified as the superoxidegenerating enzyme NADPH oxidase. The oxidase was activated upon LPS exposure, and its inhibition prevented microglial toxicity toward OLs. Furthermore, microglia isolated from mice deficient in the catalytic component of the oxidase, gp91 phox , failed to induce cell death. Our results reveal a role for NADPH oxidase in LPSinduced OL death and suggest that peroxynitrite produced by iNOS and NADPH oxidase in activated microglia may play an important role in the pathogenesis of white matter disorders.inflammation ͉ lipopolysaccharide ͉ cerebral palsy ͉ reactive nitrogen species ͉ periventricular leukomalacia M icroglia are the resident macrophage-like cells of the CNS.They play a pivotal role in the innate immune response of CNS and are the first line of defense against microorganism invasion and injury (1). Localized activation of microglia, however, has also been implicated in the pathogenesis of a number of neurological diseases and disorders, including ischemia; AIDS-associated dementia (2); chronic neurodegenerative diseases (3), such as Alzheimer's disease, Parkinson's disease, and amyotrophic lateral sclerosis; and white matter disorders, such as multiple sclerosis (4) and periventricular leukomalacia (PVL) (5). Microglia are extremely responsive to environmental or immunological challenges and are the predominant cell type producing inflammation-mediated neurodegeneration. Upon activation, microglia release proinflammatory molecules, such as cytokines and chemokines, and mediators of cell injury, such as proteases and reactive oxygen species (ROS)͞reactive nitrogen species (6-8). Although necessary for normal functions, activation of microglia requires tight regulation to avoid bystander injury to other CNS cells. The identification of primary toxic factors, localization of their molecular sources, and the elucidation of signaling pathways associated with microglial overactivation are therefore of paramount importance to our understanding of cellular injury in the CNS.PVL is the lesion of cerebral white matter that underlies most cases of cerebral palsy developing in premature infants (9). It is characterized by focal necrotic lesions in the deep white matter and by diffuse injury to premyelinatin...