X-Adrenoleukodystrophy (X-ALD) is a peroxisomal disorder characterized by accumulation of very long chain (VLC) fatty acids, which induces alterations in cellular redox and induction of inflammatory disease, both of which are reported to play a role in pathogenesis of the severe form of the disease (childhood ALD). Here we report on the status of oxidative stress (NADPH oxidase activity) and inflammatory mediators in a X-ALD lymphoblast cell line under non-stimulated conditions. X-ALD lymphoblasts contain near 7 fold higher levels of the C26:0 fatty acid, as compared to controls; levels that were down regulated by treatment with Sodium Phenylacetate (NaPA), lovastatin or combination of both drugs. In addition, free radical synthesis was elevated in X-ALD lymphoblasts, and protein levels of the NADPH oxidase gp91 PHOX membrane subunit were significantly upregulated, but no changes were observed in the p47 PHOX and p67 PHOX cytoplasmic subunits. Unexpectedly, there was no increase in gp91 PHOX mRNA levels in X-ALD lymphoblasts. Furthermore, X-ALD lymphoblasts produced higher levels of nitric oxide (NO) and cytokines (TNF-α and IL-1β); and treatment with NaPA, or lovastatin decreased the synthesis of NO. Our data indicates that X-ALD lymphoblasts are significantly affected by the accumulation of VLC fatty acids, which in turn induces changes in the cell membrane properties/functions that may play a role in the development/progression of the pathogenesis of X-ALD disease.