Innate immune memory, or trained immunity, has recently been described to be an important property of cells of the innate immune system. Due to the increased interest in this important new field of immunological investigation, we sought to determine the optimal conditions for an in vitro experimental protocol of monocyte training using three of the most commonly used training stimuli from the literature: -glucan, the bacillus Calmette-Guérin (BCG) vaccine, and oxidized low-density lipoprotein (ox-LDL). We investigated and optimized a protocol of monocyte trained immunity induced by an initial training period with -glucan, BCG, or oxLDL, followed by washing and resting of the cells and, thereafter, restimulation with secondary bacterial stimuli. The training and resting time intervals were varied to identify the optimal setting for the long-term induction of trained immunity. Trained immunity was assessed in terms of the secondary cytokine response, the production of reactive oxygen species, cell morphology, and induction of glycolysis. Monocytes primed with -glucan, BCG, and oxLDL showed increased pro-and antiinflammatory cytokine responses upon restimulation with nonrelated stimuli. Also, all three stimuli induced a switch to glycolysis (the Warburg effect). These effects were most pronounced when the training interval was 24 h and the resting time interval was 6 days. Training with BCG and oxLDL also led to the increased production of reactive oxygen species, whereas training with -glucan led to the decreased production of reactive oxygen species. We describe the optimal conditions for an in vitro experimental model with human primary monocytes for study of the induction of trained innate immunity by microbial and metabolic stimuli.T he immune response is a complex system of cellular and humoral components which have the ability to detect non-selfstructures and confer protection against invading pathogens, playing a crucial role in the survival of multicellular organisms. The immune response has traditionally been divided into the innate immune system and the adaptive immune system. Adaptive immunity, with T and B cells as cellular effectors, develops over several weeks after birth, is highly specific, and builds a specific immunological memory, leading to protection against reinfection. The innate immune system, on the other hand, is classically thought to act rapidly in a nonspecific and identical manner every time that it encounters a pathogen, without having the ability to build an immunological memory.Recently, the concept that innate immunity is nonspecific and completely lacks immunological memory has been challenged. First, pattern recognition receptors (PRRs) confer some specificity to innate immunity, and second, a growing body of literature shows that innate immunity can adapt its function after a first insult (1, 2). Several studies have shown that plants and invertebrates, organisms which lack an adaptive immune system, show enhanced immune responses upon reinfection (3). This phenomenon has r...