Hepatic oxidative stress is a key feature of metabolic forms of steatohepatitis, but the sources of pro-oxidants are unclear. The NADPH oxidase complex is critical for ROS generation in inflammatory cells; loss of any one component (e.g., gp91 phox ) renders NADPH oxidase inactive. We tested whether activated inflammatory cells contribute to oxidant stress in steatohepatitis.gp91 phox−/− and wildtype (wt) mice were fed a methionine and choline-deficient (MCD) diet. Serum ALT, hepatic triglycerides, histopathology, lipid peroxidation, activation of NF-κB, expression of NF-κB-regulated genes and macrophage chemokines were measured.After 10 days of MCD dietary feeding, gp91 phox−/− and wt mice displayed equivalent hepatocellular injury. After 8 weeks, there were fewer activated macrophages in livers of gp91 phox−/− mice than controls, despite similar mRNA levels for MCP and MIP chemokines, but fibrosis was similar. NF-κB activation and increased expression of ICAM-1, TNF-α and COX-2 mRNA were evident in both genotypes, but in gp91 phox−/− mice, expression of these genes was confined to hepatocytes.A functional NADPH oxidase complex does not contribute importantly to oxidative stress in this model and therefore is not obligatory for induction or perpetuation of dietary steatohepatitis.