ABSTRACTInvasive aspergillosis is a major threat for patients suffering from chronic granulomatous disease (CGD). AlthoughAspergillus fumigatusis the most commonly encounteredAspergillusspecies, the presence ofA. nidulansappears to be disproportionately high in CGD patients. The purpose of this study was to investigate the involvement of the NADPH oxidase and the resulting reactive oxygen species (ROS) in host defense against fungi and to clarify their relationship towardA. nidulans. Murine CGD alveolar macrophages (AM) and polymorphonuclear leukocytes (PMN) and peripheral blood mononuclear cells (PBMC) from healthy controls and CGD patients were challenged with eitherA. fumigatusorA. nidulans. Analysis of the antifungal effects of ROS revealed thatA. nidulans, in contrast toA. fumigatus, is not susceptible to ROS. In addition, infection with liveA. nidulansdid not result in any measurable ROS release. Remarkably, human CGD PMN and PBMC and murine CGD AM were at least equipotent at arresting conidial germination compared to healthy controls. Blocking of the NADPH oxidase resulted in significantly reduced damage ofA. fumigatusbut did not affectA. nidulanshyphae. Furthermore, the microbicidal activity of CGD PMN was maintained towardA. nidulansbut notA. fumigatus. In summary, antifungal resistance toA. nidulansis not directly ROS related. The etiology ofA. nidulansinfections in CGD cannot be explained by the simple absence of the direct microbicidal effect of ROS.In vivo, the NADPH oxidase is a critical regulator of innate immunity whose unraveling will improve our understanding of fungal pathogenesis in CGD.