Objective: To observe the effects of endotoxin tolerance induced by lipopolysaccharide (LPS) on the production of anti-inflammatory cytokine IL-10 and the level of apoptosis in human neutrophils. Methods: Neutrophils were pretreated with 1 μg/mL Porphyromonasgingivalis (P.gingivalis) LPS or 1 μg/mL Escherichia coli (E.coli) LPS for 12 h to induce cell tolerance. Then, the cells were washed and stimulated with the same LPS for additional 20 h (for ELISA) or 3 h (for flow cytometry). Levels of IL-10 in supernatants and apoptosis of neutrophils were detected by ELISA and flow cytometry, respectively. Results: After 20 h, the amount of IL-10 secreted by neutrophils treated with P.gingivalis LPS or E.coli LPS was increased significantly compared with that without any stimulation (P<0.05), while no significant changes of apoptosis in neutrophils with LPS stimulation were observed after 3 h (P>0.05). After restimulation with P.gingivalis LPS or E.coli LPS, IL-10 production was increased significantly compared with that secreted by neutrophils challenged with the same LPS only once (P<0.05). However, no significant changes of apoptosis in the short term were detected after P.gingivalis LPS retreatment for 3 h (P>0.05), and apoptosis levels in the short term were significantly decreased after E.coli LPS restimulations for 3 h (P<0.05). Conclusion: Endotoxin tolerance might contribute to the increased production of IL-10 in human neutrophils, but the effects of tolerance on apoptosis might depend on the types of LPS.