Poly(ADP-ribose) polymerase (PARP) is involved in the pathogenesis of cell dysfunction, inflammation and organ failure during septic shock. The goal of the current study was to investigate the efficacy and safety of the clinically approved PARP inhibitor olaparib in experimental models of oxidative stress in vitro and in sepsis in vivo. ln mice subjected to cecal ligation a nd puncture (CLP) organ injury markers, circula ting and splenic immune cell distributions, circulating mediators, DNA integrity and survival was measured. ln U937 cells subjected to oxidative stress, cellular bioenergetics, viability and DNA integrity were measured. Olaparib was used to inhibit PARP. The results show that in adult male mice subjected to CLP, olaparib (1-10 mg/kg i.p.) improved multiorgan dysfonction. Olaparib treatrnent reduced the degree of bacterial CFUs. Olaparib attenuated the increases in the levels of several circulating mediators in the plasma. ln the spleen, the number of CD4 + and CDS + lymphocytes were reduced in response to CLP; this reduction was inhibited by olaparib treatrnent. Treg but not Thl 7 lymphocytes increased in response to CLP; these cell populations were reduced in sepsis when the animais received olaparib. The Thl 7 /Treg ratio was lower in CLP-olaparib group than in the CLP control group. Analysis of miRNA expression identifi ed a multitude of changes in spleen and circulating white blood cell miRNA levels after CLP; olaparib treatrnent selectively modulated these responses. Olaparib extended the survival rate of mice subjected to CLP. ln contrast to males, in female mice olaparib did not have significant protective effects in CLP. ln aged mice olaparib exerted beneficial effects that were Jess pronounced than the effects obtained in young adult males. ln in vitro experiments in U937 cells subjected to oxidative stress, olaparib (1-100 µM) inhibited PARP activity, protected against the Joss of cell viability, preserved NAD + levels and improved cellular bioenergetics. ln none of the in vivo or in vitro experiments did we observe any adverse effects of olaparib on