Impaired wound healing often accompanies low-grade inflammatory conditions during which circulating levels of subclinical super-low dose endotoxin may persist. Low-grade inflammatory monocyte polarization may occur during chronic inflammation and deter effective wound repair. However, little is understood about the potential mechanisms of monocyte polarization by sustained insult of subclinical super-low dose endotoxin. We observed that super-low dose endotoxin preferentially programs a low-grade inflammatory monocyte state in vitro and in vivo, as represented by the elevated population of CD11b+Ly6Chigh monocytes and sustained expression of CCR5. Mechanistically, super-low dose endotoxin caused cellular stress, altered lysosome function and increased the transcription factor IRF5. TUDCA, a potent inhibitor of cellular stress, effectively blocked the monocyte polarization, and improved wound healing in mice injected with super-low dose endotoxin. Our data reveal the polarization of low-grade inflammatory monocytes by sustained endotoxin challenge, its underlying mechanisms, and a potential intervention strategy.