Abstract-Reactive oxygen species including superoxide and hydrogen peroxide are important mediators in atherogenesis.We investigated the enzymatic source of vascular superoxide and its role in endothelium-dependent vasorelaxation during neointima formation. Silastic collars positioned around carotid arteries of rabbits for 14 days induced neointimal thickening. Using lucigenin-enhanced chemiluminescence, superoxide production was detectable in collared artery sections, but not in controls, only after inactivation of endogenous Cu 2ϩ /Zn 2ϩ -superoxide dismutase (Cu 2ϩ /Zn 2ϩ -SOD) with diethyldithiocarbamate (DETCA). Dihydroethidium staining indicated that endothelium and adventitia were the major sites of superoxide generation. Superoxide production in DETCA-treated collared arteries was enhanced further by NADPH and was inhibited by diphenyleneiodonium, suggesting NADPH oxidase was the source of the radical in collared arteries. Moreover, real-time PCR demonstrated 11-fold higher expression of the gp91phox subunit of NADPH oxidase in collared arteries than in controls. In vascular reactivity studies, endothelium-dependent vasorelaxation to acetylcholine did not differ between collared and control sections. However, treatment with DETCA reduced relaxations to acetylcholine in collared rings, but not in controls. NADPH further reduced relaxations to acetylcholine in DETCA-treated collared sections, but not in controls. In DETCA/NADPH-treated collared rings, sensitivity to nitroprusside, in contrast to acetylcholine, exceeded that of controls. Moreover, further treatment of such rings with exogenous Cu 2ϩ /Zn 2ϩ -SOD restored acetylcholine relaxations without altering nitroprusside responses. Thus, early neointimal lesions induced by periarterial collars are associated with elevated gp91phox expression and increased NAPDH-oxidase-dependent superoxide production in endothelium and adventitia. However, endothelium-dependent vasorelaxation is largely preserved due to the actions of Cu 2ϩ /Zn 2ϩ -SOD and increased smooth muscle sensitivity to nitric oxide. Not only is superoxide production increased in atherosclerotic arteries from humans, 1 rabbits, 2 and mice, 3 but ROS have also been shown to induce many proatherogenic cellular responses in vitro. These include inactivating endothelium-derived nitric oxide, 4 inducing endothelial cell apoptosis, 5 upregulating endothelial cell adhesion molecule expression, 6 stimulating the proliferation and migration of vascular smooth muscle cells, 7 and oxidatively modifying lipoproteins. 8 To our knowledge, only one study has attempted to characterize the oxidase responsible for superoxide production in atherosclerotic lesions. Warnholtz et al 9 demonstrated that superoxide production in aortas from Watanabe heritable hyperlipidemic and cholesterol-fed rabbits was markedly higher than that in controls. The enzyme responsible for superoxide production in these atherosclerotic arteries was membrane-associated, stimulated by NADH and NADPH, and inhibited by the flavoprotein inhib...