Sepsis causes extensive apoptosis of lymphocytes, a pathological condition that is frequently associated with hyperthermia. Heat stress has been implicated to repress the activation of an inflammatory mediator, nuclear factor of B (NF-B), which sensitizes cells to apoptosis mediated by inflammatory cytokine, tumor necrosis factor ␣. However, the molecular mechanism of hyperthermia-associated loss of T cells remains unclear. We show that hyperthermia causes rapid translocation of IB kinase (IKK) and NF-B complexes into the plasma membrane-associated lipid rafts in T cells. Heat stress induces aggregation of Carma1 in lipid rafts, which in turn recruits protein kinase C (PKC) and Bcl10 to the microdomains, causing subsequent membrane translocation of the IKK and NF-B signalosomes. Depletion of Carma1 and inhibition of PKC impair accumulation of NF-B complexes in lipid rafts. Heat stress prohibits IB kinase activity by sequestrating the IKK and NF-B complexes in lipid rafts and by segregating the chaperone protein Hsp90, an essential cofactor for IKK, from the IKK complex. This process ultimately results in functional deficiency of NF-B and renders T cells resistant to tumor necrosis factor ␣-induced activation of IKK, thereby contributing to the apoptotic loss of T lymphocytes in sepsis-associated hyperthermia.Bacterial endotoxin in sepsis stimulates immune cells to produce abundant pro-inflammatory cytokines such as tumor necrosis factor ␣ (TNF␣) 3 and interleukine-1 (IL-1) (1, 2). As the consequence of hyper-inflammation, severe cell and organ injury may occur. One of the characteristic features of sepsis is extensive apoptosis of lymphocytes and gastrointestinal epithelial cells, which is often associated with rising body temperature or hyperthermia. In response to heat stress, Hsp70, a stressinduced chaperone of the Hsp70 family, is markedly elevated to execute cytoprotective functions by rejuvenating damaged and aggregated intracellular proteins (3, 4). Aside from the chaperone function, Hsp70 has been shown to inhibit apoptosis by interfering with the assembly of Apaf-1 apoptosome and by antagonizing the activity of apoptosis-inducing factor (5-7). Contrary to the anti-apoptotic effect of Hsp70, other studies showed that the stress-induced Hsp70 suppresses cell proliferation and sensitizes cells to apoptosis induced by TNF␣, FasL, and TRAIL (TNF-related apoptosis-inducing ligand) (8 -11). During sepsis, TNF␣ or endotoxin activates NF-B, one of the key mediators of inflammation, whereas overexpression of Hsp70 during heat stress was reported to repress the activity of NF-B through binding to IKK␥, a regulatory subunit of IB kinase (IKK) complex, in promoting apoptosis in certain types of adhesive cell lines (9) Yet, it remains unclear for the molecular mechanism of sepsis/hyperthermia-related loss of lymphocytes, and it is also unknown about the fate of IKK in the early response to hyperthermia before Hsp70 is synthesized.The transcriptional factor NF-B, including multiple subunits consisting of RelA, RelB, c...