Objective-Tumor necrosis factor (TNF)-␣-induced endothelial injury, which is associated with atherosclerosis, is mediated by intracellular reactive oxygen species. Iron is essential for the amplification of oxidative stress. We tested whether TNF-␣ accelerated iron accumulation in vascular endothelium, favoring synthesis of hydroxyl radical. Methods and Results-Diverse iron transporters, including iron import proteins (transferrin receptor [TfR] and divalent metal transporter 1 [DMT1]) and an iron export protein (ferroportin 1 [FP1]) coexist in human umbilical endothelial cells (HUVECs). TNF-␣ caused upregulation of TfR and DMT1 and downregulation of FP1, which were demonstrated in mRNA as well as protein levels. These changes in iron transporters were accompanied by accumulation of iron that was both transferrin-dependent and transferrin-independent. Modifications of these mRNAs were regulated posttranscriptionally, and were coordinated with activation of binding activity of iron regulatory protein 1 to the iron responsive element on transporter mRNAs. Using a salicylate trap method, we observed that only simultaneous exposure of endothelial cells to iron and TNF-␣ accelerated hydroxyl radical production. Conclusions-TNF-␣ could cause intracellular iron sequestration, which may participate importantly in the pathophysiology of atherosclerosis and cardiovascular disease. Key Words: cytokines Ⅲ endothelium Ⅲ free radicals Ⅲ inflammation Ⅲ iron A therosclerosis now is generally recognized as a chronic inflammatory condition, and inflammatory cytokines such as tumor necrosis factor (TNF)-␣ have been associated with the development of atherosclerotic lesions and consequent cardiovascular events. 1,2 Dysfunction and loss of vascular endothelial cells, which provide a nonthrombogenic surface and a permeability barrier, occur early in atherosclerosis. 3 Several lines of evidence has suggested that TNF-␣-induced cell injury is mediated through its ability to promote intracellular reactive oxygen species (ROS) formation. 4,5 Among these species, superoxide anion (O 2 Ϫ ) and hydrogen peroxide (H 2 O 2 ) are not very reactive, and usually are neutralized by an elaborate antioxidant defense system. However, transition metal-catalyzed Haber-Weiss reaction can transform O 2 Ϫ and H 2 O 2 to hydroxyl radical, which are extremely powerful oxidizing species. 6,7 Iron is an essential element required for biochemical reactions subserving a wide variety of functions in cells and organisms. 8 However, free iron, possibly the most important transition metal in biologic systems, can act as an electron donor. 6,9 Excessive intracellular accumulation of iron therefore could amplify the damaging effect of oxidative stress in inflammatory conditions, leading to cell injury.The recent identification of iron transport proteins has rapidly expanded our knowledge of molecular aspects of iron processing, especially in the reticuloendothelial system and small intestine. 10,11 Such proteins include transferrin receptor (TfR), divalent metal tr...