Forkhead box O1 (FoxO1) is a member of the FoxO transcription factor family that plays important roles in regulation of glucose homeostasis, cellular proliferation, differentiation, and vascular homeostasis in response to insulin and other growth factors (1-3). Mice lacking FoxO1 die in utero from improper vascular development (4). Overexpression of FoxO1 in primary endothelial cells impairs cell migration and tube formation, whereas knockdown of FoxO1 using siRNA enhances angiogenic function (5). Moreover, siRNA knockdown of FoxO1 in human coronary artery endothelial cells reduces VEGF-induced vascular cellular adhesion molecule-1 (VCAM-1) 2 expression and monocyte adhesion to endothelial cells (6). FoxO1 function is regulated, in part, by post-translational modifications including phosphorylation, acetylation, and ubiquitination (7-9). Phosphorylation of FoxO1 at a number of specific regulatory sites results in translocation of FoxO1 from the nucleus to the cytosol that impairs its transcriptional activity (2). Akt, a serine/threonine kinase downstream from PI3K in insulin signaling pathways, phosphorylate FoxO1 at Thr 24 , Ser 256 , and Ser 319 to promote nuclear exclusion of FoxO1. Thus, insulin negatively regulates FoxO1 functions via phosphorylation by Akt (10, 11). In addition to Akt, other kinases including SGK phosphorylate FoxO1 to regulate its function in a similar manner. For example, SGK phosphorylates FoxO1 at Thr 24 and Ser 319 (11,12). Similar to Akt, SGK is activated by a variety of growth and survival factors including insulin (13,14). cAMP-dependent protein kinase (PKA) is a key regulator of many processes involved with cell growth and development. PKA is activated when cAMP binds to the regulatory subunit of PKA, resulting in release of the catalytic subunit that then phosphorylates a variety of protein substrates including ion channels, key metabolic enzymes, and transcription factors (15).In a previous study, we reported that dihydroepiandrosterone treatment of primary endothelial cells acutely increases phosphorylation of FoxO1 in a PKA-dependent manner to reduce expression of ET-1 by interfering with the binding of FoxO1 to the human ET-1 promoter (3). Therefore, in the present study, we tested the hypothesis that FoxO1 is a novel direct substrate for PKA-␣ that helps to regulate endothelial function in response to activation of PKA-␣.