Abnormal vascular smooth muscle cell (VSMC) proliferation contributes to occlusive and proliferative disorders of the vessel wall. Salicylate and other nonsteroidal anti-inflammatory drugs (NSAIDs) inhibit VSMC proliferation by an unknown mechanism unrelated to anti-inflammatory activity. In search for this mechanism, we have studied the effects of salicylate and other Increased vascular smooth muscle cell (VSMC) 3 proliferation, a process controlled by Ca 2ϩ channel switching, is a key event in the development of atherosclerosis, restenosis, and other occlusive and proliferative disorders of the vasculature (1, 2). Salicylate, the major aspirin metabolite, and other nonsteroidal anti-inflammatory drugs (NSAIDs) may induce direct, platelet-independent effects on the vascular wall (3-5). For example, salicylate effectively inhibits VSMC proliferation and DNA synthesis in vivo and in vitro without inducing cellular toxicity or apoptosis (4).A series of NSAIDs, including aspirin, ibuprofen, indomethacin, and sulindac, induce a dose-dependent inhibition of proliferation in A10 cells (6, 7), a VSMC cell line derived from embryonic rat aorta. The effects of NSAIDs occur in the absence of cytotoxicity and are independent of cyclooxygenase (7). Aspirin treatment also inhibits neointimal proliferation in dogs fed a cholesterol-enriched diet (8) and prevents the development of atherosclerosis in rabbits (9). Therefore, NSAIDs inhibit VSMC proliferation and show salutary effects in the treatment of vascular proliferative disorders by a yet unknown mechanism of action unrelated to anti-inflammatory activity.Intracellular Ca 2ϩ is a major trigger for vasoconstriction and a stimulus for VSMC proliferation (1, 2, 10). Several Ca 2ϩ channels participate in regulating intracellular Ca 2ϩ , including voltage-operated and store-operated Ca 2ϩ channels (10, 11). SOCE is activated after the emptying of intracellular Ca 2ϩ stores by physiological stimuli and is involved in cell proliferation in several cell types, including T cells (12,13). In these cells, SOCE requires not only the activating signal from the empty store but also the close proximity of functional mitochondria acting as Ca 2ϩ sinks to prevent the strong Ca 2ϩ -dependent inactivation of SOC channels (14 -18