Perinatal hypoxia/ischemia (HI) is a common cause of neurological deficits in children. Interleukin-1 (IL-1) activity has been implicated in HI-induced brain damage. However, the mechanisms underlying its action in HI have not been characterized. We used a 7-day-old rat model to elucidate the role of nuclear factor-jB (NF-jB) activation in HI stimulation of IL-1 signaling. HI was induced by permanent ligation of the left carotid artery followed by 90 min of hypoxia (7.8% O 2 ). Using ELISA assays, we observed increased cell death and caspase 3 activity in hippocampus and cortex 3, 6, 12, 24 and 48 h post-HI. IL-1b protein expression increased, beginning at 3 h after HI and lasting until 24 h post-HI in hippocampus and 12 h post-HI in cortex. Intracerebroventricular injection of 2lg IL-1 receptor antagonist (IL-1Ra) 2 h after HI significantly reduced cell death and caspase 3 activity. Electrophoretic mobility shift assay analyses of hippocampus and cortex after HI for NF-jB activity showed increased p65/p50 DNA-binding activity at 24 h post-HI. Western blot analyses showed significant nuclear translocation of p65. Protein expression levels of two known inflammatory agents, inducible nitric oxide synthase and cycloxygenase 2, known to be transcriptionally regulated by NF-jB, also increased at 24 h after HI. All these HI-induced changes were reversed by IL-1Ra blockade of IL-1 signaling, consistent with IL-1 triggering of inflammatory apoptotic outcomes via NF-jB transcriptional activation. The observed increase in cytoplasmic phosphorylated inhibitor jBa (IjBa) and nuclear translocation of Bcl-3 24 h after HI was also significantly attenuated by IL-1Ra blockade, suggesting that HI-induced IL-1 activation of NF-jB is via both the degradation of IjBa and the nuclear translocation of Bcl-3. Keywords: Bcl-3, hypoxia/ischemia, inhibitor jBa, interleukin-1, nuclear factor-jB. Perinatal hypoxia/ischemia (HI) during gestation/delivery or the accidental asphyxia of infants is a common cause of neurological deficits and delayed cognitive and behavioral deficits (Kaltschmidt et al. 1994). A rapidly expanding body of evidence indicates that inflammatory mediators, including inflammatory cytokines, contribute substantially to the pathogenesis associated with perinatal HI brain injury (Hagberg et al. 1996;Bona et al. 1999;Hedtjarn et al. 2002). The best-characterized early response inflammatory cytokine is interleukin-1 (IL-1) (Szaflarski et al. 1995). The IL-1 family includes the agonists IL-1a and IL-1b, the endogenous receptor antagonist IL-1 receptor antagonist (IL-1Ra), and a newly discovered member, IL-18/IL-1c (Shapiro et al. 1998). IL-1b has consistently been detected in central nervous system after injury to the brain or spinal cord (Rothwell et al. 1997;Nesic et al. 2001). There is also evidence showing a correlation between increased IL-1b levels and subsequent neurodegeneration. Thus, administration of exogenous IL-1b markedly exacerbates neuronal/glial damage in rodents exposed to focal cerebral ischemia or...