Rocky Mountain spotted fever, caused by the obligate intracellular bacterial pathogen Rickettsia rickettsii, is one of the most frequently reported and severe rickettsial diseases in the United States. R. rickettsii primarily invades vascular endothelial cells (ECs) in humans, replicates predominantly within the cytoplasm, and utilizes actin polymerization-based directional motility for intracellular movements and intercellular spread (19,42). The vascular endothelium is a multifunctional endocrine and paracrine organ involved in the modulation of blood flow and vessel tone, coagulation, and regulation of immune and inflammatory responses. In general, an intricate relationship between activation of immune responses and modulation of coagulation properties, usually followed by dysregulation of hemostatic mechanisms, is a hallmark feature of infectious diseases affecting the endothelium (2, 45). A majority of pathological sequelae associated with spotted fever group rickettsioses are attributed to damage of ECs affecting these functions in severe cases of infection (41, 42). ECs not only participate in the uptake of viable Rickettsia organisms attached to the cell surface through "induced phagocytosis," resulting in internalization, but actively respond to infection by adjusting the expression of mediators with important physiological functions such as adhesion molecules, cytokines, chemokines, and regulatory components of the coagulation cascade (8,40). Many of these genes are regulated by the nuclear factor-B (NF-B)/ Rel family of transcription factors, known to play an important role in immediate-early pathogenic responses (1, 2, 12).The prototypical NF-B complex is a heterodimer of RelA (p65) and p50 (NFKB1) subunits; other members of the Rel family include c-Rel, RelB, and p52 (NFKB2). In resting cells, NF-B is sequestered in the cytoplasm in its latent form through association with inhibitory proteins termed IB (IB␣, IB, IB␥, IBε, p105, and p100). Upon appropriate cell stimulation, IB␣ and IB are rapidly phosphorylated on specific amino-terminal serines, signaling for ubiquitination and degradation by the 26S proteasome (12,46). This results in the exposure of a nuclear localization sequence (NLS) and DNA-binding domains, allowing NF-B to enter the nucleus and stimulate the transcription of target genes. One such target is IB␣ itself, the resynthesis of which completes an autoreg-* Corresponding author. Mailing address: Hemostasis and Throm-