Abstract-The transcription factor, p53, and the adaptor protein, p66shc, both play essential roles in promoting oxidative stress in the vascular system. However, the relationship between the two in the context of endothelium-dependent vascular tone is unknown. Here, we report a novel, evolutionarily conserved, p53-mediated transcriptional mechanism that regulates p66shc expression and identify p53 as an important determinant of endothelium-dependent vasomotor function. We provide evidence of a p53 response element in the promoter of p66shc and show that angiotensin II-induced upregulation of p66shc in endothelial cells is dependent on p53.In addition, we demonstrate that downregulation of p66shc expression, as well as inhibition of p53 function in mice, mitigates angiotensin II-induced impairment of endothelium-dependent vasorelaxation, decrease in bioavailable nitric oxide, and hypertension. These findings reveal a novel p53-dependent transcriptional mechanism for the regulation of p66shc expression that is operative in the vascular endothelium and suggest that this mechanism is important in impairing endothelium-dependent vascular relaxation. Key Words: tumor suppressor p53 Ⅲ p66shc angiotensin II Ⅲ endothelial dysfunction P 66shc belongs to the shcA family of adaptor proteins. P66shc is structurally and functionally distinct from p52shc and p46shc, the other 2 members of this family. It has a unique N-terminal collagen homology (CH2) domain that is important in governing its activity, and it functions as a protein that promotes oxidative stress within cells and tissues. Cells lacking p66shc have reduced levels of oxidants, and mice deficient for p66shc are resistant to oxidative stresses, and have an extended lifespan. 1,2 In addition to living longer, p66shc-deficient mice are protected against age-associated and hyperglycemia-induced endothelial dysfunction and oxidative stress. 3,4 Similarly, downregulation of p66shc in normal blood vessels and cells increases endothelial NO synthase activity and improves endothelium-dependent vasorelaxation. 5 P66shc also promotes atherogenesis. P66shc-deficient mice have reduced susceptibility to atheroma formation when fed a high-fat diet. 6 Despite this growing body of evidence implicating p66shc in many pathophysiological states of the cardiovascular system, little information exists about the mechanisms that govern p66shc expression in the cardiovascular system and the relevance of these mechanisms to human cardiovascular disease states.The role that the tumor suppressor protein p53 plays in different cell types comprising the vascular wall, and in the overall pathogenesis of atherosclerosis, as well as in other vascular disorders that are not necessarily associated with atherosclerosis, is highly controversial. P53 is undetectable in normal vascular specimens, but is expressed in endothelial cells, smooth muscle cells, and macrophages of advanced human atherosclerosis. 7 In animal models of high-fat dietinduced atheroma formation, knockout of p53 results in an incre...