Abstract-Nitric oxide (NO) is known to have antiatherogenic and anti-inflammatory properties, but its effects on the cytokine-induced nuclear factor-kappa B (NF-B) activation pathway in relation to the regulation of inducible nitric oxide synthase (iNOS) gene in vascular smooth muscle cells (VSMCs) remain elusive. To elucidate the roles of NO in the regulation of cytokine-induced NF-B activation and consequent iNOS gene expression, we studied the effects of synthases (NOSs). Three distinct isozymes of NOS have been identified to date: 2 Ca 2ϩ /calmodulin-dependent constitutive isozymes dominantly expressed in the brain and endothelium, and a Ca 2ϩ -independent, cytokine-inducible isozyme (iNOS). 1 iNOS produces large amounts of NO in response to bacterial lipopolysaccharides (LPS) and certain cytokines in a variety of cells, including vascular smooth muscle cells (VSMCs). 2 NO possesses diverse physiological properties, such as vasodilation, neurotransmission, and mediation of immune responses. 1 High-output NO produced by iNOS in VSMCs not only causes inhibition of cell proliferation but apoptosis of VSMCs as well. 3,4 Therefore, regulation of iNOS gene expression has been implicated in the pathogenesis of vascular remodeling and atherosclerosis. 5 Many of the biological effects of NO have been attributed to cGMP generation via the stimulation of soluble guanylate cyclase, although a cGMP-independent mechanism is also involved in its diverse actions.The promoter region of the rat and mouse iNOS gene contains several potential cis-elements for the binding of different transcription factors, among which 2 putative binding sites for nuclear factor-kappa B (NF-B) exist in the upstream (GGGGATTTTCC, nucleotides Ϫ965 to Ϫ955: NF-Bu) and downstream (GGGGACTCTCC, nucleotides Ϫ107 to Ϫ97: NF-Bd) regions. [6][7][8] The sequence of NF-Bd is unique in that it is found only in murine and human iNOS genes. It has been shown that a key region of the promoter activity in mediation of LPS inducibility resides in the NF-Bd region in mouse macrophages. 6,7 However, its role in mediation of iNOS expression in response to cytokines in VSMCs remains largely unknown.NF-B complexes function as a pleiotropic regulator of many genes modulating immunologic and inflammatory pro-