Aspirin has recently been shown to increase endothelial resistance to oxidative damage. However, the mechanism underlying aspirin-induced cytoprotection is still unknown. Using cultured cells, the present study investigates the effect of aspirin on the expression of ferritin, a cytoprotective protein that sequesters free cytosolic iron, the main catalyst of oxygen radical formation. In bovine pulmonary artery endothelial cells, aspirin at low antithrombotic concentrations (0.03 to 0.3 mmol/L) induced the synthesis of ferritin protein in a time-and concentration-dependent fashion up to 5-fold over basal levels, whereas ferritin H (heavy chain) mRNA remained unaltered. Aspirin-induced cytoprotection from hydrogen peroxide toxicity was mimicked by exogenous iron-free apoferritin but not iron-loaded ferritin, demonstrating the antioxidant function of newly synthesized ferritin under these conditions. Ferritin induction by aspirin was specific in that other nonsteroidal anti-inflammatory drugs such as salicylic acid, indomethacin, or diclofenac failed to alter ferritin protein levels. Aspirin-induced ferritin synthesis was abrogated in the presence of the iron chelator desferrioxamine, pointing to an interaction of aspirin with iron-responsive activation of ferritin translation. Together, our results suggest induction of ferritin as a novel mechanism by which aspirin may prevent endothelial injury in cardiovascular disease, eg, during atherogenesis. (Circ Res. 1998;82:1016-1020.) Key Words: aspirin ferritin endothelial cell gene expression antioxidant defense mechanism A spirin is known to reduce the incidence of thrombotic occlusive events such as myocardial infarction and stroke. 1 This effect is considered to be due to the platelet inhibitory action of aspirin, which results from irreversible inhibition of platelet cyclooxygenase activity and thromboxane formation. 2 Thromboxane is a potent agonist and crucial mediator of vascular smooth muscle contraction and platelet aggregation. 3 Recently, however, a more direct effect of aspirin on the integrity of the vascular wall has been reported in studies involving the antioxidant properties of aspirin and the capacity of aspirin to protect endothelial cells from the deleterious effects of hydrogen peroxide and, in particular, from iron-dependent oxygen radical formation. 4-6 The mechanism responsible for the observed aspirin-induced endothelial protection is unknown. From the data published by Podhaisky et al, 6 it appears that cytoprotection by aspirin is a long-term effect that occurs after several hours of pretreatment. Therefore, a possible mechanism might be the induction of genes that protect cells from damage by reactive oxygen species. In recent studies, the induction of ferritin has been shown to provide marked antioxidant cellular protection by rapidly sequestering free cytosolic iron, the crucial catalyst of oxygen-centered radical formation via the Fenton reaction in biological systems. 7,8 Thus, ferritin, which until then was thought to function merely as ...