Angiotensin II is a key mediator of inflammation, and nuclear factor-B (NF-B) plays a critical role in various inflammatory diseases, including acute pancreatitis (AP). This study sought to elucidate the mechanism mediating angiotensin II involvement in angiotensin II type 1 (AT 1 ) receptor-mediated NF-B activation, and ultimately in proinflammatory actions of AP pathogenesis. A rat model of obstructive pancreatitis was induced by ligation of the common biliopancreatic duct. Pancreatic injury was determined by assessing pancreatic histology, myeloperoxidase activity, and serum interleukin-6. Protein levels of pancreatic angiotensinogen and AT 1 receptor as well as NF-B inhibitory subunits (IB␣ and IB) and phospho-NF-B p65, B-related proteins (intercellular adhesion molecule-1, cyclooxygenas-2, and interleukin-1), and NADPH oxidase isoforms p67 and p22 were examined by Western blot. Nuclear B binding activity and degree of oxidative stress were determined by electrophoretic mobility shift assay and glutathione/nitrotyrosine examination, respectively. The effects of losartan, an AT 1 receptor antagonist, on NF-B-mediated proinflammatory actions were also assessed. Induction of AP was associated with a time-dependent increase in pancreatic angiotensinogen levels. AT 1 receptor blockade with losartan improved the pancreatic histological damage, myeloperoxidase activity, and serum interleukin-6. Losartan treatment also reduced AP-associated depletion of IB and elevation of phospho-NF-B p65 protein expression as well as the enhanced nuclear B binding activity and elevated levels of B-related proteins. In addition, losartan treatment suppressed pancreatic glutathione and nitrotyrosine levels, which were consistent with decreased NADPH oxidase expression. These data provide substantial evidence that angiotensin II is involved in AT 1 receptor-mediated NADPH oxidase-dependent NF-B activation; thus, it might ultimately promote proinflammatory actions during AP pathogenesis.Acute pancreatitis (AP) is a pathological state with various degrees of severity, ranging from edematous AP to hemorrhagic necrotic AP. The mortality rate, which approaches 20%, is closely associated with systemic complications, manifesting as acute respiratory distress syndrome and multiple organ dysfunction syndromes. An approximate 80% of cases can be etiologically determined, whereas 20% are considered idiopathic (UK Working Party on Acute Pancreatitis, 2005). Accumulating data suggest that the renin-angiotensin system (RAS) plays an important role in AP pathogenesis. During caerulein-induced pancreatitis, major components of a local pancreatic RAS were markedly up-regulated (Tsang et al., 2004a). Treatment with RAS blockers could ameliorate pancreatic oxidative stress and histological deterioration observed in experimental AP Tsang et al., 2003). A specific antagonist for the AT 1 receptor, 2-butyl-4-chloro-1-[p-(o-1H-tetrazol-5-ylphenyl) benzyl] imidazole-5-methanol monopotassium salt (C 22 H 23 ClN 6 O) (losartan), has been shown to pr...