390T he incidence and frequency of cardiovascular diseases, such as hypertension, diabetes mellitus, and myocardial infarction, increase substantially with age.1 Increased oxidative stress from mitochondria and other enzymatic sources as well as vascular dysfunction manifest in aged animals. 2 This observation points to a strong correlation between aging, oxidative stress, and, as a consequence, development of vascular/endothelial dysfunction.3 In 1954, Harman 4 expressed for the first time the free radical theory of aging. The prevailing hypothesis is that an age-dependent increase in We have previously shown that genetic deletion of the mitochondrial antioxidant proteins manganese superoxide dismutase and aldehyde dehydrogenase-2 contributes to aging-dependent vascular dysfunction and mitochondrial oxidative stress.2 It is worth noting and of high clinical importance that antioxidant enzymes have a significant effect on the healthspan of animals during normal aging (eg, indicated by less aging-associated cardiovascular complications during the sunset years) and also on the resistance to stress conditions. 6 Previous studies have revealed increased mitochondrial and systemic oxidative stress in glutathione peroxidase-1 (GPx-1)-ablated mice 7 and synergistic negative effects on vascular function in the setting of hyperlipidemia, 8 diabetes mellitus, 9 and hypertension. 10 Moreover, increased senescence was demonstrated for fibroblasts from GPx-1 −/− mice. 7 Most importantly, a correlation between GPx-1 activity in blood cells andAbstract-Recently, we demonstrated that gene ablation of mitochondrial manganese superoxide dismutase and aldehyde dehydrogenase-2 markedly contributed to age-related vascular dysfunction and mitochondrial oxidative stress. The present study has sought to investigate the extent of vascular dysfunction and oxidant formation in glutathione peroxidase-1-deficient (GPx-1 −/− ) mice during the aging process with special emphasis on dysregulation (uncoupling) of the endothelial NO synthase. GPx-1 −/− mice on a C57 black 6 (C57BL/6) background at 2, 6, and 12 months of age were used. Vascular function was significantly impaired in 12-month-old GPx-1 −/− -mice as compared with age-matched controls. Oxidant formation, detected by 3-nitrotyrosine staining and dihydroethidine-based fluorescence microtopography, was increased in the aged GPx-1 −/− mice. Aging per se caused a substantial protein kinase C-and protein tyrosine kinase-dependent phosphorylation as well as S-glutathionylation of endothelial NO synthase associated with uncoupling, a phenomenon that was more pronounced in aged GPx-1 −/− mice. GPx-1 ablation increased adhesion of leukocytes to cultured endothelial cells and CD68 and F4/80 staining in cardiac tissue. Aged GPx-1 −/− mice displayed increased oxidant formation as compared with their wild-type littermates, triggering redox-signaling pathways associated with endothelial NO synthase dysfunction and uncoupling. Thus, our data demonstrate that aging leads to decreased NO bioavailabi...