-The purpose of this study was to characterize changes in antioxidant and age-related gene expression in aorta and aortic valve with aging, and test the hypothesis that increased mitochondrial oxidative stress accelerates age-related endothelial and aortic valve dysfunction. Wildtype (MnSOD ϩ/ϩ ) and manganese SOD heterozygous haploinsufficient (MnSOD ϩ/Ϫ ) mice were studied at 3 and 18 mo of age. In aorta from wild-type mice, antioxidant expression was preserved, although there were age-associated increases in Nox2 expression. Haploinsufficiency of MnSOD did not alter antioxidant expression in aorta, but increased expression of Nox2. When compared with that of aorta, age-associated reductions in antioxidant expression were larger in aortic valves from wild-type and MnSOD haploinsufficient mice, although Nox2 expression was unchanged. Similarly, sirtuin expression was relatively well-preserved in aorta from both genotypes, whereas expression of SIRT1, SIRT2, SIRT3, SIRT4, and SIRT6 were significantly reduced in the aortic valve. Expression of p16 ink4a , a marker of cellular senescence, was profoundly increased in both aorta and aortic valve from MnSOD ϩ/ϩ and MnSOD ϩ/Ϫ mice. Functionally, we observed comparable age-associated reductions in endothelial function in aorta from both MnSOD ϩ/ϩ and MnSOD ϩ/Ϫ mice. Interestingly, inhibition of NAD(P)H oxidase with apocynin or gp91ds-tat improved endothelial function in MnSOD ϩ/ϩ mice but significantly impaired endothelial function in MnSOD ϩ/Ϫ mice at both ages. Aortic valve function was not impaired by aging or MnSOD haploinsufficiency. Changes in antioxidant and sirtuin gene expression with aging differ dramatically between aorta and aortic valve. Furthermore, although MnSOD does not result in overt cardiovascular dysfunction with aging, compensatory transcriptional responses to MnSOD deficiency appear to be tissue specific.aging; mitochondrial oxidative stress; endothelial function; aorta; aortic valve INCREASING AGE IS ASSOCIATED with increases in reactive oxygen species (ROS), which is thought to contribute to the development of age-related cardiovascular disease. Previous work in aged humans and animals has shown that NAD(P)H oxidase contributes to age-related endothelial dysfunction and vascular fibrosis and that reducing SOD1 (cytosolic), SOD2 (mitochondrial), or SOD3 (extracellular) worsens endothelial function with aging (3,4,12,13,19,25). Furthermore, we have previously shown that aortic valve calcification is strongly associated with increases in oxidative stress and reductions in antioxidant defense mechanisms in humans (27), and several studies have shown that the balance between oxidative stress and nitric oxide bioavailability is an important determinant of vascular and valvular calcification in vitro (27,39,41). Interestingly, emerging data from in vitro experiments also suggest that, once initiated, ROS production may self-perpetuate (ROS-induced ROS-release), accelerate development of endothelial dysfunction, and accelerate development of age-relate...