Objective. To investigate the potential role of I B kinase 1 (IKK-1) and IKK-2 in the regulation of nuclear factor B (NF-B) activation and the expression of tumor necrosis factor ␣ (TNF␣), as well as interleukin-1 (IL-1), IL-6, IL-8, vascular endothelial growth factor (VEGF), and matrix metalloproteinases (MMPs), in rheumatoid arthritis (RA).Methods. Recombinant adenoviruses expressing -galactosidase, dominant-negative IKK-1 and IKK-2, or I B␣ were used to infect ex vivo RA synovial membrane cultures and synovial fibroblasts obtained from patients with RA undergoing joint replacement surgery, or human dermal fibroblasts, human umbilical vein endothelialcells(HUVECs),andmonocyte-derivedmacrophages from healthy volunteers. Then, their effect on the spontaneous or stimulus-induced release of inflammatory cytokines, VEGF, and MMPs from RA synovial membrane cells was examined.Results. IKK-2 was not required for lipopolysaccharide (LPS)-induced NF-B activation or TNF␣, IL-6, or IL-8 production in macrophages, but was essential for this process in response to CD40 ligand,