Abstract-Cardiomyocyte death plays an important role in the pathogenesis of heart failure. The nuclear factor (NF)-B signaling pathway regulates cell death, however, the effect of NF-B pathway on cell death can vary in different cells or stimuli. The purpose of the present study was to clarify the in vivo role of the NF-B pathway in response to pressure overload. First, we subjected C57Bl6/J mice to pressure overload by means of transverse aortic constriction (TAC) and examined the activity of the NF-B pathway in response to pressure overload. IB kinase (IKK) and NF-B were activated after TAC. Then, we investigated the role of the activation using cardiac-specific IKK-deficient mice (CKO). CKO displayed normal global cardiac structure and function compared with control littermates. We subjected CKO and control mice to pressure overload. One week after TAC, CKO showed cardiac dilation, dysfunction, and lung congestion, which are characteristics of heart failure. The number of apoptotic cells in the hearts of CKO mice increased significantly after TAC. The levels of manganese superoxide dismutase mRNA and protein expression in CKO after TAC were significantly attenuated compared with control mice. The levels of oxidative stress and c-Jun N-terminal kinase (JNK) activation in CKO after TAC were significantly greater than those in control mice. Isoproterenol-induced cell death of isolated adult CKO cardiomyocytes was inhibited by treatment with either a manganese superoxide dismutase mimetic or a JNK inhibitor. Thus, the IKK/NF-B signaling pathway plays a protective role in cardiomyocytes because of the attenuation of oxidative stress and JNK activation in a setting of acute pressure overload. Key Words: heart failure Ⅲ apoptosis Ⅲ NF-B C ardiac remodeling is generally accepted as a determinant of the clinical course of heart failure. Cardiomyocyte apoptotic death plays an important role in the progression of cardiac remodeling. [1][2][3][4] The loss of cardiomyocytes caused by apoptosis is predicted to reduce contractility and promote slippage of muscle bundles, wall thinning, and dilatation, which are commonly observed during heart failure. Neurohumoral factors and cytokines that are induced by mechanical stress on cardiomyocytes activate various intracellular signaling pathways, which regulate apoptotic cell death.The nuclear factor (NF)-B transcription factors (p50, p52, RelA, c-Rel, and RelB) play important roles in many physiological and pathological conditions. These transcriptional factors are kept inactive in the cytoplasm by binding of inhibitory proteins, the IB (inhibitor of NF-B) family. On stimulation, IBs are phosphorylated at serine residues, leading to their ubiquitination and degradation by the 26S proteasome. The freed NF-B components dimerize and translocate to nucleus, where they bind to specific sequences in either the promoter or enhancer regions of target genes. 5 Activation process is dependent on phosphorylation of IB proteins, which is mediated by the IKK complex. The IKK complex is comp...