Stannin (Snn) is a highly conserved vertebrate protein that has been closely linked to trimethyltin (TMT) toxicity. We have previously demonstrated that Snn is required for TMT-induced cell death. Others have shown that TMT exposure results in tumor necrosis factor-␣ (TNF␣) production and that TNF␣ treatment induces Snn gene expression in human umbilical vein endothelial cells (HUVECs). In this study, we investigated a signaling mechanism by which Snn gene expression is regulated by TMT and demonstrated that TNF␣ stimulates Snn gene expression in a protein kinase C⑀-dependent manner in HUVECs in response to TMT exposure. Supporting this, we show that TMTinduced toxicity is significantly blocked by pretreatment with an anti-TNF␣ antibody in HUVECs. Using a quantitative real-time polymerase chain reaction assay, we also show that the level of Snn gene expression is significantly increased in HUVECs in response to either TMT or TNF␣ treatment. This TNF␣-induced Snn gene expression is blocked when HUVECs were pretreated with bisindolylmaleimide I, an inhibitor of protein kinase C (PKC). In contrast, when HUVECs were treated with phorbol 12-myristate 13-acetate, a PKC activator, we observed a significant increase in Snn gene expression. Using isotypespecific siRNA against PKC, we further show that knockdown of PKC⑀, but not PKC␦ or PKC, significantly blocked TNF␣-induced Snn gene expression. Together, these results indicate that TNF␣-induced, PKC⑀-dependent Snn expression may be a critical factor in TMT-induced cytotoxicity.