Vascular endothelial senescence is involved in human atherosclerosis. Telomerase activity is known to be critical in cellular senescence and its level is modulated by regulation of telomerase catalytic subunit (telomerase reverse transcriptase (TERT)) at both the transcriptional and post-transcriptional levels. Since the cardioprotective effect of estrogen itself has not been ruled out, we examined that of raloxifene, which has been classified as a selective estrogen receptor modulator, on the proliferation and telomerase activity of human umbilical vein endothelial cells (HUVECs). Raloxifene, like estrogen, clearly induced the telomerase activity and human TERT (hTERT) expression via estrogen receptor (ER) ⣠and ERâ¤. Treatment with raloxifene for 5 days significantly induced cell growth, and either cotreatment with a telomerase inhibitor, 3-azido-3-deoxythymidine, or transfection with hTERT-specific small interfering RNA significantly attenuated the raloxifene-induced cell growth. Raloxifene also induced the phosphorylation of Akt, and pretreatment with a phosphatidylinositol 3-kinase inhibitor, LY294002, significantly attenuated the raloxifene-induced telomerase activity. In addition, raloxifene induced both the phosphorylation of hTERT and IB. Moreover, cotreatment with an IB⣠phosphorylation inhibitor, BAY-11-7082, or a specific NFB nuclear translocation inhibitor, SN50, significantly attenuated the raloxifene-induced telomerase activity and the association of NFB with hTERT. These results show that raloxifene induced the up-regulation of telomerase activity not only by the transcriptional regulation of hTERT but also by posttranslational regulation of the phosphorylation of Akt and hTERT and the association of hTERT with NFB in HUVECs. Thus, the up-regulation of telomerase activity in vascular endothelial cells might be one mechanism contributing to the potential atheroprotective effect of raloxifene.The risk of cardiovascular disease steeply increases after menopause. Many epidemiological and basic studies have shown that estrogen has the significant function in the vasculature of preventing the primary development of cardiovascular disease in women (1-2). In the Women's Health Initiative, a large prospective randomized controlled study, although women on the conjugated equine estrogen-medroxyprogesterone acetate arm had an increase in the relative risk of cardiovascular events and breast cancer (3), the more recent reports indicated that on women on the conjugated equine estrogenonly treatment arm experienced a significant increase in the risk of stroke compared with women treated with placebo but did not show an increase in cardiovascular disease (4). Thus, the cardioprotective effect of estrogen itself has not been ruled out by the results of the Women's Health Initiative study.Recently, we reported that medroxyprogesterone acetate attenuates the induction of both endothelial nitric-oxide synthase (eNOS) 2 activity and NO production by estrogen in human umbilical vein endothelial cells (HUVECs) (5). Thu...