Adhesive interactions between endothelial cells and leukocytes contribute to atherosclerotic plaque growth. However, mechanism(s) responsible for endothelial priming and deactivation in inflammatory diseases such as atherosclerosis are not clear. Apolipoprotein E deficient mice were generated with deficiency of P-selectin glycoprotein ligand-1 (Psgl-1−/−, ApoE−/−). On both standard chow and Western diet, Psgl-1−/−, ApoE−/− mice were protected against atherosclerosis compared to Psgl-1+/+, ApoE−/− controls. Psgl-1−/−, ApoE−/− mice also showed reduced leukocyte rolling and firm attachment on endothelial cells, however, adoptively transferred Psgl-1+/+, ApoE−/− leukocytes into Psgl-1−/−, ApoE−/− hosts displayed similar reduced rolling as Psgl-1−/−, ApoE−/− leukocytes. Hematopoietic deficiency of Psgl-1 conferred resistance to the effects of interleukin-1β (IL-1β) on leukocyte rolling along with reduced circulating levels of sP-sel and sE-sel. Antibody blockade of Psgl-1 also reduced endothelial activation in response to IL-1β, eliminated leukocyte rolling, and was protective against atherosclerosis in ApoE−/− mice. Monocyte depletion with clodronate restored the endothelial response to IL-1β in Psgl-1−/− mice. This study suggests that Psgl-1 deficiency leads to reduced atherosclerosis and adhesive interactions between endothelial cells and leukocytes by indirectly regulating endothelial responses to cytokine stimulation.