Abstract-Inflammatory activation of the endothelium by Chlamydophila pneumoniae infection has been implicated in the development of chronic vascular lesions and coronary heart disease by seroepidemiological and animal studies. We tested the hypothesis that C pneumoniae induced inflammatory gene expression is regulated by Rho-GTPase-related histone modifications. C pneumoniae infection induced the liberation of proinflammatory interleukin-6, interleukin-8, granulocyte colony-stimulating factor, macrophage inflammatory protein-1, granulocyte/macrophage colonystimulating factor, and interferon-␥ by human endothelial cells. Cytokine secretion was reduced by simvastatin and the specific Rac1 inhibitor NSC23766 but was synergistically enhanced by inhibitors of histone deacetylases trichostatin A and suberoylanilide hydroxamic acid. Infection of endothelial cells with viable C pneumoniae, but not exposure to heat-inactivated C pneumoniae or infection with C trachomatis, induced acetylation of histone H4 and phosphorylation and acetylation of histone H3. Pretreatment of C pneumoniae-infected cells with simvastatin or NSC23766 reduced global histone modifications as well as specific modifications at the il8 gene promoter, as shown by chromatin immunoprecipitation. Reduced recruitment of nuclear factor B p65/RelA as well as of RNA polymerase II was observed in statin-treated cells. Taken together, Rac1-mediated histone modifications seem to play an important role in C pneumoniae-induced cytokine production by human endothelial cells. Key Words: endothelial cells Ⅲ cytokines Ⅲ statins Ⅲ Chlamydophila pneumoniae Ⅲ histones C hlamydia are Gram-negative bacteria that are obligate intracellular parasites of eukaryotic cells, including endothelial cells. Although chronic or recurrent infections with Chlamydophila pneumoniae have been associated with the development of vascular lesions and atherosclerosis, little is known about the molecular pathogenesis. [1][2][3][4] Infection of endothelial cells with C pneumoniae may initiate and perpetuate local inflammation by inducing cytokine release (eg, interleukin [IL]-6, IL-8) and adhesion molecule expression (P-/E-selectin, intercellular adhesion molecule-1, vascular cell adhesion molecule-1), which subsequently results in recruitment of inflammatory cells to the endothelium. 5,6 Infection of the endothelium by Chlamydia is recognized by different pattern-recognition receptors. Membrane-bound Toll-like receptors TLR2 and TLR4 have been demonstrated to mediate host defense against C pneumoniae or chlamydial components. [7][8][9][10] In addition, the nucleotide-binding oligomerization domain protein NOD1 was identified as part of a cytosolic surveillance system detecting intracellular Chlamydia in human endothelial cells. 11 The detection of pathogens by these pattern-recognition receptors resulted in the activation of complex signaling pathways, including the stimulation of nuclear factor (NF)-B-dependent gene transcription. 12 Increasing evidence indicates that histone modificatio...