The protective effect exerted by angiotensin-converting enzyme inhibitors (ACEI) in cardiovascular diseases caused by endothelial injury and aging has been attributed to the restoration of endothelial cell functions. Recently, we demonstrated a central role of the fibroblast growth factor-2 (FGF-2)/FGF receptor-1 system in mediating the acquisition of an angiogenic phenotype in coronary microvascular endothelium exposed to ACEI. Here, we report on the rescuing effect of ACEI on impaired endothelium and the intracellular signaling mechanisms that lead endothelial cells to enter apoptosis and to senesce. Conditions mimicking pathological cell damage (serum deprivation) lead to endothelial apoptosis as evidenced by increased caspase-3 activity. ACEI enhanced cell survival through activation of prosurvival and antiaging signals involving Akt phosphorylation, endothelial nitricoxide synthase (eNOS) expression and activation, FGF-2 and telomerase catalytic subunit (TERT) up-regulation, and delayed senescence. In microvascular endothelial cells exposed to ACEI, Akt/eNOS pathway-dependent FGF-2 was necessary for gene transcription of TERT. These protective effects were particularly evident for sulfhydryl-containing ACEI (zofenoprilat), which were reported to exhibit potent antioxidant effects. In conclusion, ACEI with antioxidant properties up-regulate eNOS, FGF-2, and TERT mRNA, which favor endothelial cell survival and prolong their lifespan, thus restoring endothelial cell functions after vascular damage. These effects could explain the beneficial effects of these drugs in various cardiovascular diseases associated with endothelial injury and aging.Since the introduction into clinical use of angiotensinconverting enzyme inhibitors (ACEI), our understanding of their mechanism of action has evolved from the widely held tenet that the therapeutic benefit of ACEI is exclusively associated with the decrease of vascular tone consequent to the inhibition of angiotensin II formation. This initial hypothesis has been disputed because of clinical evidence indicating that, even with marginal decreases of blood vessel tone, ACEI provide significant benefits (e.g., decreased mortality) in a large number of patients suffering from cardiac heart failure, acute myocardial infarction, and diabetes complications (Yusuf et al., 2000; Boss and Dawes, 2004;Kjeldsen and Julius, 2004;Brugts et al., 2009). The common thread linking these diverse diseases is endothelium dysfunction, widely recognized as one of the factors implicated in these pathologies. Reports in the literature describe improvement of damaged endothelium attributable to ACEI as well as the effects of ACEI on promoting vascular remodeling and diminishing the burden of cardiovascular risk factors (Galderisi and de Devitiis, 2008). The underlying mechanism of the protection exhibited by ACEI has been attributed to their ability to influence the enzyme endothelial nitric-oxide synthase (eNOS), favoring the proper assembly of the enzyme complex and the engagement of it...