Background-Nuclear factor-B (NF-B) signaling plays critical roles in physiological and pathological processes such as responses to inflammation and oxidative stress. Methods and Results-To examine the role of endothelial NF-B signaling in vivo, we generated transgenic mice expressing dominant-negative IB under the Tie2 promoter/enhancer (E-DNIB mice). These mice exhibited functional inhibition of NF-B signaling specifically in endothelial cells. Although E-DNIB mice displayed no overt phenotypic changes when young and lean, they were protected from the development of insulin resistance associated with obesity, whether diet-or genetics-induced. Obesity-induced macrophage infiltration into adipose tissue and plasma oxidative stress markers were decreased and blood flow and mitochondrial content in muscle and active-phase locomotor activity were increased in E-DNIB mice. In addition to inhibition of obesity-related metabolic deteriorations, blockade of endothelial NF-B signaling prevented age-related insulin resistance and vascular senescence and, notably, prolonged life span. These antiaging phenotypes were also associated with decreased oxidative stress markers, increased muscle blood flow, enhanced active-phase locomotor activity, and aortic upregulation of mitochondrial sirtuin-related proteins. Conclusions-The endothelium plays important roles in obesity-and age-related disorders through intracellular NF-B signaling, thereby ultimately affecting life span. Endothelial NF-B signaling is a potential target for treating the metabolic syndrome and for antiaging strategies. (Circulation. 2012;125:1122-1133.)Key Words: inflammation Ⅲ insulin resistance Ⅲ oxidative stress Ⅲ NF-B N uclear factor-kappa B (NF-B) is a transcription factor regulating the gene expression of numerous cytokines, growth factors, adhesion molecules, and enzymes involved in a variety of pivotal cellular processes, including responses to inflammation and oxidative stress. 1 Without inflammatory stimuli, NF-B is maintained in the cytoplasm in a nonactivated form by association with an inhibitor subunit, IB. In response to activating stimuli, including tumor necrosis factor-␣ (TNF-␣), lipopolysaccharide, and other inflammatory cytokines, IB is phosphorylated by IB kinase , resulting in proteolysis of IB. Consequently, a nuclear recognition site of NF-B is exposed, and NF-B is stimulated to move into the nucleus, resulting in mRNA expression of target genes, including inflammatory cytokines and adhesion molecules. 2
Editorial see p 1081 Clinical Perspective on p 1133Obesity is characterized by a state of chronic low-grade inflammation. 3 Oxidative stress is also widely recognized as being associated with various obesity-related disorders. 4 Insulin resistance is an important mechanism underlying obesity-related disorders, eg, diabetes mellitus, hyperlipidemia, and hypertension, collectively called the metabolic syndrome. 5,6 In these metabolic states, NF-B has been implicated in the processes of both inflammatory responses Correspondence to Hid...