In a previous publication, we reported that human immunodeficiency virus (HIV) protease inhibitors (PIs) inhibited the differentiation of human preadipocytes in primary culture, reducing the expression and secretion of matrix metalloproteinase 9 (MMP-9). The present work was performed to clarify this mechanism. Interestingly, HIV-PIs have been reported to be inhibitors of the proteasome complex, which is known to regulate nuclear factor (NF)-B activation and transcription of its target genes, among them MMP-9. We thus investigated the potential involvement of the proteasome in the antiadipogenic effects of HIV-PIs. The effect of four HIV-PIs was tested on preadipocyte proteasomal activity, and chronic treatment with the specific proteasome inhibitor lactacystin was performed to evaluate alterations of adipogenesis and MMP-9 expression/secretion. Finally, modifications of the NF-B pathway induced by either HIV-PIs or lactacystin were studied. We demonstrated that preadipocyte proteasomal activity was decreased by several HIV-PIs and that chronic treatment with lactacystin mimicked the effects of HIV-PIs by reducing adipogenesis and MMP-9 expression/secretion. Furthermore, we observed an intracellular accumulation of the NF-B inhibitor, IB, with chronic treatment with HIV-PIs or lactacystin as well as a decrease in MMP-9 expression induced by acute tumor necrosis factor-␣ stimulation. These results indicate that inhibition of the proteasome by specific (lactacystin) or nonspecific (HIV-PIs) inhibitors leads to a reduction of human adipogenesis, and they therefore implicate deregulation of the NF-B pathway and the related decrease of the key adipogenic factor, MMP-9. This study adds significantly to recent reports that have linked HIV-PI-related lipodystrophic syndrome with altered proteasome function, endoplasmic reticulum stress, and metabolic disorders.Proteasomes are highly conserved multimeric peptidases present in all eukaryotic cells. Whereas various forms of proteasomes exist, the 20S proteasome (multicatalytic core of all proteasomes) and the 26S proteasome (20S core capped with two 19S regulatory units) are major proteasomes. Proteasomes were initially thought to be just recyclers of damaged or misfolded proteins, but over the last decade the activity of this enzymatic complex has been found to be of critical importance for many cellular functions. Cell-cycle progression, oncogenesis, apoptosis, regulation of gene expression, and inflammation or immune surveillance are all physiological functions regulated by the proteasome pathway (Kisselev and Goldberg, 2001). Among the substrates of the proteasome, cyclins (e.g., cyclin B1), cyclin-dependent kinase inhibitors (e.g., p21 and p27), tumor suppressors (e.g., p53), and inhibitors (IB) or precursors (e.g., p105) of the transcription factor NF-B are well established (Kisselev and Goldberg, 2001;Adams, 2004). Accordingly, the proteasome complex has emerged as an attractive target for cancer therapy, and numerous proteasome inhibitors have been devel-