Atherosclerosis is a focal inflammatory disease and preferentially occurs in areas of low fluid shear stress and oscillatory flow, whereas the risk of atherosclerosis is decreased in regions of high fluid shear stress and steady laminar flow. Sphingosine kinase-1 (SphK1) catalyzes the conversion of sphingosine to sphingosine-1 phosphate (S1P), a sphingolipid metabolite that plays important roles in angiogenesis, inflammation, and cell growth. In the present study, we demonstrated that exposure of human aortic endothelial cells to oscillatory flow (shear stress, Ϯ5 dyn/cm 2 for 48 h) resulted in a marked increase in SphK1 mRNA levels compared with endothelial cells kept in static culture. In contrast, laminar flow (shear stress, 20 dyn/cm 2 for 48 h) decreased SphK1 mRNA levels. We further investigated the role of SphK1 in TNF-␣-induced expression of inflammatory genes, such as monocyte chemoattractant protein-1 (MCP-1) and VCAM-1 by using small interfering RNA (siRNA) specifically for SphK1. Treatment of endothelial cells with SphK1 siRNA suppressed TNF-␣-induced increase in MCP-1 mRNA levels, MCP-1 protein secretion, and activation of p38 MAPK. SphK1 siRNA also inhibited TNF-␣-induced cell surface expression of VCAM-1, but not ICAM-1, protein. Exposure of endothelial cells to S1P led to an increase in MCP-1 protein secretion and MCP-1 mRNA levels and activation of NF-B-mediated transcriptional activity. Treatment of endothelial cells with the p38 MAPK inhibitor SB-203580 suppressed S1P-induced MCP-1 protein secretion. These data suggest that SphK1 mediates TNF-␣-induced MCP-1 gene expression through a p38 MAPK-dependent pathway and may participate in oscillatory flow-mediated proinflammatory signaling pathway in the vasculature. p38 MAPK ATHEROSCLEROSIS IS A FOCAL inflammatory disease and preferentially occurs in areas of low fluid shear stress and nonlaminar flow within the vasculature. Conversely, the risk of atherosclerosis is decreased in regions of high fluid shear stress and steady laminar flow (3,8,22). Recent studies show that hemodynamic forces play a significant role in determining the functional phenotype of the vascular endothelium. For example, extended exposure of endothelial cells to laminar flow activates expression of antioxidant and cytoprotective genes including heme oxygenase-1, ferritin, manganese, copper-zinc superoxide dismutase, and endothelial nitric oxide synthase (7,9,32). In contrast, extended exposure of endothelial cells to oscillatory flow leads to upregulation of VCAM-1, ICAM-1, and E-selectin gene expression (6), suggesting that oscillatory flow may contribute to the pathogenesis of atherosclerosis by stimulating the expression of proinflammatory genes. Overall, results from these studies suggest that hemodynamic stress modulates the expression of genes that regulate vascular inflammation.Sphingosine-1-phosphate (S1P) is a bioactive sphingolipid metabolite that regulates diverse biological processes (25, 31). Recently, it was reported (35) that sphingosine kinase (SphK), the enz...