We have previously demonstrated that shear stress increases transcription of the endothelial nitric-oxide synthase (eNOS) by a pathway involving activation of the tyrosine kinase c-Src and extracellular signal-related kinase 1/2 (ERK1/2). In the present study sought to determine the events downstream of this pathway. Shear stress activated a human eNOS promoter chloramphenicol acetyl-CoA transferase chimeric construct in a time-dependent fashion, and this could be prevented by inhibition of the c-Src and MEK1/2. Studies using electromobility shift assays, promoter deletions, and promoter mutations revealed that shear activation of the eNOS promoter was due to binding of nuclear factor B subunits p50 and p65 to a GAGACC sequence ؊990 to ؊984 base pairs upstream of the eNOS transcription start site. Shear induced nuclear translocation of p50 and p65, and activation of the eNOS promoter by shear could be prevented by co-transfection with a dominant negative I kappa B␣. Exposure of endothelial cells to shear resulted in I kinase phosphorylation, and this was blocked by the MEK1/2 inhibitor PD98059 and the cSrc inhibitor PP1, suggesting these signaling molecules are upstream of NF B activation. These experiments indicate that shear stress increases eNOS transcription by NF B activation and p50/p65 binding to a GAGACC sequence present of the human eNOS promoter. While NF B activation is generally viewed as a proinflammatory stimulus, the current data indicate that its transient activation by shear may increase expression of eNOS, which via production of nitric oxide could convey anti-inflammatory and anti-atherosclerotic properties.Unidirectional laminar shear stress, the frictional force of blood over the surface of the endothelium, exerts atheroprotective effects by preventing adhesion molecule expression, reducing platelet aggregation, and inhibiting both smooth muscle cell proliferation and endothelial cell apoptosis (1). In contrast, areas of the vasculature exposed to low levels of shear stress are prone to atherosclerotic lesion formation (2, 3). At least a portion of the beneficial effects of laminar shear stress is due to modulation of nitric oxide (NO ⅐ ) production via two mechanisms. Immediately after the onset of shear, there is an acute activation of the endothelial NO synthase (eNOS) leading to NO ⅐ release within seconds thereafter (4). Over several hours, shear stress stimulates an increase in eNOS mRNA and protein expression (5). Recent work from our laboratory has shown that this latter effect occurs by two distinct pathways regulating eNOS transcription and mRNA stability, with transcription peaking at 1 h and returning to baseline levels shortly thereafter. Both of these pathways share a need for activation of c-Src; however, eNOS transcription, as measured by nuclear run-on analysis, involves c-Src activation of the mitogen-activated protein kinases Raf, MEK1/2, 1 and extracellular-signal related kinase 1/2 (ERK1/2) (6).The precise nuclear events that lead to an increase in eNOS transcription in ...