Pro-inflammatory cytokines such as tumor necrosis factor-alpha (TNF-alpha) is considered to be the major one contributing to the process of development of endothelial dysfunction. Exposure to TNF-alpha induces the expression of a number of proinflammatory chemokines, such as monocyte chemotactic protein-1 (MCP-1), and adhesion molecules, including vascular adhesion molecule-1 (VCAM-1) and E-selectin, which mediate the interaction of invading monocytes with vascular endothelial cells. Glatiramer acetate (GA) is a licensed clinical drug for treating patients suffering from multiple sclerosis (MS). The effects of GA in vascular disease have not shown before. In this study, we found that GA significantly inhibited TNF-alpha-induced binding of monocytes to endothelial cells. Mechanistically, we found that GA ameliorated the upregulation of MCP-1, VCAM-1, and E-selectin induced by TNF-alpha. Notably, this process is mediated by inhibiting the nuclear translocation and activation of NF-kappa B. Our results also indicate that GA pretreatment attenuates the up-regulation of COX-2 and iNOS. These data suggest that GA might have a potential benefit in therapeutic endothelial dysfunction related diseases. (C) 2014 Elsevier Inc. All rights reserved.