In the vasculature, nitric oxide (NO) is generated by endothelial NO synthase (eNOS) in a calcium/calmodulin-dependent reaction. With oxidative stress, the critical cofactor BH 4 is depleted, and NADPH oxidation is uncoupled from NO generation, leading to production of (O 2 . . generation from the enzyme at low Ca 2؉ concentrations, and PKC␣-mediated phosphorylation alters the sensitivity of the enzyme to other negative regulatory signals.
Nitric-oxide synthase (NOS)2 is a critical enzyme that converts L-arginine (L-Arg) to L-citrulline and nitric oxide (NO) with the consumption of NADPH. NO is a signaling molecule that promotes vascular smooth muscle relaxation and functions as an endogenous mediator of a wide range of effects in different tissues (1, 2). After oxidant stress, as occurs in postischemic tissues, production of O 2. and its derived oxidants, including peroxynitrite (ONOO Ϫ ), hydrogen peroxide (H 2 O 2 ), and hydroxyl radical (⅐OH), induce NOS dysfunction with uncoupling of the enzyme leading to the production of NOSderived O 2. instead of NO (3, 4). It has been reported that an imbalance between NO and O 2 . can contribute to the onset of a variety of cardiovascular diseases, including hypertension, atherosclerosis, and heart failure (5). Therefore, tight coupling of the enzyme is important for normal cardiovascular function and prevention of disease. The catalytic domains of NOS include a flavin-containing NADPH binding reductase and a heme-binding oxygenase that also contains the binding sites for the redox labile cofactor tetrahydrobiopterin (BH 4 ) and the substrate L-Arg. In the presence of Ca 2ϩ and calmodulin (CaM), electrons flow from NADPH through the reductase domain to the oxygenase domain resulting in the activation of oxygen at the heme center followed by substrate monooxygenation. This process requires the presence of the fully reduced BH 4 . Our laboratory and several others have demonstrated that besides synthesizing NO, all three isoforms of NOS can also generate O 2 . , depending on substrate and cofactor availability (3, 6 -9). One of the primary mechanisms implicated in the oxidant-induced switch of NOS from the production of NO to the generation of O 2 . is the oxidation of the enzyme bound BH 4 (10, 11). Various extracellular signals, including shear stress and additional stimuli such as vascular endothelial growth factor (VEGF), estrogen, sphingosine 1-phosphate, bradykinin, and aldosterone, modulate eNOS NO generation through several signal transduction pathways (12)(13)(14)(15)(16). Cellular studies have demonstrated that phosphorylation of eNOS at specific amino acids regulates enzyme-mediated NO production (17). The majority of previous work has focused on two residues, serine 1177 and threonine 495. It has been shown that Akt specifically induces phosphorylation of Ser-1177 (18, 19) and that PKC specifically phosphorylates . Although phosphorylation of Ser-1177 has been shown to increase NO production * This work was supported, in whole or in part, by National Institu...