Rationale: The ubiquitin proteasome system (UPS) becomes dysfunctional as a result of ischemia/reperfusion (I/R), which may lead to dysregulation of signaling pathways. Ischemic preconditioning (IPC) may prevent dysregulation by preventing UPS dysfunction through inhibition of oxidative damage. Objective: Examine the hypothesis that early IPC preserves postischemic UPS function thus facilitating prosurvival signaling events. Methods and Results: I/R decreased proteasome chymotryptic activity by 50% in isolated rat heart and an in vivo murine left anterior descending coronary artery occlusion model. Following IPC, proteasome activity was decreased 25% (P<0.05) in isolated heart and not different from baseline in the murine model. Enriched 26S proteasome was prepared and analyzed for protein carbonyl content. Increased (P<0.05) carbonylation in a 53-kDa band following I/R was diminished by IPC. Immunoprecipitation studies indicated that the 53-kDa carbonylation signal was of proteasomal origin. Two-dimensional gel electrophoresis resolved the 53-kDa band into spots analyzed by liquid chromatography/tandem mass spectrometry containing Rpt3/Rpt5 both of which could be immunoprecipitated conjugated to dinitrophenylhydrazine (DNPH). Higher amounts of DNPH-tagged Rpt5 were immunoprecipitated from the I/R samples and less from the IPC samples. I/R increased Bax levels by 63% (P<0.05) which was decreased by IPC. Lactacystin (lac) pretreatment of preconditioned hearts increased Bax by 140% (P<0.05) and also increased ubiquitinated proteins. Pretreatment of hearts with a proteasome inhibitor reversed the effects of IPC on postischemic Rpt5 carbonylation, cardiac function, morphology and morphometry, and ubiquitinated and signaling proteins. Conclusions: These studies suggest that IPC protects function of the UPS by diminishing oxidative damage to 19S regulatory particle subunits allowing this complex to facilitate degradation of proapoptotic proteins. (Circ Res. 2010;106:1829-1838.)Key Words: ischemia Ⅲ reperfusion Ⅲ preconditioning Ⅲ ubiquitin-proteasome system I schemic preconditioning (IPC) decreases the vulnerability of the myocardium to longer durations of ischemia as a result of preischemic exposure to short ischemic bursts as evidenced by improved postischemic hemodynamic function and reduced markers of injury. 1 The mechanisms involved with IPC has been the subject of intense research and the earlier steps appear to involve signaling changes resulting in opening of the inward mitochondrial K ATP channels 2 and prevention of opening of the mitochondrial permeability transition pore. 3 These early changes have been linked to decreased release of cytochrome c with diminished cellular apoptosis, 3 as well as decreased production of oxidative species. 4 We have shown that a downstream effect of preconditioning is diminished myocardial oxidative injury. 5 One later effect of IPC is decreased levels of certain proapoptotic proteins, such as Bax. 6 Earlier studies focused on diminished upregulation of these proteins t...