Proinflammatory cytokines induce nitric oxide-dependent DNA damage and ultimately -cell death. Not only does nitric oxide cause -cell damage, it also activates a functional repair process. In this study, the mechanisms activated by nitric oxide that facilitate the repair of damaged -cell DNA are examined. JNK plays a central regulatory role because inhibition of this kinase attenuates the repair of nitric oxide-induced DNA damage. p53 is a logical target of JNK-dependent DNA repair; however, nitric oxide does not stimulate p53 activation or accumulation in -cells. Further, knockdown of basal p53 levels does not affect DNA repair. In contrast, expression of growth arrest and DNA damage (GADD) 45␣, a DNA repair gene that can be regulated by p53-dependent and p53-independent pathways, is stimulated by nitric oxide in a JNK-dependent manner, and knockdown of GADD45␣ expression attenuates the repair of nitric oxide-induced -cell DNA damage. These findings show that -cells have the ability to repair nitric oxide-damaged DNA and that JNK and GADD45␣ mediate the p53-independent repair of this DNA damage.Insulin-dependent diabetes mellitus is an autoimmune disease characterized by the selective destruction of insulin-secreting pancreatic -cells found in the islets of Langerhans (1). Cytokines, released from invading leukocytes during insulitis, are believed to participate in the initial destruction of -cells, precipitating the autoimmune response (2, 3). Treatment of rat islets with the macrophage-derived cytokine interleukin-1 (IL -1) 2 results in the inhibition of glucose-stimulated insulin secretion and oxidative metabolism and in the induction of DNA damage that ultimately results in -cell death (4 -6). Nitric oxide, produced in micromolar levels following enhanced expression of the inducible nitric-oxide synthase in -cells, mediates the damaging actions of cytokines on -cell function (7-9). Nitric oxide inhibits insulin secretion by attenuating the oxidation of glucose to CO 2 , reducing cellular levels of ATP and, thereby, attenuating ATP-inhibited K ϩ channel activity (10, 11). The net effect is the inhibition of -cell depolarization, calcium entry, and calcium-dependent exocytosis. In addition to the inhibition of -cell function, nitric oxide induces DNA damage in -cells (4, 12, 13). Nitric oxide or the oxidation products N 2 O 3 and ONOO Ϫ induce DNA damage through direct strand breaks and base modification (14 -16) and by inhibition of DNA repair enzymes, thereby enhancing the damaging actions of nitric oxide (17,18).Recent studies have shown that -cells maintain a limited ability to recover from cytokine-mediated damage (19,20). The addition of a nitric-oxide synthase inhibitor to islets treated for 24 h with cytokine and continued culture with the nitric-oxide synthase inhibitor and cytokine results in a time-dependent restoration of insulin secretion, mitochondrial aconitase activity, and the repair of nitric oxide-damaged DNA (20, 21). Nitric oxide plays a dual role in modifying -cell respon...