Purified mitochondrial cytochrome c oxidase catalyzes the conversion of peroxynitrite to nitric oxide (NO). This reaction is cyanide-sensitive, indicating that the binuclear heme a 3 /Cu B center is the catalytic site. NO production causes a reversible inhibition of turnover, characterized by formation of the cytochrome a 3 nitrosyl complex. In addition, peroxynitrite causes irreversible inhibition of cytochrome oxidase, characterized by a decreased V max and a raised K m for oxygen. Under these conditions, the redox state of cytochrome a is elevated, indicating inhibition of electron transfer and/or oxygen reduction reactions subsequent to this center. The lipid bilayer is no barrier to these peroxynitrite effects, as NO production and irreversible enzyme inhibition were also observed in cytochrome oxidase proteoliposomes. Addition of 50 M peroxynitrite to 10 M fully oxidized enzyme induced spectral changes characteristic of the formation of ferryl cytochrome a 3 , partial reduction of cytochrome a, and irreversible damage to the Cu A site. Higher concentrations of peroxynitrite (250 M) cause heme degradation. In the fully reduced enzyme, peroxynitrite causes a red shift in the optical spectrum of both cytochromes a and a 3 , resulting in a symmetrical peak in the visible region. Therefore, peroxynitrite can both modify and degrade the metal centers of cytochrome oxidase.