S-nitrosylation, the selective modification of cysteine residues in proteins to form S-nitrosocysteine, is a major emerging mechanism by which nitric oxide acts as a signaling molecule. Even though nitric oxide is intimately involved in the regulation of vascular smooth muscle cell functions, the potential protein targets for nitric oxide modification as well as structural features that underlie the specificity of protein S-nitrosocysteine formation in these cells remain unknown. Therefore, we used a proteomic approach using selective peptide capturing and site-specific adduct mapping to identify the targets of S-nitrosylation in human aortic smooth muscle cells upon exposure to S-nitrosocysteine and propylamine propylamine NONOate. This strategy identified 20 unique S-nitrosocysteine-containing peptides belonging to 18 proteins including cytoskeletal proteins, chaperones, proteins of the translational machinery, vesicular transport, and signaling. Sequence analysis of the S-nitrosocysteine-containing peptides revealed the presence of acid͞base motifs, as well as hydrophobic motifs surrounding the identified cysteine residues. High-resolution immunogold electron microscopy supported the cellular localization of several of these proteins. Interestingly, seven of the 18 proteins identified are localized within the ER͞Golgi complex, suggesting a role for S-nitrosylation in membrane trafficking and ER stress response in vascular smooth muscle.nitric oxide ͉ proteomics ͉ S-nitrosothiols S -nitrosylation, the formal transfer of nitrosonium to a reduced cysteine, is a reversible and selective posttranslational modification that regulates protein activity, localization, and stability, and also functions as a general sensor for cellular redox balance (1-7). The formation of protein S-nitrosocysteine requires the removal of a single electron, i.e., the conversion of the nitrogen in nitric oxide from an oxidation state of 2 to 3. Several distinct pathways could satisfy the formation of protein S-nitrosocysteine adducts in biological systems, such as autooxidation of nitric oxide forming higher oxides of nitrogen, radical recombination of thiyl radical with nitric oxide, catalysis by metal centers, the direct reaction of nitric oxide with a reduced cysteine followed by electron abstraction, and transnitrosation reactions carried out by S-nitrosoglutathione, other small molecular mass S-nitrosothiols, and more recently, S-nitrosocysteine-containing proteins (8-10).In vascular smooth muscle cells, nitric oxide derived from endothelium regulates important biological functions beyond relaxation, such as phenotypic changes, proliferation, and commitment to undergo apoptosis (11,12). Previous studies have shown that the molecular mechanisms underlying the functions of nitric oxide in vascular smooth muscle are mediated by both soluble guanylate cyclase-dependent and independent mechanisms (12)(13)(14). It has been suggested that selective S-nitrosylation of protein targets are responsible for the guanylate cyclase-independent reg...