Small ubiquitin-like modifier (SUMO) is the best characterized member of a growing family of ubiquitin-related proteins. SUMO is conjugated to target proteins using an enzyme conjugation system similar to but distinct from that of ubiquitin.1,2 Importantly, SUMO-1, -2, -3, and -4 have emerged as important posttranslational modifiers that regulate diverse cellular functions including intracellular targeting, DNA repair, cell cycle progression, and responses to extracellular stimuli.1-3 A large number of proteins are modified by SUMO, and recent proteomic studies have shown that as many as 400 yeast proteins are modified by yeast SUMO homolog, and 2683 potential SUMO substrates are conserved in both humans and mice. 4 -6 The precise functional differences of various SUMO paralogs remain to be established. However, given the importance of SUMOylation, it is not surprising that SUMO plays important roles in the development of various diseases. [7][8][9] Although the significance of SUMOylation in modulating cellular adaptive responses is well established, it is still not clear how SUMO modification regulates specific key cellular functions.Accumulating evidence suggests the potential importance of SUMOylation in governing cellular hypoxic responses in that hypoxia up-regulates the steady-state level of SUMO-1 by as much as 100-fold.