Reactive oxygen species (ROS) are increased in ischemic tissues and necessary for revascularization; however, the mechanism remains unclear. Exposure of cysteine residues to ROS in the presence of glutathione (GSH) generates GSH-protein adducts that are specifically reversed by the cytosolic thioltransferase, glutaredoxin-1 (Glrx). Here, we show that a key angiogenic transcriptional factor hypoxiainducible factor (HIF)-1α is stabilized by GSH adducts, and the genetic deletion of Glrx improves ischemic revascularization. In mouse muscle C2C12 cells, HIF-1α protein levels are increased by increasing GSH adducts with cell-permeable oxidized GSH (GSSG-ethyl ester) or 2-acetylamino-3-[4-(2-acetylamino-2-carboxyethylsulfanyl thiocarbonylamino) phenylthiocarbamoylsulfanyl] propionic acid (2-AAPA), an inhibitor of glutathione reductase. A biotin switch assay shows that GSSG-ester-induced HIF-1α contains reversibly modified thiols, and MS confirms GSH adducts on Cys 520 (mouse Cys 533 ). In addition, an HIF-1α Cys 520 serine mutant is resistant to 2-AAPA-induced HIF-1α stabilization. Furthermore, Glrx overexpression prevents HIF-1α stabilization, whereas Glrx ablation by siRNA increases HIF-1α protein and expression of downstream angiogenic genes. Blood flow recovery after femoral artery ligation is significantly improved in Glrx KO mice, associated with increased levels of GSH-protein adducts, capillary density, vascular endothelial growth factor (VEGF)-A, and HIF-1α in the ischemic muscles. Therefore, Glrx ablation stabilizes HIF-1α by increasing GSH adducts on Cys 520 promoting in vivo HIF-1α stabilization, VEGF-A production, and revascularization in the ischemic muscles.GSH-protein adducts | S-glutathionylation | hypoxia-inducible factor-1 | glutaredoxin-1 | ischemic limb revascularization D espite the notion that increased oxidants are deleterious, clinical trials of antioxidant therapies failed to prevent cardiovascular diseases (1). In mouse models, decreasing reactive oxygen species (ROS) impaired ischemic revascularization after hind limb ischemia (2, 3), and in contrast, increased ROS (4) or decreased antioxidants (5) improved ischemic revascularization. Therefore, ROS play a protective role in ischemic revascularization. However, little is known about the molecular mechanism by which ROS improve ischemic revascularization.It is generally recognized that ROS change protein function by posttranslational modifications of cysteine thiols (-SH) (6). Protein thiols are susceptible to oxidation and give rise to reversible oxidative modifications including S-sulfenylation (-SOH), S-nitrosylation (-SNO), and glutathione (GSH)-protein adducts [S-glutathionylation (-SSG)] (7). These reversible modifications can regulate cellular signaling and may contribute to ROS-induced ischemic revascularization. Interestingly, S-nitrosylation has been indicated as a mechanism of nitric oxide (NO)-mediated signaling and shown to stabilize hypoxia-inducible factor (HIF)-1α, a master angiogenic transcriptional regulator (8).S-nitrosyl...