This study examined the signal transduction pathway(s) leading to phosphorylation of p38 in human neutrophils stimulated with lipopolysaccharide and formyl peptides. Blockade of the nitric oxide (NO) pathway in neutrophils with the NO synthase inhibitor N-nitro-Larginine methyl ester or by treatment with the NO scavenger 2-phenyl-tetramethylimidazoline-1-oxyl-3-oxide attenuated phosphorylation of the mitogen-activated protein kinase p38 in response to lipopolysaccharide but not fMet-Leu-Phe. Using the NO releasing agents S-nitroso-N-acetylpenicillamine and sodium nitroprusside it was determined that nitric oxide is sufficient to cause an increase in phosphorylation of p38. Increasing cellular cGMP with phosphodiesterase inhibitors, by stimulation of soluble guanylyl cyclase with YC-1 or with exogenous dibutyryl cGMP resulted in mitogenactivated protein kinase/extracellular signal-regulated kinase kinase 3,6 (MEK3,6) activation and phosphorylation of p38. This phenomenon was specific for MEK3,6, because these agents had no effect on the phosphorylation state of MEK1,2. A role for protein kinase G but not protein kinase A downstream of lipopolysaccharide but not formylmethionylleucylphenylalanine was shown using the specific inhibitors KT5823 and H89, respectively. These data indicate that activation of p38 by fMet-LeuPhe and lipopolysaccharide involve different mechanisms, and that activation of protein kinase G by NO-dependent stimulation of guanylyl cyclase is necessary and sufficient for phosphorylation of p38 downstream of lipopolysaccharide.Detection of microbial products such as lipopolysaccharide (LPS) 1 and N-formyl peptides (fMLF) by neutrophils is an essential event that triggers the microbicidal functions of these cells. Activation of neutrophils by such stimuli results in chemotaxis to inflammatory sites, cytokine production, release of degradative granule enzymes, and generation of toxic oxygen intermediates.The MAP kinases are members of discrete signaling cascades that form focal points for diverse extracellular stimuli and function to regulate fundamental cellular processes. Three distinct classes within the MAP kinase family have been described, including ERK, c-jun-NH 2 kinase, and p38, each having different physiological roles (1-4). The p38 MAP kinase is associated with immune cell activation, because this kinase is activated by a variety of inflammatory mediators (5, 6). It is well established that p38 has an important role in gene expression in monocytes and macrophages (7-9). A specific function for p38 in neutrophils remains unclear, but it has been suggested to play an important role in the respiratory burst, interleukin 8 production, and apoptosis (10 -13). Activation of p38 occurs after phosphorylation of a distinctive TGY motif by the upstream kinases MEK3 or MEK6 (6, 14 -16). Stimulation of human neutrophils with classical chemoattractants, including fMLF, results in a rapid and transient phosphorylation and activation of p38 (12,13,(17)(18)(19)(20). It has also been demonstrated th...