Kinetic and structure analysis of inducible nitric oxide synthase (iNOS) revealed that, in addition to the increase of iNOS expression in inflamed areas, the major pathway causing overproduction of NO is destabilization of the iNOS-nitrosyl complex(es) that form during steady-state catalysis. Formation of such a complex allows iNOS to operate at only a fraction (20 -30%) of its maximum activity. Thus, bioavailability of NO scavengers at sites of inflammation may play an essential role in up-regulation of the catalytic activity of iNOS, by preventing the catalytic activity inhibition that is attributed to nitrosyl complex formation. Myeloperoxidase (MPO), a major NO scavenger, is a pivotal enzyme involved in leukocyte-mediated host defenses. It is thought to play a pathogenic role under circumstances such as acute inflammatory tissue injury and chronic inflammatory conditions. However, a detailed understanding of the interrelationship between iNOS and MPO at sites of inflammation is lacking. We used direct spectroscopic, HPLC, and selective NO-electrode measurements to determine the interdependent relationship that exists between iNOS and MPO and the role of the MPO͞H 2O2 system in up-regulating the catalytic activity of iNOS that occurs at sites of inflammation. Scavenging free NO from the iNOS milieu by the MPO͞H2O2 system subsequently restores the full capacity of iNOS to convert L-aginine to product (NO), as judged by the increase in the rates of citrulline and nitrite͞nitrate production. Studies of iNOS catalytic mechanisms and function are essential to a more fundamental understanding of these factors, which govern iNOS-dependent processes in human health and disease.inflammation ͉ peroxidase N itric oxide (NO) is a ubiquitous signaling molecule that plays essential bioregulatory roles in a wide range of processes, including vasodilation, cell proliferation, nerve transmission, tumor surveillance, antimicrobial defense, and regulation of inflammatory responses (1-4). NO is generated enzymatically by three distinct isoforms of NO synthase (NOS): neuronal, inducible (iNOS), and endothelial. All of these isoforms typically use L-arginine, O 2 , and NADPH to generate NO and citrulline (5). The biological effects of NO are governed in part, by its intrinsic instability, reactivity, lipophilicity, and affinity toward iron; these characteristics make it ideal for both signal transduction and defense (6). NO is freely diffusible; its effect in a given circumstance depends on its diffusion to reach the target cell, and the bioavailability of NO scavengers such as superoxide (O 2 ⅐Ϫ ) and oxyhemoglobin binding, which limit its ability to exert biologic effects (7). Although NO generated under normal conditions appear to serve a signaling function, under pathological conditions, such as during atherosclerosis, asthma, and other inflammatory processes, rates of NO production become excessive (8-15). Importantly, the cytokine-iNOS isoform that is present in many tissues, including lung, liver, kidney, heart, and smooth ...