gen sulfide (H 2S) is produced endogenously by L-cysteine metabolism. H 2S modulates several ion channels with an unclear mechanism of action. A possible mechanism is through reduction-oxidation reactions attributable to the redox potential of the sulfur moiety. The aims of this study were to determine the effects of the H 2S donor NaHS on Na V1.5, a voltage-dependent sodium channel expressed in the gastrointestinal tract in human jejunum smooth muscle cells and interstitial cells of Cajal, and to elucidate whether H 2S acts on NaV1.5 by redox reactions. Whole cell Na ϩ currents were recorded in freshly dissociated human jejunum circular myocytes and Na V1.5-transfected human embryonic kidney-293 cells. RT-PCR amplified mRNA for H 2S enzymes cystathionine -synthase and cystathionine ␥-lyase from the human jejunum. NaHS increased native Na ϩ peak currents and shifted the half-point (V 1/2) of steady-state activation and inactivation by ϩ21 Ϯ 2 mV and ϩ15 Ϯ 3 mV, respectively. Similar effects were seen on the heterologously expressed Na V1.5 ␣ subunit with EC50s in the 10 Ϫ4 to 10 Ϫ3 M range. The reducing agent dithiothreitol (DTT) mimicked in part the effects of NaHS by increasing peak current and positively shifting steady-state activation. DTT together with NaHS had an additive effect on steady-state activation but not on peak current, suggesting that the latter may be altered via reduction. Pretreatment with the Hg 2ϩ -conjugated oxidizer thimerosal or the alkylating agent N-ethylmaleimide inhibited or decreased NaHS induction of NaV1.5 peak current. These studies show that H2S activates the gastrointestinal Na ϩ channel, and the mechanism of action of H2S is partially redox independent. patch clamp; intestine; smooth muscle; dithiothreitol; thimerosal HYDROGEN SULFIDE (H 2 S) IS A GAS produced endogenously through L-cysteine metabolism predominantly by two enzymes, cystathione ␥-lyase (CSE) and cystathione -synthase (CBS) (reviewed in Refs. 4,14,19). H 2 S is detected in mammalian tissues and in circulation. Moreover, H 2 S and/or HS Ϫ have been shown to be an active molecule, with clear pharmacological effects on smooth muscle tissues, including relaxation of vascular, corpus cavernosum, uterine, and gastrointestinal smooth muscle.Ion channels regulate contractility of gastrointestinal smooth muscle. H 2 S is known to target various ion channels. Evidence for this involvement of channel activity is strongest for the K ATP channel with some evidence for modulation of BK, Cl Ϫ , and L-type and T-type Ca 2ϩ channels (15,19,42). In human intestinal smooth muscle cells, channels that allow entry of ions into the cell include Na V 1.5 [Na ϩ current: (10, 27, 38, 48), Ca V 1.2 L-type Ca 2ϩ current: (6, 7, 22, 47), Ca V 3.2 T-type Ca 2ϩ current: (8, 47)], and nonselective cation channels (16). The mechanism by which H 2 S modulates ion-channel activity is still largely unknown, and, although the chemistry of H 2 S favors redox modification of proteins, there has been little study of this effect. H 2 S and alterna...