Kubli DA, Quinsay MN, Huang C, Lee Y, Gustafsson ÅB. Bnip3 functions as a mitochondrial sensor of oxidative stress during myocardial ischemia and reperfusion. Am J Physiol Heart Circ Physiol 295: H2025-H2031, 2008. First published September 12, 2008 doi:10.1152/ajpheart.00552.2008.-Bcl-2/adenovirus E1B 19-kDa protein-interacting protein 3 (Bnip3) is a member of the Bcl-2 homology domain 3-only subfamily of proapoptotic Bcl-2 proteins and is associated with cell death in the myocardium. In this study, we investigated the potential mechanism(s) by which Bnip3 activity is regulated. We found that Bnip3 forms a DTT-sensitive homodimer that increased after myocardial ischemia-reperfusion (I/R). The presence of the antioxidant N-acetylcysteine reduced I/R-induced homodimerization of Bnip3. Overexpression of Bnip3 in cells revealed that most of exogenous Bnip3 exists as a DTT-sensitive homodimer that correlated with increased cell death. In contrast, endogenous Bnip3 existed mainly as a monomer under normal conditions in the heart. Screening of the Bnip3 protein sequence revealed a single conserved cysteine residue at position 64. Mutation of this cysteine to alanine (Bnip3C64A) or deletion of the NH 2-terminus (amino acids 1-64) resulted in reduced cell death activity of Bnip3. Moreover, mutation of a histidine residue in the COOH-terminal transmembrane domain to alanine (Bnip3H173A) almost completely inhibited the cell death activity of Bnip3. Bnip3C64A had a reduced ability to interact with Bnip3, whereas Bnip3H173A was completely unable to interact with Bnip3, suggesting that homodimerization is important for Bnip3 function. A consequence of I/R is the production of reactive oxygen species and oxidation of proteins, which promotes the formation of disulfide bonds between proteins. Thus, these experiments suggest that Bnip3 functions as a redox sensor where increased oxidative stress induces homodimerization and activation of Bnip3 via cooperation of the NH 2-terminal cysteine residue and the COOH-terminal transmembrane domain.Bcl-2 homology domain 3 proteins; apoptosis; reactive oxygen species; cysteine residues MYOCARDIAL ISCHEMIA-REPERFUSION (I/R) injury is associated with an extensive loss of myocardial cells due to both necrosis and apoptosis. Bcl-2 family members are important regulators of cell death in myocardial cells (16). This family is divided into antiapoptotic members, such as Bcl-2 and Bcl-x L , and proapoptotic members, which include Bax and Bak as well as Bcl-2 homology domain 3 (BH3)-only proteins (i.e., Bad, Noxa, and Puma). BH3-only proteins function as sensors of stress in the cell and transduce these signals to the downstream effectors Bax and/or Bak. At least 10 different BH3-only proteins have been identified, and they differ in their mode of activation. Their proapoptotic activity is regulated by transcription and/or posttranslational modification (16). Bcl-2/adenovirus E1B 19-kDa protein-interacting protein 3 (Bnip3) is a BH3-only protein that is localized primarily to the mitochondria (7,...