Certain bloodsucking insects deliver nitric oxide (NO) while feeding, to induce vasodilation and inhibit blood coagulation. We have expressed, characterized, and determined the crystal structure of the Cimex lectularius (bedbug) nitrophorin, the protein responsible for NO storage and delivery, to understand how the insect successfully handles this reactive molecule. Surprisingly, NO binds not only to the ferric nitrophorin heme, but it can also be stored as an S-nitroso (SNO) conjugate of the proximal heme cysteine (Cys-60) when present at higher concentrations. EPR-and UV-visible spectroscopies, and a crystallographic structure determination to 1.75-Å resolution, reveal SNO formation to proceed with reduction of the heme iron, yielding an Fe-NO complex. Stopped-flow kinetic measurements indicate that an ordered reaction mechanism takes place: initial NO binding occurs at the ferric heme and is followed by heme reduction, Cys-60 release from the heme iron, and SNO formation. Release of NO occurs through a reversal of these steps. These data provide, to our knowledge, the first view of reversible metal-assisted SNO formation in a protein and suggest a mechanism for its role in NO release from ferrous heme. This mechanism and Cimex nitrophorin structure are completely unlike those of the nitrophorins from Rhodnius prolixus, where NO protection is provided by a large conformational change that buries the heme nitrosyl complex, highlighting the remarkable evolution of proteins that assist insects in bloodfeeding.crystal structure ͉ heme protein ͉ nitrophorin ͉ S-nitrosocysteine ͉ S-nitroso N itric oxide (NO) is a reactive molecule produced at low concentrations in all higher animals for regulating activities such as blood pressure, wound healing, and memory formation, and at higher concentrations to kill infectious invaders (1). Many NO interactions of biological importance involve hemecontaining proteins. NO is synthesized by NO synthase (NOS), a dimeric heme protein that converts L-arginine and oxygen to citrulline and NO (2). NO signaling often involves soluble guanylate cyclase, a heterodimeric heme protein that catalyzes cGMP formation after NO binding at the heme center (3). NO delivery by bloodfeeding insects is through heme-containing nitrophorins (4, 5).Because NO is a free-radical molecule with a half-life of Ͻ1 sec when exposed to biological tissue, protection of the molecule during storage and transport is required. Reaction products of unprotected NO include higher nitrogen oxides, tyrosine nitrations, heme oxidation or reduction, and various S-nitrosations (S-nitroso, SNO). Formation of Cys-SNO from NO and free thiol in vivo has been demonstrated for many proteins (6); however, the functional significance of this attractive model for regulation remains uncertain (7). For example, formation of hemoglobin Cys93-SNO (Hb-SNO) has been postulated to be reversible and to be involved in blood pressure regulation; however, tight binding or reaction with oxygen at the hemoglobin ferrous center would seem to pr...