Nitric oxide (NO) is an endogenous, diffusible, transcellular messenger shown to affect regulatory and signaling pathways with impact on cell survival. Exposure to NO can impart direct post-translational modifications on target proteins such as nitration and/or nitrosylation. As an alternative, after interaction with oxygen, superoxide, glutathione, or certain metals, NO can lead to S-glutathionylation, a post-translational modification potentially critical to signaling pathways. A novel glutathione, liberates NO and elicits toxicity in vitro and in vivo. We now show that PABA/NO induces nitrosative stress, resulting in undetectable nitrosylation, limited nitration, and high levels of S-glutathionylation. After a single pharmacologically relevant dose of PABA/NO, S-glutathionylation occurs rapidly (Ͻ5 min) and is sustained for ϳ7 h, implying a half-life for the deglutathionylation process of approximately 3 h. Two-dimensional SDS-polyacrylamide gel electrophoresis and immunoblotting with a monoclonal antibody to S-glutathionylated residues indicated that numerous proteins were S-glutathionylated. Subsequent matrix-assisted laser desorption ionization/time of flight analysis identified 10 proteins, including -lactate dehydrogenase, Rho GDP dissociation inhibitor , ATP synthase, elongation factor 2, protein disulfide isomerase, nucleophosmin-1, chaperonin, actin, protein tyrosine phosphatase 1B (PTP1B), and glucosidase II. In addition, we showed that sustained S-glutathionylation was temporally concurrent with drug-induced activation of the stress kinases, known to be linked with cell death pathways. This is consistent with the fact that PABA/NO induces Sglutathionylation and inactivation of PTP1B, one phosphatase that can participate in deactivation of kinases. These effects were consistent with the presence of intracellular PABA/NO or metabolites, because cells overexpressing MRP1 were less sensitive to the drug and had reduced levels of S-glutathionylated proteins.The human genome is composed of Ͻ30,000 genes, yet complexity of protein structure/function seems distinctly more layered. In the proteomics era, it has become clear that the dogma of genetic determinism is distinctly influenced by a number of processes, including polymorphic variation, gene splicing events, exon shuffling, protein domain rearrangements, and a number of post-translational modifications that contribute to alterations in tertiary and quaternary protein structure. Among these, phosphorylation, glycosylation, methylation, and acetylation can account for a large proportion of modifications. Cellular homeostasis is an intricate balance of survival and death signals, the control of which can occur through post-translational modification of target proteins. Protein phosphorylation is regulated by kinase/ This research was funded through the National Cancer Institute grant CA53783, the Intramural Research Program of the National Institutes of Health/National Cancer Institute Center for Cancer Research, and National Cancer Institute c...