The process of NO transfer into erythrocytes (RBCs) is of critical biological importance because it regulates the bioavailability and diffusional distance of endothelialderived NO. It has been reported that the rate of NO reaction with oxyhemoglobin (Hb) within RBCs is nearly three orders of magnitude slower than that by equal amounts of free oxyhemoglobin. Consistent with early studies on oxygen uptake by RBCs, the process of extracellular diffusion was reported to explain this much lower NO uptake by RBC encapsulated Hb (Liu, X., Miller, M. J., Joshi, M. S., Sadowska-Krowicka, H., Clark, D. A., and Lancaster, J. R., Jr. (1998) J. Biol. Chem. 273, 18709 -18713). However, it was subsequently proposed that the RBC membrane provides the main resistance to NO uptake rather than the process of extracellular diffusion (Vaughn, M. W., Huang, K. T., Kuo, L., and Liao, J. C. (2000) J. Biol. Chem. 275, 2342-2348). This conclusion was based on competition experiments that were assumed to be able to determine the rate constant of NO uptake by RBCs without extracelluar diffusion limitation. To test the validity of this hypothesis, we theoretically analyzed competition experiments. Here, we show that competition experiments do not eliminate the extracellular diffusion limitation. Simulation of the competition data indicates that the main resistance to NO uptake by RBCs is caused by extracellular diffusion in the unstirred layer surrounding each RBC but not by the RBC membrane. This extracellular diffusion resistance is responsible for preventing interference of NO signaling in the endothelium without the need for special NO uptake by intracellular hemoglobin or a unique membrane resistance mechanism.Nitric oxide (nitrogen monoxide, NO) has been recognized as a critical physiological mediator in the regulation of vascular tone (1). It is generated in vascular endothelium by a specific arginine-dependent NO synthase, NOS3. Free diffusion has been considered to be the main process that determines how NO travels from the site of its formation to target sites where it exerts its critical physiological functions (2, 3).In the vascular lumen NO can be scavenged by hemoglobin subunits (Hb) 1 within RBCs. The reaction of NO with myoglobin and hemoglobin is rapid (bimolecular rate constant for oxyMb is k Mb ϭ 3 ϫ 10 7 M Ϫ1 s Ϫ1 and for oxyHb is k Hb ϭ 6-9 ϫ 10 7 M Ϫ1 s Ϫ1 ) (4, 5). It has been reported that 10 M cell-free Hb is enough to trap almost all NO production generated from endothelial cells and abolish NO-mediated vasodilation (6, 7), while blood contains about 8 mM Hb, which is much higher than the quantity of Hb required to completely eliminate NO-mediated functional effects. The rapid reaction between NO and oxyhemoglobin raises the question of how NO can escape from the large quantity of Hb in the blood vessel lumen to exert physiological effects in the blood vessel wall after it is generated from endothelial cells (2,8). This has led to recent efforts to understand and theoretically model the reaction process between NO ...