LKB1 is a serine-threonine protein kinase that, when inhibited, may result in unregulated cell growth and tumor formation. However, how LKB1 is regulated remains poorly understood. The aim of the present study was to define the upstream signaling events responsible for peroxynitrite ( LKB1 is a serine-threonine protein kinase of the calcium calmodulin family, and LKB1 mRNA is ubiquitously expressed in all tissues including liver, skeletal muscle, and cardiac tissue (1, 2). In humans, loss-of-function mutations of LKB1 are associated with the development of a gastrointestinal disorder called Peutz-Jehgers syndrome (3). LKB1 has also been shown to play a role in the formation of sporadic tumors of the lung (4, 5). Therefore, LKB1 is thought to function as a tumor suppressor, with inhibition of LKB1 activity precipitating unregulated cell growth and tumor formation. In support of this tumor suppressor role, LKB1 has been shown to regulate growth and survival processes in several tumor cell lines. For example, reintroduction of LKB1 to LKB1-deficient tumor cells suppresses growth by inducing G 1 arrest (5, 6). In addition, overexpression of LKB1 in a breast cancer cell line reduces cell migration and tumor genesis when injected into an animal cancer model (7). LKB1 is required for p53-dependent apoptosis (8). Importantly, LKB1 is thought to function as a tumor suppressor through its ability to negatively regulate the Akt signaling pathway. In this regard, aberrant Akt signaling is widely recognized as a contributor to the growth of many LKB1-deficient tumors (5), as well as to the induction of vascular endothelial growth factor and angiogenesis in these tumors (9). Moreover, LKB1 can interact with the tumor suppressor PTEN (phosphatase and tensin homolog deleted on chromosome ten) (10), which is considered a key negative regulator of the phosphatidylinositol 3-kinase/ Akt pathway (11).LKB1 signaling is regulated through two main mechanisms: 1) phosphorylation and 2) subcellular localization. LKB1 can be phosphorylated on several residues, and its phosphorylation is thought to play a key role in cell cycle arrest (12), tumor suppression (4), and cell polarity (13,14). In addition, LKB1 activity appears to be regulated by the formation of complexes with STRAD and MO25. In the absence of these proteins, overexpressed LKB1 is localized to the nucleus. On the other hand, formation of the LKB1⅐MO25⅐STRAD complex causes a relocalization of LKB1 to the cytosol (a major site of LKB1 action) and enhances LKB1 activity (15). The activation of LKB1 by these pseudokinases may regulate signaling pathways downstream of LKB1, including AMP-activated protein kinase and Akt pathways. However, the site(s) of LKB1 phosphorylation and the enzymes upstream of LKB1 remain enigmatic.We have previously shown that high glucose increases endothelial apoptosis by LKB1-dependent PTEN-mediated Akt inhibition (16). In endothelial cells, LKB1 activates AMP-activated protein kinase in response to reactive nitrogen species or metformin through a pro...