Sphingolipid ceramide (N-acetylsphingosine), a bioactive second messenger lipid, was shown to activate reactive oxygen species (ROS), mitochondrial oxidative damage, and apoptosis in neuronal and vascular cells. The proapoptotic effects of tumor necrosis factor-␣, hypoxia, and chemotherapeutic drugs were attributed to increased ceramide formation. Here we investigated the protective role of nitric oxide ( ⅐ NO) during hydrogen peroxide (H 2 O 2 )-mediated transferrin receptor (TfR)-dependent iron signaling and apoptosis in C 2 -ceramide (C 2 -cer)-treated bovine aortic endothelial cells (BAECs). Addition of C 2 -cer (5-20 M) to BAECs enhanced ⅐ NO generation. However, at higher concentrations of C 2 -cer (>20 M), ⅐ NO generation did not increase proportionately. C 2 -cer (20 -50 M) also resulted in H 2 O 2 -mediated dichlorodihydrofluorescein oxidation, reduced glutathione depletion, aconitase inactivation, TfR overexpression, TfR-dependent uptake of 55 Fe, release of cytochrome c from mitochondria into cytosol, caspase-3 activation, and DNA fragmentation. N w -Nitro-L-arginine methyl ester (L-NAME), a nonspecific inhibitor of nitricoxide synthases, augmented these effects in BAECs at much lower (i.e. nonapoptotic) concentrations of C 2 -cer. The 26 S proteasomal activity in BAECs was slightly elevated at lower concentrations of C 2 -cer (<10 M) but was greatly suppressed at higher concentrations (>10 M). Intracellular scavengers of H 2 O 2 , cell-permeable iron chelators, anti-TfR receptor antibody, or mitochondria-targeted antioxidant greatly abrogated C 2 -cerand/or L-NAME-induced oxidative damage, iron signaling, and apoptosis. We conclude that C 2 -cer-induced H 2 O 2 and TfR-dependent iron signaling are responsible for its prooxidant and proapoptotic effects and that ⅐ NO exerts an antioxidative and cytoprotective role.Ceramide belongs to a group of naturally occurring sphingolipid second messenger molecules that is formed by sphingomyelinase-catalyzed hydrolysis of sphingomyelin (1-3). There is growing interest on the potential role of ceramide-mediated proapoptotic cell signaling in response to treatment with reactive oxygen species (ROS) 1 (e.g. superoxide and hydrogen peroxide) and other proapoptotic stress factors, including inflammatory cytokines such as tumor necrosis factor-␣ and lipopolysaccharide, hypoxia, and chemotherapeutic drugs (4 -6). Exogenous treatment of endothelial cells and neuronal cells with ceramide also caused oxidative stress and activation of caspase-3 leading to apoptosis (7-12). Ceramide treatment has been shown to trigger both nitric oxide ( ⅐ NO) and superoxide generation in endothelial cells (13)(14)(15). The relative ratio between superoxide and ⅐ NO determine the ultimate cytotoxicity in ceramide-treated cells (14). Exposure of endothelial cells to lower concentrations of ceramide (ϳ5 M) causes an increase in ⅐ NO formation due to Ca 2ϩ activation and translocation of endothelial nitric-oxide synthase (eNOS) (14, 15). At higher concentrations (Ͼ20 M) ceramide treatment ind...