Hydrogen sulfide (H 2 S) is synthesized intracellularly by the enzymes cystathionine-γ-lyase and cystathionine-β-synthase (CBS), and is proposed to be a gasotransmitter with effects in modulating inflammation and cellular proliferation. We determined a role of H 2 S in airway smooth muscle (ASM) function. ASM were removed from resection or transplant donor lungs and were placed in culture. Proliferation of ASM was induced by FCS and the proinflammatory cytokine, IL-1β. Proliferation of ASM and IL-8 release were measured by bromodeoxyuridine incorporation and ELISA, respectively. Exposure of ASM to H 2 S "donors" inhibited this proliferation and IL-8 release. Methemoglobin, a scavenger of endogenous H 2 S, increased DNA synthesis induced by FCS and IL-1β. In addition, methemoglobin increased IL-8 release induced by FCS, but not by IL-1β, indicating a role for endogenous H 2 S in these systems. Inhibition of CBS, but not cystathionine-γ-lyase, reversed the inhibitory effect of H 2 S on proliferation and IL-8 release, indicating that this is dependent on CBS. CBS mRNA and protein expression were inhibited by H 2 S donors, and were increased by methemoglobin, indicating that CBS is the main enzyme responsible for endogenous H 2 S production. Finally, we found that exogenous H 2 S inhibited the phosphorylation of extracellular signal-regulated kinase-1/2 and p38, which could represent a mechanism by which H 2 S inhibited cellular proliferation and IL-8 release. In summary, H 2 S production provides a novel mechanism for regulation of ASM proliferation and IL-8 release. Therefore, regulation of H 2 S may represent a novel approach to controlling ASM proliferation and cytokine release that is found in patients with asthma.Keywords hydrogen sulfide; airway smooth muscle; cystathionine-γ-lyase; cystathionine-β-synthase; extracellular signal-regulated kinase-1/2Correspondence and requests for reprints should be addressed to Kian Fan Chung, M.D., D.Sc., Airways Disease, National Heart and Lung Institute, Imperial College, Dovehouse Street, London SW3 6LY, UK. f.chung@imperial.ac.uk. This article has an online supplement, which is accessible from this issue's table of contents at www.atsjournals.org Author Disclosure: K.F.C. serves on the advisory board of GlaxoSmith Kline, Gilead, and Boehringer Ingelheim and received lecture fees from Glaxo-SmithKline, Novartis, and AstraZeneca.None of the other authors has a financial relationship with a commercial entity that has an interest in the subject of this manuscript. Hydrogen sulfide (H 2 S), first discovered in human tissues over 10 years ago, has emerged as an important gaseous mediator in cellular physiology and pathology, being involved in several processes, including chronic inflammation, learning and memory, and regulation of blood pressure (1). H 2 S is now considered as the third member of a family of gasotransmitters, together with nitric oxide (NO) and carbon monoxide (2). The bulk of endogenous H 2 S synthesis in mammalian tissues appears to be from the pyrid...