We have recently shown that nitric oxide or authentic endothelium-derived relaxing factor generated in a biologic system reacts in the presence of specific protein thiols to form S-nitrosoprotein derivatives that have endotheliumderived relaxing factor-like properties. The single free cysteine of serum albumin, Cys-34, is particularly reactive toward nitrogen oxides (most likely nitrosonium ion) under physiologic conditions, primarily because of its anomalously low pK; given its abundance in plasma, where it accounts for -0.5 mM thiol, we hypothesized that this plasma protein serves as a reservoir for nitric oxide produced by the endothelial cell. To test this hypothesis, we developed a methodology, which involves UV photolytic cleavage of the S-NO bond before reaction with ozone for chemiluminescence detection, with which to measure free nitric oxide, S-nitrosodiols, and S-nitrosoproteins in biologic systems. We found that human plasma contains =7 pIM S-nitrosothiols, of which 96% are S-nitrosoproteins, 82% of which is accounted for by S-nitroso-erum albumin. By contrast, plasma levels of free nitric oxide are only in the 3-nM range. In rabbits, plasma S-nitrosothiols are present at -1 #M; 60 min after administration of NG-monomethyl-Larginine at 50 mg/ml, a selective and potent inhibitor of nitric oxide synthetases, S-nitrosothiols decreased by "40% (>95% of which were accounted for by S-nitrosoproteins, and ""80% of which was S-nitroso-serum albumin); this decrease was accompanied by a concomitant increase in mean arterial blood pressure of 22%. These data suggest that naturally produced nitric oxide circulates in plasma primarily complexed in S-nitrosothiol species, principal among which is S-nitroso-serum albumin. This abundant, relatively long-lived adduct likely serves as a reservoir with which plasma levels of highly reactive, short-lived free nitric oxide can be regulated for the maintenance of vascular tone.Endothelium-derived relaxing factor (EDRF), first described by Furchgott and Zawadzki (1), is a product of the normal endothelial cell having both vasodilatory (2) and antiplatelet (3,4) properties. Pharmacologic studies suggest that disease states as varied as septic shock (5), atherosclerosis (6), and hypoxia-induced pulmonary hypertension (7) may be associated with abnormal concentrations of EDRF in the vascular milieu. As a result of the seminal work of two groups (8, 9), this bioactive substance is believed to be equivalent to nitric oxide or a chemical congener or adduct thereof. Among the species thought of potential importance as adducts of nitric oxide are S-nitrosothiols-adducts with the sulfhydryl groups of amino acids, peptides, and proteins. We have recently shown that nitric oxide and authentic EDRF react with free thiol groups of proteins under physiologic conditions in vitro to form S-nitrosoproteins (10)-nitric oxide adducts with bioactivities comparable to EDRF but with half-lives of the order of hours. Although the facile formation of such species is intrinsically interest...