Aldose reductase (AR) catalyzes the reduction of several aldehydes ranging from lipid peroxidation products to glucose. The activity of AR is increased in the ischemic heart due to oxidation of its cysteine residues, but the underlying mechanisms remain unclear. To examine signaling mechanisms regulating AR activation, we studied the role of nitric oxide (NO). Treatment with the NO synthase (NOS) inhibitor, N-nitro-L-arginine methyl ester prevented ischemia-induced AR activation and myocardial sorbitol accumulation in rat hearts subjected to global ischemia ex vivo or coronary ligation in situ, whereas inhibition of inducible NOS and neuronal NOS had no effect. Activation of AR in the ischemic heart was abolished by pretreatment with peroxynitrite scavengers hesperetin or 5, 10, 15, 20-tetrakis-[4-sulfonatophenyl]-porphyrinato-iron [III]. Site-directed mutagenesis and electrospray ionization mass spectrometry analyses showed that Cys-298 of AR was readily oxidized to sulfenic acid by peroxynitrite. Treatment with bradykinin and insulin led to a phosphatidylinositol 3-kinase (PI3K)-dependent increase in the phosphorylation of endothelial NOS at Ser-1177 and, even in the absence of ischemia, was sufficient in activating AR. Activation of AR by bradykinin and insulin was reversed upon reduction with dithiothreitol or by inhibiting NOS or PI3K. Treatment with AR inhibitors sorbinil or tolrestat reduced post-ischemic recovery in the rat hearts subjected to global ischemia and increased the infarct size when given before ischemia or upon reperfusion. These results suggest that AR is a cardioprotective protein and that its activation in the ischemic heart is due to peroxynitrite-mediated oxidation of Cys-298 to sulfenic acid via the PI3K/Akt/endothelial NOS pathway.Aldose reductase (AR 2 ; EC 1.1.1.21) is a member of the aldoketo reductase (AKR) superfamily (AKR1B1). It catalyzes the reduction of a broad spectrum of substrates that range from simple aromatic aldehydes and steroid carbonyls to aldo-keto sugars (1, 2). The wide substrate specificity of AR suggests that the enzyme may be involved in detoxification of endogenous and xenobiotic aldehydes. Our studies show that AR displays highest catalytic efficiency with aldehydes derived from phospholipid oxidation (3). Both free aldehydes, such as 4-hydroxytrans-2-nonenal, and phospholipid-bound aldehydes, such as 1-palmitoyl-2-oxo-valeroyl-phosphatidylcholine, are high affinity substrates of the enzyme (4, 5). In addition, AR is also capable of catalyzing the reduction of glutathione conjugates of unsaturated aldehydes (6, 7). In case of short-chain aldehydes such as acrolein or crotonaldehyde, catalytic efficiency of AR is severalfold higher with the glutathione conjugate than with the parent aldehyde (7). Consistent with its antioxidant role, AR is up-regulated under conditions of oxidative stress (2), such as vascular inflammation (8), heart failure (9), and ischemic preconditioning in rabbit (10) and rat (11) hearts. Nevertheless, the functional significance of AR u...