Background/Aim: This study was designed to provide further evidence for the interactions between hydrogen sulfide (H 2 S) and nitric oxide (NO) in ischemia/reperfusion (I/R) injury. Materials and Methods: Rat hearts were studied with the Langendorff technique using the H 2 S donor sodium hydrosulfide (NaHS, 40 μM) and the cystathionine gamma-lyase (CTH or CSE) inhibitor DLpropargylglycine (PAG, 1 mM). NO synthase inhibitor L-NGnitroarginine methyl ester (L-NAME, 30 mg/kg, 7 days) was administered before the isolation. The hearts were homogenized for biochemical and molecular analysis. Results: NaHS reversed I/R-induced cardiac performance impairment, increased tissue nitric oxide production and decreased tissue markers for cardiac injury, while L-NAME inhibited these effects. The expression of CTH was increased with PAG, which was suppressed by L-NAME. Conclusion: H 2 S and NO increase each other's production suggesting their interaction and cooperation in cardioprotection against I/R injury. Nitric oxide (NO), carbon monoxide (CO), and hydrogen sulfide (H 2 S), in the order of their discovery, are gasotransmitters, a term that refers to a gaseous transmitter, and was first coined by Wang (1). All are endogenously produced small signaling molecules with low molecular weight (NO, 30 Da; CO, 28 Da; H 2 S, 34 Da). Because they are small gaseous molecules, they reach easily their intracellular targets to activate them, by diffusing freely across the plasma membrane. They play a pivotal roles in the control of many physiological functions, including regulation of cardiovascular, nervous, gastrointestinal, excretory, immune, and reproductive systems (2-5). Of these three gaseous transmitters, H 2 S that was first introduced as a metabolic product in mammals by the American biochemist Vincent Du Vigneaud, has gained much attention in recent years due to its involvement in the above-mentioned physiological functions (2, 6, 7). It is endogenously synthesized in most mammalian tissues from L-cysteine and/or L-homocysteine by cystathionine beta-synthase (CBS), cystathionine gamma-lyase (CTH or CSE), and cysteine aminotransferase together with 3-mercaptopyruvate sulfurtransferase (2, 4, 8). Heart failure, the major health issue in the world and the leading cause of deaths, is a complicated disease caused by 2507 This article is freely accessible online.