Cell models of ischemic preconditioning (IPC) indicate nitric oxide (NO) is involved in protection accruing during reoxygenation but disagree whether it acts through PKG. Using a more relevant intact heart model, we studied isolated rabbit hearts subjected to 30-min coronary artery occlusion/120-min reperfusion. We previously found protection from PKG activator 8-(4-chlorophenylthio)-guanosine 3=,5=-cyclic monophosphate (CPT-cGMP) at reperfusion was blocked by A 2b adenosine receptor (A2bAR), ERK, or phosphatidylinositol 3-kinase (PI3-kinase) blockers. In this investigation A 2bAR agonist BAY 60-6583 or CPT-cGMP at reperfusion reduced infarction comparably to IPC. Their protection was abrogated by N -nitro-L-arginine methyl ester (L-NAME), suggesting a PKG-independent NO synthase in IPC's mediator pathway downstream of PKG and A 2bAR. NO donor S-nitroso-N-acetyl-D,L-penicillamine (SNAP) at reperfusion also protected. This protection was not blocked by PI3-kinase inhibitor wortmannin or ERK antagonist PD-98059, suggesting NO acted downstream of these kinases. Protection from SNAP was not affected by mitochondrial ATP-sensitive K ϩ channel closer 5-hydroxydecanoate, PKC antagonist chelerythrine, reactive oxygen species scavenger N-2-mercaptopropionylglycine, or soluble guanylyl cyclase antagonist 1H-[1,2,4]oxadiazolo[4,3-a]quinoxalin-1-one (ODQ). Absence of ODQ effect indicated NO was acting independently of PKG. BAY 58-2667, a soluble guanylyl cyclase activator, was protective, and L-NAME blocked its infarct-sparing effect, indicating a second signaling event dependent on NO generation but independent of PKG. SB216763, a blocker of glycogen synthase kinase-3 (GSK-3), decreased infarct size, and its infarct-sparing effect was not affected by L-NAME, suggesting GSK-3 acted downstream or independently of NO. Hence, NO signaling occurs in IPC's mediator pathway downstream of Akt and ERK, and its protection is independent of PKG. myocardial infarction; N -nitro-L-arginine methyl ester; nitric oxide; protein kinase G; preconditioning; reperfusion injury; S-nitroso-Nacetyl-D,L-penicillamine ISCHEMIC PRECONDITIONING (IPC) and postconditioning protect the heart through signal transduction pathways that are very similar to each other. Insight into IPC's signaling pathway has revealed a number of feasible strategies for conferring protection that are just beginning to be explored in the clinical setting (19,31,37). Unfortunately, there is still much about the protective mechanism and its signaling pathway that remains unknown. Over the past decade we have attempted to map the signal transduction steps in our rabbit heart model and have paid particular attention to the relative position of the signaling elements. Our strategy has focused on stimulation of the pathway at some intermediate point, such as PKC, with phorbol ester and then pharmacologically blocking another known element. If the protection is lost, then the blocked step must have been downstream of the stimulated one (12). The signaling of IPC can be been di...