We describe the effect of nitric oxide (NO) on the expression of the heparin-binding EGF-like growth factor (HB-EGF), a potent chemoattractant and mitogen for smooth muscle cells, and its anti-apoptotic effect against NO cytotoxicity. Previous studies have shown that glutathione peroxidase (GPx), a major peroxide scavenging enzyme is selectively inactivated by an NO donor, S-nitroso-N-acetyl-DL-penicillamine (SNAP), in vitro and in vivo and results in the accumulation of peroxide (6, 7). The SNAP or peroxynitrite induces HB-EGF through the inactivation of GPx and the accumulation of peroxide. This induction is accompanied by JNK and c-Jun/AP-1 activation. The blocking of the HB-EGF induction by curcumin, c-jun antisense oligonucleotide, and a dominant-negative mutant of JNK1 provides support for these results. A longer pretreatment of rat aortic smooth muscle cells (RASMCs) by SNAP induces HB-EGF and reduces the TNFι+actinomycin D-induced apoptosis. This protection is blocked by antisense HB-EGF s-oligonucleotide. These findings indicate that the induction of HB-EGF by NO would be an adaptive response as an autocrine protective factor against apoptosis by NO in RASMCs.Key words: gluthathione peroxidase ⢠nitric oxide ⢠JNK ⢠HB-EGF ⢠apoptosis itric oxide (NO) serves as an important signal transducer in several cells and tissues, including blood vessels and neuronal and hematopoietic cells (1, 2). It is generally thought that NO is involved in the regulation of a wide variety of biological processes, including smooth muscle relaxation, neurotransmission, inhibition of platelet aggregation, immune regulation, and cellular differentiation (3,4). NO functions via a variety of mechanisms, including nitrosylation of (or redox reactions with) metal-and thiol-containing proteins (5). In a previous study, we showed that glutathione peroxidase (GPx) was inactivated by NO through a mechanism in which S-nitroso-N-acetyl-DL-penicillamine (SNAP), a NO N donor, oxidizes Sec45 to form a selenenyl sulfide (Se-S) with a free thiol, thus leading to the inactivation of the enzyme (6, 7). These data suggest that NO directly inactivates GPx, resulting in an increase in intracellular peroxides, which are, in turn, responsible for cellular damage or gene expression.Heparin-binding EGF-like growth factor (HB-EGF), a member of the epidermal growth factor (EGF) family, is produced in smooth muscle cells as well as the macrophages of atherosclerotic plaques (8) and plays an important role in atherogenesis. Recent studies have shown that pro-HB-EGF, a membrane-anchored precursor, may promote the survival of renal epithelial and hepatoma cells (9, 10). Hyperosmolal levels of glucose and the presence of hydrogen peroxide are known to induce HB-EGF in vascular endothelial cells (11,12). We demonstrated that hydrogen peroxide and reactive dicarbonyl metabolites, including methylglyoxal and 3-deoxyglucosone, induce HB-EGF in rat aortic smooth muscle cells (RASMCs) via the induction of oxidative stress (13). Vascular endothelial growth factor ind...