Previous studies in this laboratory revealed that nitric oxide (NO) reversibly inhibits the respiration of isolated mitochondria and ascites hepatoma (AH-130) cells by an oxygen concentration-dependent mechanism. The inhibitory effect of NO on the respiration of AH-130 cells was enhanced by treating with digitonin that selectively permeabilized plasma membranes and released cytosolic lowmolecular-weight compounds. Reduced glutathione (GSH) is the most abundant cytosolic thiol that easily reacts with NO. To elucidate the mechanism by which digitonin enhanced the inhibitory action of NO, the effect of GSH and related thiols was studied with AH-130 cells and their mitochondria. The inhibitory effect of NO on the respiration of digitonin-treated cells was suppressed by either GSH, L-cysteine, or N-acetylcysteine, but not by oxidized glutathione. The inhibitory effect of NO on the respiration of their mitochondria was also decreased by GSH. In contrast, the inhibitory effect of NO was markedly enhanced with AH-130 cells obtained from animals that were pretreated with L-buthionine sulfoximine (BSO), a specific inhibitor for GSH synthesis. Kinetic analysis revealed that NO dose-dependently decreased GSH levels in AH-130 cells with concomitant generation of S-nitrosothiols. Although S-nitrosoglutathione (GSNO), a slow releaser of NO, also inhibited the respiration of tumor cell mitochondria, its effect was significantly lower than that of NO. These results suggest that cellular GSH might play pivotal roles in the regulation of energy metabolism in hepatoma cells by modulating free forms of NO. (HEPATOLOGY 1998;27:422-426.)Nitric oxide (NO) interacts with various molecules, such as hemeproteins and nonhemeproteins, thereby acting as a multifunctional molecule. Through the modification of such proteins, NO reversibly inhibits the respiration of mitochondria. [1][2][3][4] Previous studies in this laboratory 5 revealed that NO reversibly binds to cytochrome c oxidase and inhibits the respiration of tumor cells. Because NO also reacts with molecular oxygen (k ϭ 6 ϫ 10 6 mol/L Ϫ2 s Ϫ1 ), mitochondrial respiration was inhibited by this gaseous radical more strongly at low oxygen tensions than at its high concentrations. 3,5 Furthermore, the inhibitory effect of NO is enhanced by selectively permeabilizing plasma membranes of tumor cells by digitonin. 5 These observations suggested the presence of some cytosolic molecule(s) that suppressed the effect of NO on mitochondrial respiration. Because NO forms nitrosoadducts with various thiols, such as reduced glutathione (GSH) and cysteine-containing proteins, 6 these thiol compounds might decrease the levels of free forms of NO, thereby affecting its fate and biological activity. Among various thiols in cells, GSH is a naturally occurring major thiol. Preliminary experiments in this laboratory revealed that permeabilization of plasma membrane by digitonin released cytosolic GSH and decreased cellular levels of it. The inhibitory effect of NO on the respiration of isolated mitochondr...