Although numerous reports have documented that the S-nitrosylation of cyste
ine residues by NO alters the activities of a wide variety of proteins, the
direct visualization and the structural consequences of this reversible mo
dification have not yet been reported for any protein. Here we describe the
crystal structure of S-nitroso-nitrosylhemoglobin determined at a resoluti
on of 1.8 Angstrom. The specific reaction of NO with Cys93 beta is confirme
d in this structure, and a large S-nitrosylation-induced change in the tert
iary structure of the COOH-terminal dipeptides of the beta subunits provide
s additional insight into the stereochemical mechanism by which blood flow
is regulated by the interaction of NO with hemoglobin.