Nitric oxide synthases (NOSs) catalyze two mechanistically distinct, tetrahydrobiopterin (H
4B)-dependent, heme-based oxidations that first convert
L-arginine (
L-Arg) to N
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-hydroxy-
L-arginine (NHA)and then NHA to
L-citrulline and
nitric oxide. Structures of the murine
inducible NOS oxygenase domain(iNOS
ox) complexed with NHA indicate that NHA and
L-Arg both bind with the same conformationadjacent to the heme iron and neither interacts directly with it nor with H
4B. Steric restriction of dioxygenbinding to the heme in the NHA complex suggests either small conformational adjustments in the ternarycomplex or a concerted reaction of dioxygen with NHA and the heme iron. Interactions of the NHAhydroxyl with active center
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-structure and the heme ring polarize and distort the hydroxyguanidinium toincrease substrate reactivity. Steric constraints in the active center rule against superoxo-iron accepting ahydrogen atom from the NHA hydroxyl in their initial reaction, but support an Fe(III)-peroxo-NHA radicalconjugate as an intermediate. However, our structures do not exclude an oxo-iron intermediate participatingin either
L-Arg or NHA oxidation. Identical binding modes for active H
4B, the inactive quinonoid-dihydrobiopterin (q-H
2B), and inactive 4-amino-H
4B indicate that conformational differences cannot explainpterin inactivity. Different redox and/or protonation states of q-H
2B and 4-amino-H
4B relative to H
4Blikely affect their ability to electronically influence the heme and/or undergo redox reactions during NOScatalysis. On the basis of these structures, we propose a testable mechanism where neutral H
4B transfersboth an electron and a 3,4-amide proton to the heme during the first step of NO synthesis.