1. Hydrogen sulfide (H2S) exists in an ionized form as HS- and as "bound sulfur" incorporated into proteins.
2. H2S signaling occurs through protein sulfhydration, the addition of sulfur to cysteine residues, altering protein function. This is more prevalent than nitric oxide protein nitrosylation.
3. H2S relaxes blood vessels by opening ATP-sensitive potassium channels on endothelial cells via channel sulfhydration, causing hyperpolarization.