A brief summary of recent studies of pharmacomechanical coupling is present
ed, with emphasis on the role of GTP-binding proteins and Ca2+-independent
regulation of contraction (Ca2+-sensitization/desensitization) through regu
latory myosin light chain (MLC20) phosphorylation and dephosphorylation. Ph
armacomechanical regulation of cytosolic [Ca2+] is largely, though not sole
ly, controlled by the phosphatidylinositol cascade and Ca2+-pumps of the pl
asma membrane and the sarcoplasmic reticulum. The monomeric GTPase, RhoA, i
sa major upstream component of Ca2+-sensitization. Its crystal structure an
d apparently obligatory translocation to the plasma membrane for activation
of its downstream effecters are described. Inhibition of RhoA activity by
a membrane-permeant ADP-ribosylating bacterial exoenzyme, DC3B, causes seve
re depression of the tonic component of agonist-induced contraction, sugges
ting that this component is largely due to Ca2+-sensitization. A relatively
specific inhibitor (Y27632) of Rho-kinase, a downstream effector of Ca2+-s
ensitization (Uehata et al 1997). also inhibits oxytocin-induced Ca2+-sensi
tization of myometrium. The major mechanism of physiological, G-protein-cou
pled Ca2+-sensitization is through inhibition of smooth muscle myosin phosp
hatase (SMPP-1M), whereas conventional or novel protein kinase Cs play very
little or no role in this process. Mechanisms of Ca2+-desensitization incl
ude inhibition of myosin light chain kinase and activation of SMPP-1M. Acti
vation of SMPP-1M in phasic smooth muscle can be attributed, at least in pa
rt, to the synergistic phosphatase activating activities of a cyclic nucleo
tide-dependent kinase and its major substrate, telokin.