Neurohumoral stimulation of smooth muscle leads to an increased responsiven
ess of the myofilaments to Ca2+. This review provides a summary of the data
that suggest that the signalling from the membrane-bound serpentine recept
ors to the contractile apparatus leading to the increase in Ca2+-sensitivit
y requires the activation of the Ras-related low molecular mass GTPase Rho.
In smooth muscle permeabilized with alpha-toxin or beta-escin, the increas
e in force elicited by different agonists at fixed [Ca2+] (Ca2+-sensitizati
on) can be inhibited by bacterial toxins (EDIN, and exoenzyme C3) which ADP
-ribosylate and inactivate Rho proteins. Moreover, the agonist-induced incr
ease in Ca2+-sensitivity can be mimicked by constitutively active recombina
nt Rho proteins. The physiological relevance of this mechanism is suggested
by the fact that toxins that are internalized into intact cells [toxin B f
rom C. difficile and a chimeric toxin (DC3B) consisting of C3 and the (non-
catalytic) B fragment of diphteria toxin (inhibit the tonic phase of an ago
nist-induced contraction. Toxin B inhibits contraction without affecting th
e intracellular Ca2+-transient determined with fura-2. However, it inhibits
phosphorylation of the regulatory light chains of myosin (MLC). Rho has be
en suggested to activate a Rho-associated kinase which in turn phosphorylat
es the myosin binding subunit of the myosin light chain phosphatase. This w
ould lead to an increase in phosphorylation of MLC and hence of force at co
nstant Ca2+. The Ca2+-sensitizing effect of agonists is also inhibited by t
yrosine kinase inhibitors. This suggests the possibility that in smooth mus
cle, like in non-muscle cells, there is a cross-talk between Rho and tyrosi
ne kinases.