Regulation of smooth muscle contractility is essential for many import
ant biological processes such as tissue perfusion, cardiovascular haem
ostasis and gastrointestinal motility, While an increase in calcium in
itiates smooth muscle contraction, relaxation can be induced by cGMP o
r cAMP, cGMP-dependent protein kinase I (cGKI) has been suggested as a
major mediator of the relaxant effects of both nucleotides, To study
the biological role of cGKT. and its postulated cross-activation by cA
MP, we inactivated the gene coding for cGKI in mice. Loss of cGKI abol
ishes nitric oxide (NO)/cGMP-dependent relaxation of smooth muscle, re
sulting in severe vascular and intestinal dysfunctions, However, cGKI-
deficient smooth muscle responded normally to cAMP, indicating that cA
MP and cGMP signal via independent pathways, with cGKI being the speci
fic mediator of the NO/cGMP effects in murine smooth muscle.