Nitric oxide (NO) and cyclic guanosine 3',5'-monophosphate (cGMP) have
been reported to prevent vascular smooth muscle cell (VSMC) prolifera
tion and have beneficial effects to reduce intimal thickening in respo
nse to arterial injury. The purpose of this study was to determine whe
ther the downstream effector molecule of NO-cGMP signaling, cyclic GMP
-dependent protein kinase (PKG), regulates phenotypic modulation and p
roliferation in cultured rat aortic VSMC. PKG-expressing VSMC lines we
re created by transfection of PKG-deficient cell lines and characteriz
ed. All forms of PKG, i.e. PKG-I alpha and PKG-I beta, as well as the
constitutively active catalytic domain of PKG-I, transformed dediffere
ntiated 'synthetic' VSMC to a more contractile-like morphology. PKG ex
pression resulted in an increased production of the contractile phenot
ype marker proteins, smooth muscle myosin heavy chain-2, calponin and
alpha-actin and restored the capacity of cAMP and cGMP analogues to in
hibit platelet-derived growth factor (PDGF)-induced cell migration. On
the other hand, PKG expression had no significant effects on PDGF-ind
uced cell proliferation. These results suggest that PKG expression con
tributes to the regulation of a contractile-like phenotypic expression
in cultured VSMC, and the suppression of PKG expression during cultur
ed growth in vitro may permit the modulation of cells to a more synthe
tic, dedifferentiated phenotype.