Endou, Katsuaki, Kunihiko Iizuka, Akihiro Yoshii, Hideo Tsukagoshi, Tamotsu Ishizuka, Kunio Dobashi, Tsugio Nakazawa, and Masatomo Mori. 8-Bromo-cAMP decreases the Ca 2ϩ sensitivity of airway smooth muscle contraction through a mechanism distinct from inhibition of Rho-kinase. Am J Physiol Lung Cell Mol Physiol 287: L641-L648, 2004. First published April 30, 2004 10.1152/ajplung.00287.2003.-To clarify whether cyclic AMP (cAMP)/cAMP-dependent protein kinase (PKA) activation and Rhokinase inhibition share a common mechanism to decrease the Ca 2ϩ sensitivity of airway smooth muscle contraction, we examined the effects of 8-bromoadenosine 3Ј,5Ј-cyclic monophosphate (8-BrcAMP), a stable cAMP analog, and (ϩ)-(R)-trans-4-(1-aminoethyl)-N-(4-pyridyl) cyclohexane carboxamide dihydrochloride, monohydrate (Y-27632), a Rho-kinase inhibitor, on carbachol (CCh)-, guanosine 5Ј-O-(3-thiotriphosphate) (GTP␥S)-, 4-phorbol 12,13-dibutyrate (PDBu)-, and leukotriene D4 (LTD4)-induced Ca 2ϩ sensitization in ␣-toxin-permeabilized rabbit tracheal and human bronchial smooth muscle. In rabbit trachea, CCh-induced smooth muscle contraction was inhibited by 8-BrcAMP and Y-27632 to a similar extent. However, GTP␥S-induced smooth muscle contraction was resistant to 8-BrcAMP. In the presence of a saturating concentration of Y-27632, PDBu-induced smooth muscle contraction was completely reversed by 8-BrcAMP. Conversely, PDBu-induced smooth muscle contraction was resistant to Y-27632. In the presence of a saturating concentration of 8-BrcAMP, GTP␥S-induced Ca 2ϩ sensitization was also reversed by Y-27632. The 8-BrcAMP had no effect on the ATPtriggered contraction of tracheal smooth muscle that had been treated with calyculin A in rigor solutions. The 8-BrcAMP and Y-27632 additively accelerated the relaxation rate of PDBu-and GTP␥S-treated smooth muscle under myosin light chain kinase-inhibited conditions. In human bronchus, LTD4-induced smooth muscle contraction was inhibited by both 8-BrcAMP and Y-27632. We conclude that cAMP/PKA-induced Ca 2ϩ desensitization contains at least two mechanisms: 1) inhibition of the muscarinic receptor signaling upstream from Rho activation and 2) cAMP/PKA's preferential reversal of PKC-mediated Ca 2ϩ sensitization in airway smooth muscle. is the primary regulator of smooth muscle contraction, Ca 2ϩ sensitivity of the contractile apparatus can change in response to agonists. An increase and a decrease in muscle tension at a constant Ca 2ϩ concentration are correspondingly referred to as Ca 2ϩ sensitization and desensitization of smooth muscle contraction. These are believed to be the results of changes in the ratio of kinase and phosphatase activities toward the 20-kDa light chain of myosin (MLC 20 ) (22,25). We have demonstrated that receptor-dependent, G protein-mediated Ca 2ϩ sensitization occurs in canine, rabbit, and human airway smooth muscles (28) and that a small G protein, RhoA, and its target protein, Rho-kinase, play a key role in G protein-mediated Ca 2ϩ sensitization of smooth muscle contraction (2...