. Hypoxic pulmonary vasoconstriction and pulmonary artery tissue cytokine expression are mediated by protein kinase C. Am J Physiol Lung Cell Mol Physiol 287: L1215-L1219, 2004. First published August 20, 2004 doi:10.1152/ ajplung.00179.2004.-Pulmonary arteries exhibit a marked vasoconstriction when exposed to hypoxic conditions. Although this may be an adaptive response to match lung ventilation with perfusion, the potential consequences of sustained pulmonary vasoconstriction include pulmonary hypertension and right heart failure. Concomitant production of proinflammatory mediators during hypoxia may exacerbate acute increases in pulmonary vascular resistance. We hypothesized that acute hypoxia causes pulmonary arterial contraction and increases the pulmonary artery tissue expression of proinflammatory cytokines via a protein kinase C (PKC)-mediated mechanism. To study this, isometric force displacement was measured in isolated rat pulmonary artery rings during hypoxia in the presence and absence of the PKC inhibitors calphostin C or chelerythrine. In separate experiments, pulmonary artery rings were treated with the PKC activator thymeleatoxin for 60 min. After hypoxia, with or without PKC inhibition, or PKC activation alone, pulmonary artery rings were subjected to mRNA analysis for TNF-␣ and IL-1 via RT-PCR. Our results showed that, in isolated pulmonary arteries, hypoxia caused a biphasic contraction and increased expression of TNF-␣ and IL-1 mRNA. Both effects were inhibited by PKC inhibition. PKC activation resulted in pulmonary artery contraction and increased the pulmonary artery expression of TNF-␣ and IL-1 mRNA. These findings suggest that hypoxia induces the expression of inflammatory cytokines and causes vasoconstriction via a PKC-dependent mechanism. We conclude that PKC may have a central role in modulating hypoxic pulmonary vasoconstriction, and further elucidation of its involvement may lead to therapeutic application. hypoxia; pulmonary hypertension; inflammation; tumor necrosis factor HYPOXIA FREQUENTLY OCCURS in conjunction with inflammatory conditions such as the acute respiratory distress syndrome or severe pulmonary infection. In the absence of infection, an inflammatory response may occur following acute injuries such as ischemia-reperfusion and hypoxia (4, 17). Although much data exist regarding the systemic release of proinflammatory cytokines following acute injury, little is known about the local tissue production of inflammatory cytokines. It is now known that cardiomyocytes generate an intense inflammatory response following acute ischemia-reperfusion injury (14), and these inflammatory mediators contribute to myocardial dysfunction. Therefore, it is possible that hypoxia may stimulate inflammatory cytokine expression from the pulmonary artery (PA) tissue itself.The signaling pathways involved in generating an acute inflammatory response involve mediators such as protein kinase C (PKC). PKC is a regulatory enzyme activated by numerous effectors, growth factors, hormones, and ne...