The cyclic guanosine monophosphate (cGMP)/cGMP-dependent protein kinase type I (cGKI) pathway regulates many cellular functions. The current study shows that 8-Br-cGMP stimulates the number of attached primary but not that of subcultured murine vascular smooth muscle cells (VSMCs). These effects of 8-Br-cGMP require the presence of cGKI. In agreement with previous studies, cGKI inhibited the number of cells in repeatedly passaged murine VSMCs. Activation of the cGMP/cGKI pathway in freshly isolated primary VSMCs slightly decreased apoptosis and strongly increased cell adhesion. The stimulation of cell adhesion by cGKI involves an inhibition of the RhoA/Rho kinase pathway and increased exposure of  1 and  3 integrins on the cell surface. Together, these results identify a novel proadhesive function of cGMP/cGKI signaling in primary VSMCs and suggest that the opposing effects of this pathway on VSMC number depend on the phenotypic context of the cells.
INTRODUCTIONThe nitric oxide (NO)/cyclic guanosine monophosphate (cGMP)/cGMP-dependent protein kinase type I (cGKI) pathway regulates important functions in many cell types, including vascular smooth muscle cells (VSMCs) Lohmann and Walter, 2005;Hofmann et al., 2006;Lincoln et al., 2006). In addition to its potent vasorelaxant properties, it has been associated with vascular proliferative diseases, such as atherosclerosis and restenosis (von der Leyen et al., 1995;Janssens et al., 1998;Varenne et al., 1998;von der Thusen et al., 2004). Several studies (an excellent summary is given in Lincoln et al., 2006) suggested that activation of cGKI-dependent pathways has antimitogenic effects in smooth muscle cells (SMCs) in culture (Garg and Hassid, 1989;Boerth et al., 1997;Chiche et al., 1998;Brophy et al., 2002) and might be vasculoprotective in the intact animal (Anderson et al., 2000;Sinnaeve et al., 2002). Despite a large body of evidence that active cGKI acts antiproliferative, Hassid and coworkers reported that NO/ cGMP amplified the proliferative response of fibroblast growth factor-2 in primary VSMCs (Hassid et al., 1994). These results were supported by a report that NO and cGMP analogues activated rather than inhibited the mitogen-activated protein (MAP) kinase pathway in freshly isolated rat aortic VSMCs (Komalavilas et al., 1999). An increased MAP kinase activity has been associated with an increase in cell proliferation. The antiproliferative effect of cGMP/cGKI signaling could not be confirmed by a study on atherosclerosis in an in vivo mouse model (Wolfsgruber et al., 2003). This study suggested a proatherogenic role of VSMC cGKI. Furthermore, the recent analysis of several murine models for restenosis did not show significant effects of the presence or absence of cGKI in VSMCs on restenosis (Lukowski et al., 2008).Previous in vitro and in vivo studies led to the hypothesis that cGKI may affect different functions in primary and cultured VSMCs. A loss or reduction of cGKI, as it may occur during passage of VSMCs, is associated with the development of a syn...