Hyvelin, Jean-Marc, Clare O'Connor, and Paul McLoughlin. Effect of changes in pH on wall tension in isolated rat pulmonary artery: role of the RhoA/Rho-kinase pathway. Am J Physiol Lung Cell Mol Physiol 287: L673-L684, 2004. First published February 6, 2004 10.1152/ajplung.00331.2003 are resistant to the vasodilator effects of extracellular acidosis in systemic vessels; the mechanism underlying this difference between systemic and pulmonary circulations has not been elucidated. We hypothesized that RhoA/Rho-kinase-mediated Ca 2ϩ sensitization pathway played a greater role in tension development in pulmonary than in systemic vascular smooth muscle and that this pathway was insensitive to acidosis. In arterial rings contracted with the ␣ 1-agonist phenylephrine (PE), the Rho-kinase inhibitor Y-27632 (Յ3 M) induced greater relaxation in precontracted PA rings than in aortic rings. In PA rings stimulated by PE, the activation of RhoA was greater than in aorta. Normocapnic acidosis (NA) induced a smaller relaxation in precontracted PA than in aorta. However, in the presence of nifedipine and thapsigargin, when PE-induced contraction was predominantly mediated by Rho-kinase, the relaxant effect of NA was reduced and similar in both vessel types. Furthermore, in the presence of Y-27632, NA induced a greater relaxation in both PA and aorta, which was similar in both vessels. Finally, in ␣-toxin-permeabilized smooth muscle, PE-induced contraction at constant Ca 2ϩ activity was inhibited by Y-27632 and unaffected by acidosis. These results indicate that Ca 2ϩ sensitization induced by the RhoA/Rho-kinase pathway played a greater role in agonist-induced vascular smooth muscle contraction in PA than in aorta and that tension mediated by this pathway was insensitive to acidosis. The predominant role of the RhoA/Rho-kinase pathway in the pulmonary vasculature may account for the resistance of this circulation to the vasodilator effect of acidosis observed in the systemic circulation. vascular smooth muscle; acidosis; RhoA; calcium sensitization; Y-27632 NORMAL GAS EXCHANGE in the lung depends on the appropriate regulation of pulmonary blood flow to ensure matching of regional blood flow to ventilation to provide better gas exchanges. Hypoxic pulmonary vasoconstriction (HPV) is one of the main functional properties of the pulmonary circulation, which enables this matching. A second functional specialization seen in the pulmonary circulation is a resistance to the vasodilator effect of extracellular acidosis (5) in contrast to the potent vasodilator effect of this stimulus in the systemic circulation (1). Reduction in pH and elevation of PCO 2 in pulmonary arterial (PA) blood is observed in acute and chronic lung diseases. This resistance to acidosis plays an important role in ventilation-perfusion matching in the lung in such diseases, since a vasodilator response to hypercapnic acidosis would antagonize hypoxic vasoconstriction in poorly ventilated regions of the lung, thus diverting blood to these regions and impairing norma...