Barman, Scott A., Shu Zhu, Guichan Han, and Richard E. White. cAMP activates BK Ca channels in pulmonary arterial smooth muscle via cGMP-dependent protein kinase. Am J Physiol Lung Cell Mol Physiol 284: L1004-L1011, 2003. First published January 24, 2003 10.1152/ajplung.00295. 2002The signal transduction mechanisms defining the role of cyclic nucleotides in the regulation of pulmonary vascular tone is currently an area of great interest. Normally, signaling mechanisms that elevate cAMP and guanosine-3Ј,5Ј-cyclic monophosphate (cGMP) maintain the pulmonary vasculature in a relaxed state. Modulation of the largeconductance, calcium-and voltage-activated potassium (BK Ca) channel is important in the regulation of pulmonary arterial pressure, and inhibition (closing) of the BK Ca channel has been implicated in the development of pulmonary hypertension. Accordingly, studies were done to determine the effect of cAMP-elevating agents on BK Ca channel activity using patch-clamp studies in pulmonary arterial smooth muscle cells (PASMC) of the fawn-hooded rat (FHR), a recognized animal model of pulmonary hypertension. Forskolin (10 M), a stimulator of adenylate cyclase and an activator of cAMP-dependent protein kinase (PKA), and 8-4-chlorophenylthio (CPT)-cAMP (100 M), a membrane-permeable derivative of cAMP, opened BK Ca channels in single FHR PASMC. Treatment of FHR PASMC with 300 nM KT5823, a selective inhibitor of cGMP-dependent protein kinase (PKG) activity inhibited the effect of both forskolin and CPT-cAMP. In contrast, blocking PKA activation with 300 nM KT5720 had no effect on forskolin or CPT-cAMP-stimulated BKCa channel activity. These results indicate that cAMP-dependent vasodilators activate BKCa channels in PASMC of FHR via PKG-dependent and PKA-independent signaling pathways, which suggests cross-activation between cyclic nucleotide-dependent protein kinases in pulmonary arterial smooth muscle and therefore, a unique signaling pathway for cAMP-induced pulmonary vasodilation.high-conductance calcium-and voltage-activated potassium channel; cAMP-dependent protein kinase; cross-activation SIGNAL TRANSDUCTION MECHANISMS defining the role of cyclic nucleotides in the modulation of vascular tone is currently an area of great interest. Agents that relax vascular smooth muscle via activation of adenylate cyclase, such as forskolin, are thought to elicit their biological effects by increasing the intracellular concentration of cAMP (16,17,34). Although the exact mechanism by which cAMP causes vascular relaxation is not known, it is believed that activation of PKA is involved (7,17,18). In addition to cAMP-mediated vascular relaxation, guanosine-3Ј,5Ј-cyclic monophosphate (cGMP) has been reported to elicit vasodilatation by activation of cGMP-dependent PKG (6, 23). In the pulmonary circulation, cGMP and cAMP have been implicated as mediators of smooth muscle vasodilatation (13,15,16,24), and in ovine pulmonary vascular smooth muscle, it has recently been reported that pulmonary arteries are more sensitive to relaxa...