A hallmark of smooth muscle cells is their ability to adapt their functions to
meet temporal and chronic fluctuations in their demands. These functions include
force development and growth. Understanding the mechanisms underlying the
functional plasticity of smooth muscles, the major constituent of organ walls,
is fundamental to elucidating pathophysiological rationales of failures of organ
functions. Also, the knowledge is expected to facilitate devising innovative
strategies that more precisely monitor and normalize organ functions by
targeting individual smooth muscles. Evidence has established a current paradigm
that the myosin light chain phosphatase (MLCP) is a master regulator of smooth
muscle responsiveness to stimuli. Cellular MLCP activity is negatively and
positively regulated in response to G-protein activation and cAMP/cGMP
production, respectively, through the MYPT1 regulatory subunit and an endogenous
inhibitor protein named CPI-17. In this article we review the outcomes from two
decade of research on the CPI-17 signaling and discuss emerging paradoxes in the
view of signaling pathways regulating smooth muscle functions through MLCP.