Increased lung vascular permeability, the consequence of endothelial cell (EC) barrier dysfunction, is a cardinal feature of inflammatory conditions such as acute lung injury and sepsis and leads to lethal physiological dysfunction characterized by alveolar flooding, hypoxemia, and pulmonary edema. We previously demonstrated that the nonmuscle myosin light chain kinase isoform (nmMLCK) plays a key role in agonist-induced pulmonary EC barrier regulation. The present study evaluated posttranscriptional regulation of MYLK expression, the gene encoding nmMLCK, via 39 untranslated region (UTR) binding by microRNAs (miRNAs) with in silico analysis identifying hsa-miR-374a, hsa-miR-374b, hsa-miR-520c-3p, and hsa-miR-1290 as miRNA candidates. We identified increased MYLK gene transcription induced by TNF-a (24 h; 4.7 6 0.45 fold increase [FI]), LPS (4 h; 2.85 6 0.15 [FI]), and 18% cyclic stretch (24 h; 4.6 6 0.24 FI) that was attenuated by transfection of human lung ECs with mimics of hsa-miR-374a, hsa-miR-374b, hsa-miR-520c-3p, or hsa-miR-1290 (20-80% reductions by each miRNA). TNF-a, LPS, and 18% cyclic stretch each increased the activity of a MYLK 39UTR luciferase reporter (2.5-7.0 FI) with induction reduced by mimics of each miRNA (30-60% reduction). MiRNA inhibitors (antagomirs) for each MYLK miRNA significantly increased 39UTR luciferase activity (1.2-2.3 FI) and rescued the decreased MLCK-39UTR reporter activity produced by miRNA mimics (70-110% increases for each miRNA; P , 0.05). These data demonstrate that increased human lung EC expression of MYLK by bioactive agonists (excessive mechanical stress, LPS, TNF-a) is regulated in part by specific miRNAs (hsa-miR-374a, hsamiR-374b, hsa-miR-520c-3p, and hsa-miR-1290), representing a novel therapeutic strategy for reducing inflammatory lung injury.Keywords: miRNA; MLCK; acute lung injury; ventilator-induced lung injury; endothelial cellsThe pulmonary vascular endothelium serves as a semiselective barrier between circulating blood and surrounding tissues, with endothelial cell (EC) integrity being critical to tissue and organ function. Disruption of this vascular barrier induced by inflammatory agonists, such as IL-1b, TNF-a, and LPS, and by excessive mechanical stress, such as produced by shear stress or mechanical ventilation, leads to potentially lethal physiological dysfunction, such as hypoxemia and severe lung edema, which are hallmarks of acute inflammatory lung injury (ALI) (1-3). We previously demonstrated that MYLK, the gene encoding the critical cytoskeletal effector myosin light chain kinase (MLCK), is a compelling candidate gene in inflammatory lung injuries with critical modulation of vascular EC barrier integrity such as ALI and asthma (4-6). We cloned the full-length human MYLK gene encoding a novel nonmuscle MLCK isoform (nmMLCK) (210 kD) (7) and several nmMLCK splice variants that are also highly expressed in endothelium (8) and convincingly demonstrated nmMLCK as a multifunctional enzyme driving cytoskeletal participation in vascular barrier disrup...