January 29, 2003; 10.1152/ajpcell.00508.2002Signaling mechanisms for stretch-dependent growth and differentiation of vascular smooth muscle were investigated in mechanically loaded rat portal veins in organ culture. Stretch-dependent protein synthesis was found to depend on endogenous release of angiotensin II. Autoradiography after [ 35 S]methionine incorporation revealed stretch-dependent synthesis of several proteins, of which SM22 and actin were particularly prominent. Inhibition of RhoA activity by cellpermeant C3 toxin increased tissue mechanical compliance and reduced stretch-dependent extracellular signal-regulated kinase (ERK)1/2 activation, growth, and synthesis of actin and SM22, suggesting a role of the actin cytoskeleton. In contrast, inhibition of Rho-associated kinase by Y-27632 did not reduce ERK1/2 phosphorylation or actin and SM22 synthesis and did not affect tissue mechanical compliance but still inhibited overall growth. The actin polymerization inhibitors latrunculin B and cytochalasin D both inhibited growth and caused increased tissue compliance. Whereas latrunculin B concentration-dependently reduced actin and SM22 synthesis, cytochalasin D did so at low (10 Ϫ8 M) but not at high (10 Ϫ6 M) concentration. The results show that stretch stabilizes the contractile smooth muscle phenotype. Stretch-dependent differentiation marker expression requires an intact cytoskeleton for stretch sensing, control of protein expression via the level of unpolymerized G-actin, or both.SM22; cytoskeleton; rat portal vein; RhoA; hypertension THE MECHANICAL STRESS IMPOSED on the vascular wall by the intraluminal blood pressure is critical for regulating its growth and phenotypic differentiation, as shown by a massive body of experimental and clinical evidence. The contractile phenotype of the smooth muscle cells in the vessel media, characterized by contractile ability and little tendency to proliferation, is marked by the expression of several smooth muscle-specific proteins, including among others SM22, calponin, hcaldesmon, ␣-actin, and smooth muscle myosin heavy chain (27). These are decreased in cell culture and in cells reacting to injury and inflammatory mediators in the early atherosclerotic process (28). Understanding of the mechanisms maintaining cellular differentiation and of the influence on them by mechanical stress may thus clarify processes involved not only in hypertension but also in the development of atherosclerotic lesions, as well as suggest new approaches for preventing vascular disease.Veins are exposed to lower intraluminal pressure than arteries but show considerable pressure-induced growth, as demonstrated by the hypertrophy, and often rapidly progressing atherosclerosis, of venous grafts exposed to arterial pressure (30). One vessel that has been extensively investigated is the rat portal vein, in which elevated intraluminal pressure in vivo over a few days causes hypertrophy and increased contractility (16, 21). In vitro, portal venous strips kept in organ culture under an applied l...