Vascular smooth muscle (VSM) plays an important role in maintaining
vascular tone. In addition to Ca2+-dependent myosin light
chain (MLC) phosphorylation, protein kinase C (PKC) is a major regulator of VSM
function. PKC is a family of conventional Ca2+-dependent
α, β, and γ, novel Ca2+-independent
δ, ε, θ, and η, and atypical ξ, and
ι/λ isoforms. Inactive PKC is mainly cytosolic, and upon
activation it undergoes phosphorylation, maturation and translocation to the
surface membrane, the nucleus, endoplasmic reticulum, and other cell organelles;
a process facilitated by scaffold proteins such as RACKs. Activated PKC
phosphorylates different substrates including ion channels, pumps and nuclear
proteins. PKC also phosphorylates CPI-17 leading to inhibition of MLC
phosphatase, increased MLC phosphorylation and enhanced VSM contraction. PKC
could also initiate a cascade of protein kinases leading to phosphorylation of
the actin-binding proteins calponin and caldesmon, increased actin-myosin
interaction and VSM contraction. Increased PKC activity has been associated with
vascular disorders including ischemia-reperfusion injury, coronary artery
disease, hypertension, and diabetic vasculopathy. PKC inhibitors could test the
role of PKC in different systems, and could reduce PKC hyperactivity in vascular
disorders. First generation PKC inhibitors such as staurosporine and
chelerythrine are not very specific. Isoform-specific PKC inhibitors such as
ruboxistaurin have been tested in clinical trials. Target-delivery of PKC
pseudosubstrate inhibitory peptides and PKC siRNA may be useful in localized
vascular disease. Further studies of PKC and its role in VSM should help design
isoform-specific PKC modulators that are experimentally potent and clinically
safe to target PKC in vascular disease.