Tonic physiological activity of RhoA/Rho kinase contributes to the maintenance of penile flaccidity through its involvement in the Ca 2ϩ sensitization of erectile tissue smooth muscle. The present study hypothesized that Rho kinase is also involved in the modulation of Ca 2ϩ entry induced by ␣1-adrenoceptor stimulation of penile arteries. Rat penile arteries were mounted in microvascular myographs for simultaneous measurements of intracellular Ca 2ϩ ([Ca 2ϩ ]i) and force. The Rho-kinase inhibitor Y-27632 markedly reduced norepinephrine-mediated electrically induced contractions and the increases in both [Ca 2ϩ ]i and tension elicited by the ␣1-adrenoceptor agonist phenylephrine (Phe). In contrast, the protein kinase C (PKC) inhibitor Ro-31-8220 reduced tension without altering the Phe-induced increase in [Ca 2ϩ ]i. In the presence of nifedipine, Y-27632 still inhibited the non-L-type Ca 2ϩ signal and blunted Phe contraction. Y-27632 did not impair the capacitative Ca 2ϩ entry evoked by store depletion with cyclopiazonic acid but largely reduced the Ba 2ϩ influx stimulated by Phe in fura-2 AM-loaded arteries. The addition of Y-27632 to arteries depolarized with high KCl markedly reduced tension without changing [Ca 2ϩ ]i. In ␣-toxin-permeabilized penile arteries stimulated with threshold Ca 2ϩ concentrations, Y-27632 inhibited the sensitization induced by either guanosine 5Ј-O-(3-thiotriphosphate) (GTP␥S) or Phe in the presence of GTP␥S. However, Y-27632 failed to alter contractions induced by a maximal concentration of free Ca 2ϩ . These results suggest that Rho kinase, besides its contribution to the Ca 2ϩ sensitization of the contractile proteins, is also involved in the regulation of Ca 2ϩ entry through a nonselective cation channel activated by ␣1-adenoceptor stimulation in rat penile arteries. penile arteries; calcium entry; nonselective cation channels; calcium sensitization PENILE ERECTION OCCURS when nitric oxide (NO) released from nerves and endothelium upon sexual stimulation relaxes smooth muscle of the corpus cavernosum (CC) and penile arteries, leading to blood filling of the sinuses and restriction of venous outflow (2, 25). During the flaccid state, erectile tissue is contracted by the release of neural and local factors, such as norepinephrine, neuropeptide Y, endothelin-1, and prostanoids that increase smooth muscle cytosolic Ca 2ϩ ([Ca 2ϩ ] i ) and/or Ca 2ϩ sensitization through activation G protein-coupled receptors (2,20,25). Erectile dysfunction (ED), considered as a sign of early endothelial dysfunction and cardiovascular disease, is three times more prevalent in men with Types 1 and 2 diabetes than in men without diabetes (3, 33). About 50% of these patients exhibit suboptimal responses to oral phophodiestarase 5 inhibitors, such as sildenafil (33), that enhance the NOmediated vasodilatation leading to penile erection. As an alternative, inhibition of the Rho/Rho-kinase signaling pathway has been proposed as a potential molecular target for the development of novel therapies for ED si...