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Role of rho kinase in the functional and dysfunctional tonic smooth muscles
Márcio A F de Godoy1, Satish Rattan
1Department of Medicine, Division of Gastroenterology and Hepatology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA, USA.
Abstract:
Tonic smooth muscles play pivotal roles in the pathophysiology of debilitating diseases of the gastrointestinal and cardiovascular systems. Tonic smooth muscles differ from phasic smooth muscles in the ability to spontaneously develop myogenic tone. This ability has been primarily attributed to the local production of specific neurohumoral substances that can work in conjunction with calcium sensitization via signal transduction events associated with the Ras homolog gene family, member A (RhoA)/Rho-associated, coiled-coil containing protein kinase 2 (ROCK II) pathways. In this article, we discuss the molecular pathways involved in the myogenic properties of tonic smooth muscles, particularly the contribution of protein kinase C vs the RhoA/ROCK II pathway in the genesis of basal tone, pathophysiology and novel therapeutic approaches for certain gastrointestinal and cardiovascular diseases. Emerging evidence suggests that manipulation of RhoA/ROCK II activity through inhibitors or silencing of RNA interface techniques could represent a new therapeutic approach for various gastrointestinal and cardiovascular diseases.
Insights
Tonic smooth muscles generate myogenic tone via RhoA/ROCK II pathways, crucial in gastrointestinal and cardiovascular diseases. Targeting these pathways offers novel therapeutic strategies for these conditions.
Area of Science:
- Physiology
- Molecular Biology
- Pharmacology
Background:
- Tonic smooth muscles are vital in gastrointestinal and cardiovascular systems, differing from phasic muscles by spontaneous myogenic tone generation.
- Myogenic tone is linked to neurohumoral substances and calcium sensitization, involving the Ras homolog gene family, member A (RhoA)/Rho-associated, coiled-coil containing protein kinase 2 (ROCK II) pathways.
- Dysfunction in tonic smooth muscles contributes to serious gastrointestinal and cardiovascular diseases.
Purpose of the Study:
- To elucidate the molecular pathways governing tonic smooth muscle myogenic properties.
- To explore the roles of protein kinase C and the RhoA/ROCK II pathway in basal tone and disease pathophysiology.
- To discuss potential novel therapeutic strategies targeting these pathways for gastrointestinal and cardiovascular diseases.
Main Methods:
- Review of molecular signaling pathways in tonic smooth muscle.
- Analysis of the contribution of RhoA/ROCK II and protein kinase C in myogenic tone.
- Discussion of emerging therapeutic approaches, including RhoA/ROCK II inhibitors and RNA interference.
Main Results:
- The RhoA/ROCK II pathway is a key contributor to basal tone and myogenic properties in tonic smooth muscles.
- Protein kinase C also plays a role, with its interplay with RhoA/ROCK II influencing smooth muscle function.
- Evidence suggests RhoA/ROCK II signaling is implicated in the pathophysiology of gastrointestinal and cardiovascular diseases.
Conclusions:
- Understanding the RhoA/ROCK II pathway's role in tonic smooth muscle is critical for addressing related diseases.
- Targeting RhoA/ROCK II activity presents a promising therapeutic avenue for gastrointestinal and cardiovascular disorders.
- Further research into RhoA/ROCK II modulation could lead to effective treatments for debilitating conditions.
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