Polyamines are required for the early phase of mucosal restitution that occurs as a consequence of epithelial cell migration. Our previous studies have shown that polyamines increase RhoA activity by elevating cytosolic free Ca 2ϩ concentration ([Ca 2ϩ ]cyt) through controlling voltage-gated K ϩ channel expression and membrane potential (Em) during intestinal epithelial restitution. The current study went further to determine whether increased RhoA following elevated [Ca 2ϩ ]cyt activates Rho-kinase (ROK/ROCK) resulting in myosin light chain (MLC) phosphorylation. Studies were conducted in stable Cdx2-transfected intestinal epithelial cells (IECCdx2L1), which were associated with a highly differentiated phenotype. Reduced [Ca 2ϩ ]cyt, by either polyamine depletion or exposure to the Ca 2ϩ -free medium, decreased RhoA protein expression, which was paralleled by significant decreases in GTP-bound RhoA, ROCK-1, and ROK␣ proteins, Rho-kinase activity, and MLC phosphorylation. The reduction of [Ca 2ϩ ]cyt also inhibited cell migration after wounding. Elevation of [Ca 2ϩ ]cyt induced by the Ca 2ϩ ionophore ionomycin increased GTP-bound RhoA, ROCK-1, and ROK␣ proteins, Rho-kinase activity, and MLC phosphorylation. Inhibition of RhoA function by a dominant negative mutant RhoA decreased the Rho-kinase activity and resulted in cytoskeletal reorganization. Inhibition of ROK/ROCK activity by the specific inhibitor Y-27632 not only decreased MLC phosphorylation but also suppressed cell migration. These results indicate that increase in GTP-bound RhoA by polyamines via [Ca 2ϩ ]cyt can interact with and activate Rho-kinase during intestinal epithelial restitution. Activation of Rho-kinase results in increased MLC phosphorylation, leading to the stimulation of myosin stress fiber formation and cell migration. mucosal injury; intracellular calcium; Cdx2 gene; dominant negative mutant RhoA; cytoskeleton THE SMALL GTPase Rho functions as a molecular switch of various cellular processes by shuttling between the inactive GDP-bound form and the active GTP-bound form (11,14). Rho exerts its distinct actions through interactions with specific targets. Recently, numerous effector molecules of Rho have been identified, including protein kinase N (PKN) (3, 55), ROK/ROCK (20, 40), the myosin-binding subunit of myosin phosphatase (15), p140mDia (56), citron and citron-kinase (19), rhophilin (55), rhotekin (35), and rectifier potassium channel (4). Among these effectors, ROK/ROCK is characterized as a downstream target of Rho and has been implicated in the regulation of cell shape and dynamic reorganization of cytoskeletal proteins (1,13,25,37,44,47). ROK/ROCK is commonly divided into two isoforms, ROCK-I and ROCK-II, corresponding to ROK and ROK␣, respectively. The active form of Rho interacts with the COOH-terminal portion of the putative coiled-coil domain of ROK/ROCK and activates its phosphotransferase activity (20). Increasing evidence indicates that activated ROK/ROCK regulates the phosphorylation of myosin light chain (...