Hicks K, O'Neil RG, Dubinsky WS, Brown RC. TRPC-mediated actin-myosin contraction is critical for BBB disruption following hypoxic stress. Am J Physiol Cell Physiol 298: C1583-C1593, 2010. First published February 17, 2010 doi:10.1152/ajpcell.00458.2009.-Hypoxia-induced disruption of the blood-brain barrier (BBB) is the result of many different mechanisms, including alterations to the cytoskeleton. In this study, we identified actin-binding proteins involved in cytoskeletal dynamics with quantitative proteomics and assessed changes in subcellular localization of two proteins involved in actin polymerization [vasodilator-stimulated phosphoprotein (VASP)] and cytoskeleton-plasma membrane cross-linking (moesin). We found significant redistribution of both VASP and moesin to the cytoskeletal and membrane fractions of BBB endothelial cells after 1-h hypoxic stress. We also investigated activation of actin-myosin contraction through assessment of phosphorylated myosin light chain (pMLC) with confocal microscopy. Hypoxia caused a rapid and transient increase in pMLC. Blocking MLC phosphorylation through inhibition of myosin light chain kinase (MLCK) with ML-7 prevented hypoxiainduced BBB disruption and relocalization of the tight junction protein ZO-1. Finally, we implicate the transient receptor potential (TRP)C family of channels in mediating these events since blockade of TRPC channels and the associated calcium influx with SKF-96365 prevents hypoxia-induced permeability changes and the phosphorylation of MLC needed for actin-myosin contraction. These data suggest that hypoxic stress triggers alterations to cytoskeletal structure that contribute to BBB disruption and that calcium influx through TRPC channels contributes to these events. cation channels; endothelial cell; stroke; blood-brain barrier; calcium; transient receptor potential C channels BREAKDOWN of the blood-brain barrier (BBB) contributes to edema formation, infarct size, and brain damage following ischemic stroke (3,10,36,39). There are many factors contributing to BBB disruption in ischemia, including generation of oxygen radicals (24, 56, 58), nitric oxide (22, 42), production of vascular endothelial growth factor (67, 69), and changes in intracellular calcium (5,26,35). Under normal conditions, the integrity of the BBB is maintained by tight junction complexes between adjacent brain capillary endothelial cells (2). Changes in BBB permeability are correlated with changes in tight junction structure (33,45,51,59). After hypoxia, this increased permeability is associated with disruptions in the subcellular localization of the tight junction proteins zonula occludens-1 (ZO-1) (43) and occludin (5).A major contributing factor to disruption of the BBB after hypoxia is contraction of the actin-myosin cytoskeleton (23). A recent study demonstrated that inhibition of actin-myosin contraction protected the BBB after hypoxic stress (34); hypoxiainduced BBB disruption was prevented by inhibition of myosin light chain kinase (MLCK), by inhibition of NADPH-oxida...