(37,40,48,51,52,54,56,62,72,77,82). The increased [Ca 2ϩ ] i leads in turn to calmodulin-dependent activation of myosin light chain (MLC) kinase (MLCK), MLCK-dependent phosphorylation of the 20-kDa regulatory MLC (P-MLC 20 ), P-MLC 20 -dependent activation of the actin-myosin interaction, and PASMC contraction (38,42,74,75,83 ] i during the slowly developing phase 2 contraction (52). Endothelial denudation did not alter the [Ca 2ϩ ] i response to hypoxia but abolished phase 2 contraction (51). These results suggest that phase 2 contraction resulted from an increase in PASMC Ca 2ϩ sensitivity and that this sensitization was due to release of factors from endothelial cells, rather than direct effects of hypoxia on smooth muscle. The identities of these factors remain unknown; however, antagonists of endothelin-1 (ET-1) had no effect on phase 2 HPV in endothelium-intact IPA, suggesting that ET-1 played no role (51). Although the nitric oxide/guanylate cyclase/protein kinase G (NO/GC/PKG) transduction pathway can alter Ca 2ϩ sensitivity in pulmonary arteries (27, 57), its effect on Ca 2ϩ sensitivity during acute hypoxia has not been examined.Consistent with endothelium dependence, hypoxia did not change steady-state isometric force achieved during normoxia at [Ca 2ϩ ] i ϭ 3-1,000 nM in endothelium-denuded rat extrapulmonary arteries permeabilized with -escin and exposed to phorbol-12,13-dibutyrate, a protein kinase C activator, at 30°C (58); however, an effect of hypoxia may have been precluded in these experiments by use of proximal pulmonary arteries, which have weak contractile responses to hypoxia (39,40,61,65); phorbol-12,13-dibutyrate, which enhances Ca 2ϩ sensitivity on its own (30, 59); and low temperature, which inhibits HPV (4,21,36). Hypoxia also did not alter the relation between increases in [Ca 2ϩ ] i and decreases in cell length induced by the Ca 2ϩ ionophore 4-bromo-A-23187 in freshly isolated porcine distal PASMC at 37°C (62); however, since these cells were variably attached to glass coverslips, uneven loading among cells and the absence of isotonic conditions may have obscured possible effects of hypoxia.Many stimuli increase myofilament Ca 2ϩ sensitivity by decreasing activity of MLC phosphatase (MLCP), the enzyme responsible for dephosphorylation and inactivation of P-MLC 20 . Decreased MLCP activity leads to [Ca 2ϩ ] i -independent increases in P-MLC 20 concentration ([P-MLC 20 ]), actin-myosin interaction, and contraction (66), and can be achieved by upregulation of signals causing MLCP inhibition, such as those generated by Rho kinase (31, 66), or downregulation of signals causing MLCP activation, such as those generated by NO/GC/PKG (35,66). Among these possibilities, Rho kinase has been the most studied in PASMC during hypoxia.