The physiological relevance of smooth muscle myosin isoforms SM1 and SM2 has not been understood. In this study we generated a mouse model specifically deficient in SM2 myosin isoform but expressing SM1, using an exon-specific gene targeting strategy. The SM2 homozygous knockout (SM2 ؊/؊ ) mice died within 30 days after birth, showing pathologies including segmental distention of alimentary tract, retention of urine in renal pelvis, distension of bladder, and the development of end-stage hydronephrosis. In contrast, the heterozygous (SM2 ؉/؊ ) mice appeared normal and reproduced well. In SM2 ؊/؊ bladder smooth muscle the loss of SM2 myosin was accompanied by a concomitant down-regulation of SM1 and a reduced number of thick filaments. However, muscle strips from SM2 ؊/؊ bladder showed increased contraction to K ؉ depolarization or in response to M3 receptor agonist Carbachol. An increase of contraction was also observed in SM2 ؊/؊ aorta. However, the SM2 ؊/؊ bladder was associated with unaltered regulatory myosin light chain (MLC20) phosphorylation. Moreover, other contractile proteins, such as ␣-actin and tropomyosin, were not altered in SM2 ؊/؊ bladder. Therefore, the loss of SM2 myosin alone could have induced hypercontractility in smooth muscle, suggesting that distinctly from SM1, SM2 may negatively modulate force development during smooth muscle contraction. Also, because SM2 ؊/؊ mice develop lethal multiorgan dysfunctions, we propose this regulatory property of SM2 is essential for normal contractile activity in postnatal smooth muscle physiology.contractility ͉ myofilament ͉ isoform-specific ͉ gene-knockout S mooth muscle myosin heavy chain (SMHC) is the motor protein that powers smooth muscle contraction (1-4). We have previously shown that a single SMHC gene encodes 4 different isoforms (SMA, SMB, SM1, and SM2), and their expression is restricted to the smooth muscle lineages, including visceral and vascular smooth muscle tissues (5-8). SMA and SMB isoforms differ by 7 aa in the S1 head region, and the SMB isoform containing the 7-aa insertion has higher myosin ATPase activity (9-11). By exon-specific gene targeting, we earlier reported that loss of SMB affects smooth muscle contractility and force velocity (12, 13). In a similar manner, alternate splicing at the 3Ј end of the SMHC gene produces SM1 and SM2 isoforms; SM2 (200 kDa) contains a unique 9-aa sequence at the carboxyl terminus, whereas SM1 (204 kDa) has a 43-aa nonhelical tail region (5, 7). Interestingly, the C-terminal amino acid sequence that specifies SM1 and SM2 myosin isoform is highly conserved across all vertebrates.During embryonic development, SM1 appears early by 10.5 days postcoitum, whereas SM2 appears late around birth (14). The ratio of SM2/SM1 has been found to be tissue-specific and altered in disease states. Decreased expression of SM2 has been found in primary pulmonary hypertension, neointimal smooth cells of injured or atherosclerotic vessels, and obstructive bladder disease (15-20). Also, there were studies suggesting th...