Ϫ -specific spin trap tiron on vasoconstrictor reactivity to depolarizing concentrations of KCl in isolated lungs and Ca 2ϩ -permeabilized, pressurized small pulmonary arteries from control and CH (4 wk at 0.5 atm) rats. Using the same vessel preparation, we examined effects of CH on KCl-dependent VSM membrane depolarization and O 2 Ϫ generation using sharp electrodes and the fluorescent indicator dihydroethidium, respectively. Finally, using a RhoA-GTP pull-down assay, we investigated the contribution of O 2 Ϫ to depolarization-induced RhoA activation. We found that CH augmented KCl-dependent vasoconstriction through a Ca 2ϩ sensitization mechanism that was inhibited by HA-1077 and tiron. Furthermore, CH caused VSM membrane depolarization that persisted with increasing concentrations of KCl, enhanced KClinduced O 2 Ϫ generation, and augmented depolarization-dependent RhoA activation in a O 2 Ϫ -dependent manner. These findings reveal a novel mechanistic link between VSM membrane depolarization, O 2 Ϫ generation, and RhoA activation that mediates enhanced myofilament Ca 2ϩ sensitization and pulmonary vasoconstriction following CH. pulmonary hypertension; Rho kinase; membrane potential CHRONIC HYPOXIA (CH) associated with high-altitude exposure and chronic obstructive pulmonary disease leads to elevated pulmonary vascular resistance and pulmonary hypertension. The vasoconstrictor component of CH-induced pulmonary hypertension is mediated, in part, by generalized hypoxic pulmonary vasoconstriction resulting from global airway hypoxia. However, hypoxic vasoreactivity is largely blunted following CH (31), suggesting that additional mechanisms provide a major contribution to the development of pulmonary hypertension. Findings that basal tone is elevated in pulmonary arterial rings from CH rats (34, 54) and that vasodilators substantially lower pulmonary vascular resistance in CH rats acutely returned to a normoxic environment (34) provide further evidence that the vasoconstrictor response to CH is multifaceted and a primary determinant of pulmonary hypertension. Consistent with these findings, recent studies from our laboratory and others have identified an effect of CH on induction of myogenic tone in small pulmonary arteries (3) and enhancement of agonist-dependent vasoconstriction through a RhoA/ Rho kinase (ROCK)-mediated myofilament Ca 2ϩ sensitization pathway (14,20,34,54), responses that may contribute to the pathogenesis of pulmonary hypertension in this setting.RhoA is a small GTP-binding protein that is activated in response to stimulation of many G protein-coupled receptors (45). However, RhoA-mediated vascular smooth muscle (VSM) Ca 2ϩ sensitization can also be elicited by depolarizing stimuli (33,41,50,55). Membrane potential (E m ) depolarization-induced VSM contraction appears to be mediated, in part, via Ca 2ϩ -dependent stimulation of RhoA/ROCK (33, 41, 50, 55), thus establishing a dual role for Ca 2ϩ in regulation of VSM contraction: 1) activation of myosin light chain (MLC) kinase and 2) RhoA-media...