Albinsson S, Hellstrand P. Integration of signal pathways for stretch-dependent growth and differentiation in vascular smooth muscle. Am J Physiol Cell Physiol 293: C772-C782, 2007. First published May 16, 2007; doi:10.1152/ajpcell.00622.2006.-The vascular smooth muscle phenotype is regulated by environmental factors, such as mechanical forces, that exert effects on signaling to differentiation and growth. We used the mouse portal vein in organ culture to investigate stretch-dependent activation of Akt, ERK, and focal adhesion kinase (FAK), which have been suggested to be involved in the regulation of stretch-dependent protein synthesis. The role of actin polymerization in these signaling events was examined using the actin-stabilizing agent jasplakinolide. Stretch caused a biphasic activation of FAK at 5-15 min and 24 -72 h, which may reflect first a direct phosphorylation of preexisting focal adhesions followed by a rearrangement of focal adhesions to accommodate for the increased mechanical load. Phosphorylation of ERK was increased by acute stretch but then decreased, and Akt did not have a distinct peak in stretch-induced phosphorylation. Inhibition of ERK, phosphatidylinositol 3-kinase, or mammalian target of rapamycin reduced global but not contractile protein synthesis with maintained stretch sensitivity. Stabilization of actin filaments with jasplakinolide, in unstretched portal veins, resulted in increased ERK phosphorylation and global protein synthesis as well as the synthesis of contractile proteins. In contrast, stretch during culture with jasplakinolide did not affect FAK phosphorylation or contractility. Therefore, remodeling of smooth muscle cells to adapt to stretch requires a dynamic cytoskeleton. actin polymerization; mitogen-activated protein kinase; phosphatidylinositol 3-kinase; focal adhesion kinase; protein synthesis STRETCH OF THE BLOOD VESSEL WALL by intraluminal pressure stimulates growth and remodeling to compensate for the increased wall tension, such that the tissue stress (force per cross-sectional area) is essentially normalized (23). Growth under these conditions occurs with smooth muscle cells maintained in a contractile phenotype, which differs from the growth pattern seen in vascular lesions, where smooth muscle cells migrate and proliferate after modulation to a synthetic phenotype (5). Although the use of isolated smooth muscle cells stretched on a flexible membrane has provided substantial insights into the mechanisms of smooth muscle cell biomechanics and phenotype regulation, the mechanisms of stretchdependent signaling are probably not identical to those in intact tissue. The use of organ culture of vascular smooth muscle combines the three-dimensional environment of the cells with the advantages of an in vitro condition.The portal vein is a low-pressure vessel that rapidly hypertrophies under increased transmural pressure, as shown in rat portal hypertension in vivo (26). The hypertrophy particularly affects the longitudinal muscle layer, which dominates in the portal ...