Small GTPases of the Rho family are well known intracellular signaling proteins that act as molecular switches to control actin cytoskeleton organization in many cell types including smooth muscle (1-4). Recent studies indicate that RhoA-dependent signaling pathway controls vascular smooth muscle cell functions such as contraction, migration, and proliferation (5-6). In VSMCs, 1 the contractile effect of RhoA results from the activation of Rho-dependent kinase (ROK-␣), which phosphorylates the regulatory subunit of myosin light chain phosphatase (MBS) and thereby inhibits the phosphatase activity (7-8), thus allowing an increase in the level of phosphorylated myosin light chain and contraction at a constant intracellular calcium level [Ca 2ϩ ] i (9). This phenomenon is defined as Ca 2ϩ sensitization (10). ROK-␣ and another isoform Rho kinase, ROCK1, are serine/ threonine protein kinases that contain an amino-terminal catalytic kinase domain, a central coiled-coil domain in which Rho/GTP binds, and a carboxyl-terminal pleckstrin homology (PH) domain that is split by a cysteine-rich region (11-12). Insulin receptor substrate proteins (IRS) also contain an amino-terminal PH domain and phosphotyrosine binding domain domain. The PH domain is required for efficient phosphorylation of IRS-1 by the insulin receptor (13-15). In addition, IRS-1 also interacts with 14-3-3 proteins, a process apparently dependent on serine phosphorylation of IRS-1 (16).Recent studies from our laboratory (17) have shown that insulin rapidly stimulates myosin-associated phosphatase (MBP) activity by causing a site-specific decrease in MBS T695 phosphorylation by inactivating thrombin-stimulated Rho and one of its downstream effectors, Rho kinase. Furthermore, inhibition of PI3-kinase, nitric-oxide synthase (NOS), and cGMP signaling pathways abolished insulin-stimulated MBP activation suggesting the involvement of these signaling pathways in MBP activation (18). Thus, insulin stimulates MBP in VSMCs by activating the NO/cGMP signaling pathway that also inactivates Rho/Rho kinase (17). The effects of insulin on MBP activation and vasorelaxation were severely impaired in VSMCs isolated from diabetic Goto-Kakizaki rats and spontaneous hypertensive rats (SHR) due to defective IRS-1/PI3-kinase signaling as well as up-regulation of Rho kinase activity (18,19). These observations prompted us to explore in detail potential interactions between Rho signaling and insulin signaling pathways.In the present study, VSMCs were infected with an activated RhoA V14 , dominant negative RhoA N19 , and cGK I␣. We examined the effects of insulin and thrombin on ROK-␣/IRS-1 association, IRS-1 tyrosine phosphorylation, IRS-1/p85 PI3-kinase association, and PI3-kinase activation and its impact on MBS T695 site-specific phosphorylation and MBP activation. * This work was supported by a American Heart Association Established Investigator grant, medical education funds from Winthrop University Hospital, and by Deutsche Forschungsgemeinschaft Grant SFB355. The costs of ...