Regulation of Contraction in Cardiac and Smooth Muscles

Abstract
Newer aspects of the contractile and regulatory proteins of cardiac and smooth muscles are described. Contraction in both tissues depends on Ca2+. In heart muscle, a fast, direct Ca2+-trigger system involving the troponin complex is operative on the actin filaments. Both the Ca2+-binding troponin-C and the phosphorylatable troponin-I display evolutionary diversification of properties characteristic of the heart muscle. Further modulation of heart-muscle contraction is governed by phosphorylation reactions, which are dependent on either Ca-calmodulin (CM) or cAMP. Both these regulatory pathways are operative in parallel. In smooth muscle, no fast Ca2+-trigger system is present. Smooth-muscle contraction is regulated by two systems, which operate indirectly and slowly via covalent protein modification. One involves phosphorylation of the myosin regulatory light-chain, the other phosphorylation of caldesmon on the actin filaments. Both are dependent on the Ca2+-binding CM. The CM-dependent myosin light-chain kinase (MLCK) itself is, in smooth muscle only, subject to control by a cAMP-dependent phosphorylation system. Thus, drugs that cause an increase in cAMP in smooth muscle, unlike in heart muscle, may lead to relaxation without lowering cytosolic free Ca2+ concentration.