Rho-associated protein kinase is an essential regulator of cytoskeletal dynamics during the process of neurite extension. However, whether Rho kinase regulates microtubule remodeling or the distribution of adhesive proteins to mediate neurite outgrowth remains unclear. By using the ROCK inhibitor, Y-27632, and the agonist, lysophosphatidic acid, Kenen Chen and colleagues from First Affiliated Hospital of Jinan University in China observed that neurite outgrowth, microtubule remodeling and vinculin redistribution were tightly regulated by ROCK.