Endothelin
Endothelins are a family of
vasoactive peptides se-creted by endothelial cells. The three major endothelin
peptides are all composed of 21 amino acids. Endo-thelins are the most potent vasoconstrictors known. Contraction
of vascular smooth muscle in response to endothelin is associated with an
increase in intracellular calcium. Increases in endothelin levels have been
re-ported in patients with vasospastic, hypoxic, and isch-emic diseases. The
two identified isoforms of endothelin receptors have differing affinity for the
three endothe-lin peptides. Selective and nonselective endothelin re-ceptor
antagonists are in development for potential use in the treatment of
hypertension and other disorders as-sociated with increased vascular resistance
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