Circulation, Vol 83, 1808-1814, Copyright © 1991 by American Heart Association
A Lerman, FL Hildebrand Jr, LL Aarhus and JC Burnett Jr
BACKGROUND. Endothelin is an endothelium-derived peptide that produces
sustained contraction of arterial and venous smooth muscle in vitro.
Several studies have established endothelin as a systemic, renal, and
coronary vasoconstrictor in vivo at pharmacological concentrations. Such
concentrations of endothelin were antinatriuretic in association with
activation of the renin-angiotensin-aldosterone system. Recent studies have
demonstrated that endothelin is present in the plasma and that its plasma
concentrations are increased in various pathological states associated with
systemic and renal vasoconstriction. To date, it remains unclear if such
increases in circulating endothelin are associated with biological
activity. Thus, the objective of this study was to determine the biological
action of endothelin on cardiorenal and endocrine function through
administration of exogenous endothelin, which achieves plasma
concentrations that have been reported in various pathophysiological
conditions. METHODS AND RESULTS. Experiments were conducted in two groups
of anesthetized dogs. In group 1, endothelin-1 was infused intravenously at
2.5 ng/kg/ml (n = 6), which produced a doubling of circulating
concentrations. Group 2 (n = 8) received saline vehicle to serve as a time
control. The current studies demonstrate that a twofold increase in plasma
endothelin concentrations did not affect mean blood pressure or coronary
blood flow. Heart rate and cardiac output decreased in association with
increased renal and systemic vascular resistances and antinatriuresis.
CONCLUSIONS. The present studies demonstrate that endothelin at
pathophysiological plasma concentrations produced by exogenous endothelin
has biological action. These studies support a functional role for
endogenous endothelin as a potentially pathophysiological vasoconstrictor
peptide hormone in the regulation of cardiovascular, renal, and endocrine
function.
ARTICLES
Endothelin has biological actions at pathophysiological concentrations
Department of Internal Medicine, Mayo Clinic and Foundation, Rochester, MN 55905.
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