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Published on: June 29, 2014
Endothelin in cardiovascular disease: from atherosclerosis to heart failure
1Department of Internal Medicine and Cardiovascular Diseases, Mayo Clinic and Mayo Foundation, Rochester, Minnesota 55905, USA.
Insights
Endothelin (ET) contributes to cardiovascular diseases through various mechanisms. ET receptor antagonists offer new therapeutic strategies for conditions like coronary artery disease and heart failure.
Area of Science:
- Cardiovascular Science
- Endocrinology
- Pharmacology
Background:
- Endothelin (ET) is a potent vasoconstrictor implicated in cardiovascular disease pathogenesis.
- ET influences vascular tone, cardiac hemodynamics, cellular proliferation, apoptosis, and matrix production.
- The endogenous ET system plays a significant role in both physiological and pathophysiological states.
Purpose of the Study:
- To elucidate the multifaceted role of endothelin in cardiovascular disease.
- To highlight the therapeutic potential of endothelin receptor antagonists.
- To deepen the understanding of the ET system's involvement in disease progression.
Main Methods:
- Review of existing evidence on endothelin's role in cardiovascular pathophysiology.
- Analysis of the development and application of endothelin receptor antagonists.
- Exploration of the mechanisms by which ET affects cellular and vascular functions.
Main Results:
- Endothelin contributes to cardiovascular diseases via multiple pathways.
- Endothelin receptor antagonists have emerged as valuable therapeutic agents.
- Studies on ET receptor antagonists enhance comprehension of the ET system in disease.
Conclusions:
- Endothelin is a key mediator in the development of cardiovascular diseases.
- Endothelin receptor antagonists represent a promising therapeutic avenue.
- Further research into the ET system is crucial for advancing cardiovascular disease treatment.
Abstract:
Since the discovery of endothelin (ET) as a potent vasoconstrictor, increasing evidence supports the role of ET in the pathogenesis of cardiovascular diseases including coronary artery disease and congestive heart failure. This peptide not only alters vascular tone and cardiac hemodynamics, but also has a substantial role in the regulation of cellular proliferation and apoptosis, activation of monocytes and cellular matrix production. Thus, ET may play a role in the pathogenesis of cardiovascular diseases through multiple mechanisms. The development of ET receptor antagonists has lead to a greater understanding of the role of the endogenous ET system in both physiologic and pathophysiologic states. Endothelin receptor antagonists are becoming new therapeutic tools for the treatment of cardiovascular disease and their study will lead to a greater understanding of the role of ET in disease progression.
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