Related Experiment Video
Updated: Aug 6, 2026

Assessment of Vascular Tone Responsiveness using Isolated Mesenteric Arteries with a Focus on Modulation by Perivascular Adipose Tissues
Published on: June 3, 2019
Elevated endothelin-1 levels are associated with decreased arterial elasticity in hypertensive patients
Adviye Ergul1, Dena Jupin, Maribeth H Johnson
1Program in Clinical and Experimental Therapeutics, University of Georgia College of Pharmacy, Athens, GA, USA. aergul@mcg.edu
Insights
Elevated endothelin-1 in hypertension is linked to reduced collagen breakdown and arterial stiffness. This suggests endothelin-1 may impair blood vessel function by inhibiting collagen degradation.
Area of Science:
- Cardiovascular Physiology
- Biochemistry
- Hypertension Research
Background:
- Endothelin-1 (ET-1) is known to stimulate collagen synthesis.
- ET-1 levels are elevated in hypertension.
- The impact of ET-1 on collagen degradation in hypertension is not well understood.
Purpose of the Study:
- To investigate the association between elevated endothelin-1 levels and collagen degradation.
- To examine the relationship between ET-1, collagen degradation markers, and arterial compliance in hypertensive patients.
Main Methods:
- Recruited normotensive (n=10) and hypertensive (n=13) patients without antihypertensive medication.
- Assessed arterial elasticity, systemic vascular resistance, pulse pressure, and blood pressure using waveform analysis.
- Measured plasma endothelin-1 and collagen degradation products.
Main Results:
- Hypertensive patients showed decreased large artery elasticity index and collagen degradation products.
- Hypertensive patients exhibited elevated endothelin-1, systemic vascular resistance, and pulse pressure.
- Plasma endothelin-1 negatively correlated with collagen degradation markers (cross-linked C-terminal telopeptide of collagen type I, matrix metalloproteinase-1) and large artery elasticity.
- Plasma endothelin-1 positively correlated with pulse pressure.
Conclusions:
- Endothelin-1 may contribute to decreased arterial compliance in hypertension.
- ET-1 appears to inhibit collagen degradation, impacting arterial function.
- Findings suggest a mechanism linking ET-1 to vascular dysfunction in hypertension.
Abstract:
Endothelin-1 stimulates collagen synthesis and is increased in hypertension, but its effect on collagen degradation remains unknown. The current study tested the hypothesis that elevated endothelin-1 levels are associated with decreased collagenase activity, markers of collagen degradation, and arterial compliance in hypertensive patients. Normotensive (n = 10) and hypertensive (n = 13) patients who were not on any antihypertensive medication were recruited, and small and large artery elasticity index, systemic vascular resistance, pulse pressure, and blood pressure were determined using blood pressure waveform analysis. Large artery elasticity index and collagen degradation products were decreased whereas endothelin-1, systemic vascular resistance, and pulse pressure were elevated in hypertensive patients. Plasma endothelin-1 was negatively correlated with a cross-linked C-terminal telopeptide of collagen type I, a collagen degradation marker (r = -0.43; p = 0.04), collagenase matrix metalloproteinase-1 (r = -0.48; p = 0.02), and large artery elasticity (r = -0.45; p = 0.03) and positively correlated with pulse pressure (r = 0.68; p = 0.0005). These results suggest that endothelin-1 contributes to decreased arterial compliance in hypertension via inhibition of collagen degradation.
Related Concept Videos
Hypertension II: Pathophysiology
Treatment for Pulmonary Arterial Hypertension: Endothelin Receptor Antagonists
ETs are synthesized through a complex sequence of enzymatic steps, primarily involving an enzyme referred to as endothelin-converting enzyme (ECE). Of...
Hypertension and Regulation of Blood Pressure
Hypertension III: Clinical Manifestations and Diagnostic Studies
Arteries and Arterioles
Heart Failure II: Pathophysiology
