New insight into coronary endothelial dysfunction: role of endothelin
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Updated: Aug 18, 2026

Assessing Endothelial Vasodilator Function with the Endo-PAT 2000
Published on: October 15, 2010
C R Cannan1, V Mathew, A Lerman
1Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic and Foundation, Rochester, Minnesota 55905, USA.
Insights
Endothelin, a vasoconstrictor from the coronary endothelium, contributes to endothelial dysfunction in cardiovascular diseases. This review explores its role and potential therapies for improving coronary vascular tone.
Area of Science:
- Cardiovascular Medicine
- Endothelial Biology
- Pharmacology
Background:
- The coronary endothelium regulates vascular tone through vasoactive mediators.
- Coronary endothelial dysfunction is linked to cardiovascular diseases, causing an imbalance in these mediators.
- Endothelin, a potent vasoconstrictor, is produced by the endothelium and implicated in endothelial dysfunction.
Purpose of the Study:
- To review the relationship between endothelin and coronary endothelial dysfunction.
- To examine this relationship in various cardiovascular disease states.
- To explore potential therapeutic strategies targeting endothelin.
Main Methods:
- Literature review of studies on endothelin and coronary endothelial function.
- Analysis of the role of endothelin in different cardiovascular conditions.
- Synthesis of information on current and potential therapeutic interventions.
Main Results:
- Endothelin contributes significantly to the pathogenesis of coronary endothelial dysfunction.
- Elevated endothelin levels are observed in several cardiovascular diseases associated with endothelial dysfunction.
- Therapeutic strategies aimed at blocking endothelin's effects show promise.
Conclusions:
- Endothelin plays a critical role in coronary endothelial dysfunction across various cardiovascular diseases.
- Targeting endothelin pathways represents a viable therapeutic approach for managing these conditions.
- Further research is warranted to fully elucidate endothelin's therapeutic potential.
Abstract:
The coronary endothelium plays a central role in the modulation of coronary vascular tone via the production and release of vasoactive mediators. A number of cardiovascular disease states are associated with coronary endothelial dysfunction, which results in an imbalance between vasoactive substances. Endothelin is a potent vasoconstrictor produced by the coronary endothelium and has been implicated in the pathogenesis of coronary endothelial dysfunction. This review examines the relationship between endothelin and coronary endothelial dysfunction as it occurs in a number of cardiovascular disease states and explores potential therapeutic options.
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