In 1988, investigators led by Masaki reported the isolation, sequencing and cloning from the supernatant of cultured pig endothelial cells of the most potent constrictor described to date, which they termed endothelin (ET). The ET peptide initially found consisted of a unique sequence of 21 amino acids, including four cysteine residues, forming two intramolecular disulphide bonds. This unique primary structure translated into a peculiar pharmacological action, entailing a very potent, sustained and long-lasting pressor response when ET-1 was injected intravenously. This suggested a role of ET-1 in the control of vascular tone and in the pathogenesis of several conditions characterized by excess vasoconstriction and/or cell proliferation, such as arterial and pulmonary hypertension, congestive heart failure, atherosclerosis and coronary artery disease. A worldwide recruitment of interest by investigators rapidly established that the ET isolated was the prototype of a novel family, consisting of three distinct ET isopeptides, ET-1, ET-2 and ET-3, which have very similar amino acid sequences and also remarkable similarities to the sarafotoxins, which are peptides isolated from the venom of the Israeli burrowing asp Actraspis engaddensis (Fig. 1). The three ETs are encoded by three distinct genes, and are synthesized as preproproteins of about 200 amino acids sharing a high degree of sequence homology, and a two-step processing pathway. They have different tissue distributions and thus are likely to have multiple biological actions. The major isopeptide synthesized by the human endothelium and present in greatest concentration in the blood is ET-1. However, ET-1 is predominantly released toward the vascular tunica media and therefore its concentrations are likely to be much higher in tissues, where they can be suf®ciently high to activate local receptors, than in plasma where it is in the picomolar range. In addition, ET-1 can be synthesized in cell types other than the endothelial cells, such as vascular smooth muscle cells (VSMC) and adrenocortical zona glomerulosa (ZG) cells. Therefore, it is likely that ET-1 may play a biological role far beyond that of local regulation of vascular tone. The application of molecular research techniques and the development of ET-1 receptor antagonists and of inhibitors of ET-1 biosynthesis have enabled investigators to gather a considerable amount of knowledge on the physiological and pathophysiological role of ET-1. For instance, there is strong evidence supporting a role of ET-1 in the regulation of endocrine glands, including adrenal cortex and medulla, testis, ovary, cardiac atria, pituitary, pancreatic b-cells and parathyroid. A major issue in research has been the development of speci®c assays for measurement of endothelins in blood and tissues. ET-1 has been the most widely investigated and here we focus on knowledge available on this isopeptide, the methods for its measurement and the available information on its level in pathophysiological conditions.
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