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Non-endothelial cell endothelin-B receptors limit neointima formation following vascular injury

Lookup NU author(s): Dr Alan Bagnall


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The potent vasoconstrictor endothelin-1 (ET-1), acting on the endothelin-A (ETA) receptor, promotes intimal lesion formation following vascular injury. The endothelin-B (ETB) receptor, which mediates nitric oxide release and ET-1 clearance in endothelial cells, may moderate lesion formation, but this is less clear. We used selective ET receptor antagonists and cell-specific deletion to address the hypothesis that ETB receptors in the endothelium inhibit lesion formation following arterial injury. Neointimal proliferation was induced by wire or ligation injury to the femoral artery in mice treated with selective ETA (ABT-627) and/or ETB antagonists (A192621). Measurement of lesion formation by optical projection tomography and histology indicated that ETA blockade reduced lesion burden in both models. Although ETB blockade had little effect on ligation injury-induced lesion formation, after wire injury, blockade of the ETB receptor increased lesion burden (184 of vehicle; P 0.05) and reversed the protective effects of an ETA antagonist. Selective deletion of ETB receptors from the endothelium, however, had no effect on neointimal lesion size. These results are consistent with ETB receptor activation playing an important role in limiting neointimal lesion formation following acute vascular injury, but indicate that this protective effect is not mediated by those ETB receptors expressed by endothelial cells. These data support the proposal that selective ETA antagonists may be preferable to mixed ETA/ETB antagonists for targeting the arterial response to injury.

Publication metadata

Author(s): Kirkby NS, Duthie KM, Miller E, Kotelevtsev YV, Bagnall AJ, Webb DJ, Hadoke PWF

Publication type: Article

Publication status: Published

Journal: Cardiovascular Research

Year: 2012

Volume: 95

Issue: 1

Pages: 19-28

Print publication date: 31/03/2012

ISSN (print): 0008-6363

ISSN (electronic): 1755-3245

Publisher: Oxford University Press


DOI: 10.1093/cvr/cvs137


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Funder referenceFunder name
BHF-funded Centre of Research Excellence (CoRE) at Queen's Medical Research Institute
University of Edinburgh