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Endothelin-1-induced responses in isolated mouse vessels: the expression and function of receptor types Yingbi Zhou,1,2 Wessel P. Dirksen,1 Jay L. Zweier,2 and Muthu Periasamy1 1Department of Physiology and Cell Biology and 2Davis Heart and Lung Research Institute, College of Medicine and Public Health, The Ohio State University, Columbus, Ohio 43210 Submitted 9 December 2003; accepted in final form 7 April 2004 Zhou, Yingbi, Wessel P. Dirksen, Jay L. Zweier, and Muthu Periasamy. Endothelin-1-induced responses in isolated mouse ves- sels: the expression and function of receptor types. Am J Physiol Heart Circ Physiol 287: H573–H578, 2004. First published April 8, 2004; 10.1152/ajpheart.01170.2003.—Mice have been increasingly used as models for investigating cardiovascular diseases. However, the responsiveness of mouse vasculature to endothelin (ET)-1 has not been clearly established. The goal of this study was to determine the role of ET receptors (ETA and ETB) in mouse vessels using isometric force measurements. Results showed that in the abdominal aorta ET-1 induced a concentration-dependent contraction (EC50: 1.4 nM) with maximum reaching 89.5 � 4.9% (10 nM) of that induced by 60 mM K� [with nitric oxide synthase (NOS) inhibitor N�-nitro-L-arginine methyl ester (L-NAME)]. However, in the thoracic aorta or the carotid artery, ET-1 was poorly effective. RT-PCR revealed that in the endothelium-denuded abdominal aorta, the PCR product for ETB receptors was very low compared with ETA. Similarly in tissues treated with L-NAME, the ETB receptor-specific agonist sarafotoxin 6c (S6c; 100 nM) induced only a minimal contraction (�5%). Mean- while, the ETA antagonist BQ-123 (1 �M) completely inhibited the maximum ET-1 (10 nM) contractile response. Furthermore, we found that in the abdominal aorta that had not been treated with L-NAME, ET-1-induced contraction significantly decreased. However, in such specimens, S6c was unable to induce any relaxation on phenyleph- rine-induced contraction. These results indicate that the role of ET receptors differs considerably among mouse vessels. In the abdominal aorta, ETA receptor mediates a potent vasoconstrictor response, whereas ETB has, if any, only a minimal functional presence. Also, our data suggest that ET-1 might involve a NOS-dependent vasodi- lation in the abdominal aorta, which remains to be further defined. endothelinA receptor; endothelinB receptor; vasoconstriction; nitric oxide synthase; vasodilation ENDOTHELINS (ETs: ET-1, ET-2, and ET-3) are a family of regulatory peptides that have long-lasting vasoconstrictor and pressor effects. Among them, ET-1 is the most active form produced in the endothelial cells that plays an important role in regulating cardiovascular function (14, 26). To date, two major types of receptors, designated as ETA and ETB, have been found to be responsible for the biological effects induced by the endogenous ETs. Both ETA and ETB receptors belong to the family of seven transmembrane G protein-coupled recep- tors. However, each receptor type has distinctive ligand-bind- ing properties and biological functions (13, 14). In blood vessels, ETA receptors are mainly located in the smooth muscle cells, and its activation by ET-1 leads to vasoconstriction (13, 14). In contrast, ETB receptors exist both in the smooth muscle and in the endothelial cells (13, 14). While ETB receptors present in the smooth muscle mediate vasoconstriction (13, 14, 24), those in the endothelial cell cause vasodilation via the release of endothelium-dependent relaxing factors, such as nitric oxide (NO) (12, 17, 23). However, it has been recently found that part of the depressor effect of ETB receptor may be related to the clearance of ET-1 in the plasma (3, 5). In addition, ETA receptor has also been suggested to be functional in the endothelial cells (11, 18, 19). Thus the regulation of vascular tone by ET receptors appears to involve a complicated mechanism that has yet to be fully understood. Recently, genetically altered mice have been extensively used to study ET-1-mediated signaling in the regulation of cardiovascular function. Major mouse vessels from different vascular beds, such as the aorta and the carotid artery, have been the common targets for the pathological interventions to study the pathogenesis of cardiovascular diseases (1, 16). On the other hand, the responsiveness of these mouse vessels to ET-1 has not been clearly established. For example, in the thoracic aorta, ET-1 has been found to induce little contractile response (20). Therefore, there is a pressing need to determine whether ET receptors mediate the vasoconstrictor response differently among mouse vessels. In addition, ETB receptors have been proposed to mediate a NO-dependent vasodilation in the mouse thoracic aorta (15). However, a previous study has demonstrated that in the mouse thoracic aorta, ET-1, which exhibits little vasoconstrictor effect, still elicits a contraction rather than a relaxation in the presence of an intact endothelium (20). Thus the role of ETB receptors in endothelial NO release also needs to be further elucidated in mouse vessels. Therefore, this study was designed to critically evaluate the ET-1-induced responses in major mouse vessels, including the thoracic aorta, the abdominal aorta, and the carotid artery, employing isometric force measurements. We found that among vessels studied, the mouse abdominal aorta exhibits a potent vasoconstrictor response to ET-1. Then, the function of ETA and ETB receptors in the abdominal aorta was further determined with RT-PCR and receptor-specific agonist or an- tagonist. MATERIALS AND METHODS Solution and chemicals. The ionic composition of physiological saline solution (PSS) was as follows (in mM): 123 NaCl, 4.7 KCl, 15.5 NaHCO3, 1.2 KH2PO4, 1.2 MgCl2, 1.25 CaCl2, and 11.5 D- glucose. The 60 mM K�-PSS (K�) was prepared by replacing an equal molar of NaCl with KCl. Chemicals such as ET-1, the ETB Address for reprint requests and other correspondence: M. Periasamy, Dept. of Physiology and Cell Biology, The Ohio State Univ. College of Medicine, 304 Hamilton Hall, 1645 Neil Ave., Columbus, OH 43210 (E-mail: periasamy.1@osu.edu). The costs of publication of this article were defrayed in part by the payment of page charges. The article must therefore be hereby marked “advertisement” in accordance with 18 U.S.C. Section 1734 solely to indicate this fact. Am J Physiol Heart Circ Physiol 287: H573–H578, 2004. First published April 8, 2004; 10.1152/ajpheart.01170.2003. 0363-6135/04 $5.00 Copyright © 2004 the American Physiological Societyhttp://www.ajpheart.org H573 Downloaded from journals.physiology.org/journal/ajpheart at CAPES-USP (200.144.220.090) on April 4, 2023. agonist sarafotoxin 6c (S6c), ACh, phenylephrine (PE), the ETA antagonist BQ-123, and N�-nitro-L-arginine methyl ester (L-NAME) were purchased from Sigma (St. Louis, MO). Other chemicals were also of the highest grade commercially available. Animals and tissue preparation. Male C57/BL6J mice (8–12 wk) purchased from Jackson Laboratory were euthanized by 95% CO2 inhalation, in accordance with animal use protocol of the Animal Research Ethics Committee of The Ohio State University. Tissues including the thoracic aorta, the abdominal aorta, the carotid artery, and the trachea were excised rapidly and placed in ice-cold PSS. The fat and the adventitia were mechanically removed under a binocular microscope. Then, the vessels and the trachea were cut transversely into �1.0-mm-wide rings. These procedures were performed at room temperature. Isometric force measurement. The method of isometric force mea- surement is described elsewhere (27, 28). Briefly, the vascular or tracheal ring was mounted onto two tungsten wires in a 37°C water- circulating tissue bath filled with PSS, by passing the tungsten wires through the lumen of tissue specimen. One of the wires was fixed, and the other was connected to a force transducer (AE 801, Horten, Norway).During the equilibration period, tissues were stimulated with 60 mM K� every 15 min (5 times), and the resting tension was increased in a stepwise manner. After the equilibration, the resting tension was adjusted to �300 mg for the vascular rings, and 200 mg for tracheal specimens, at which the maximal 60 mM K� response was obtained. Detection of ET receptor mRNAs in mouse abdominal aorta. The tissues were prepared as described above with the exception that they were not cut into rings. Vessels were cut open, and then the endothe- lial cells were removed by wiping with a cotton swab under a binocular microscope followed by washes until no trace of endothe- lium was detected. RNA preparation and RT-PCR were performed according to the manufacturer’s manual using an Absolutely RNA RT-PCR Miniprep Kit (Stratagen, La Jolla, CA). Primers for ET receptors were as follows: 5�-ATGGTGGGGAACGCAACTC- TACTA-3� (PCR sense) and 5�-GACGCTGTTTGAGGTGCTCAC- TAA-3� (RT and PCR antisense) for the ETA receptor and 5�-GGGTT CCAAAATGGACAGTAG-3� (PCR sense) and 5�-CTCCAAG- GACTGCTTTTCCTCAAA-3� (RT and PCR antisense) for the ETB receptor. RT reaction was performed using 200 ng of total RNA in a volume of 20 �l. The protocols for PCR were as follows: 94°C for 30 s, 60°C for 60 s, and 72°C for 60 s (28–30 cycles as indicated). The expected sizes of PCR products were 622 bp for ETA and 608 bp for ETB. To determine the specificity of RT-PCR reactions, the PCR products were digested with 10 units of BamHI (NEB, Beverly, MA) according to the manufacturer’s instruction. This treatment yields fragments of 310 and 312 bp for ETA and 215 and 393 bp for ETB according to the mouse cDNA sequences. The PCR products were separated with 2% agarose gel and visualized with ethidium bromide staining. Experimental protocols. The physiological studies were conducted in blood vessels with intact endothelium at 37°C. In all experiments, an agonist was used only once in each specimen. Unless otherwise indicated, the agonist was administered 15 min after the final 60 mM K� contraction had been relaxed with PSS. The force development caused by an agonist was expressed as a percentage of that obtained with 60 mM K�, assuming the value in the PSS (5.9 mM K�) and 60 mM K� to be 0 and 100%, respectively. In certain experiments, 1 mM of the NO synthase (NOS) inhibitor L-NAME was added 5 min before an agonist was applied to eliminate the endothelial NO (27, 28). The effect of an agent to induce endothelium-dependent relaxation was examined on PE-induced contractions in vessels that had not been treated with L-NAME. The extent of the force change was expressed as a decrease or increase of force in a percentage of that induced by 60 mM K�. Data analysis. The EC50 value, a concentration at which 50% of maximum response was obtained, was determined from the concen- tration-response curves fitted to a four-parameter logistic model (7). Data are expressed as means � SE. Student’s t-test was used to determine the statistical significance. P � 0.05 was considered to indicate statistical significance. RESULTS ET-1-induced contractile response in mouse vessels. The effects of ET-1 on major mouse vessels have not been explored in detail. To determine how different mouse vessels respond to ET-1, isolated vessels including the abdominal aorta, the tho- racic aorta, and the carotid artery were studied using isometric force measurements. Because ET-1 might mediate a concom- itant endothelial NO release (14, 17, 23), the contractile re- sponse was evaluated in the presence of 1 mM L-NAME, which has been previously shown to abolish the endothelium-depen- dent relaxation induced by ACh in major mouse blood vessels (6, 28). In the abdominal aorta, 60 mM K� induced a contraction of 341 � 15 mg. As shown in Fig. 1A, in response to 0.1, 1, 10, and 100 nM ET-1 stimulation, the mouse abdominal aorta developed a contraction of 0 � 0, 36.5 � 3.4, 89.5 � 4.9, or 88.6 � 4.1%, respectively, compared with that of 60 mM K�. Accordingly, the EC50 value and the maximum response con- centration were obtained at 1.4 nM and 10 nM, respectively. In addition, as demonstrated in Fig. 1B, the maximum contractile response induced by 10 nM ET-1 showed a sustained property similar to those seen in other species (24). In the thoracic aorta and the carotid artery, 60 mM K� caused a contraction of 420 � 18 or 178 � 21 mg, respec- tively. After 10 nM ET-1 stimulation, a sustained contraction also developed (Fig. 2). However, the extent of contraction was Fig. 1. Endothelin (ET)-1-induced contractile response in the mouse abdom- inal aorta. A: concentration-response curves of ET-1 in mouse abdominal aorta. ET-1 was used only once in each specimen and was administered 5 min after the application of 1 mM N�-nitro-L-arginine methyl ester (L-NAME). The force development was expressed as a percentage compared with that induced by 60 mM K�. The values are expressed as means � SE (n � 4–5). B: representative recordings showing the maximum contractile response induced by 10 nM ET-1 in the presence of L-NAME. H574 ENDOTHELIN-1 RESPONSES IN MOUSE VESSELS AJP-Heart Circ Physiol • VOL 287 • AUGUST 2004 • www.ajpheart.org Downloaded from journals.physiology.org/journal/ajpheart at CAPES-USP (200.144.220.090) on April 4, 2023. only 7.8 � 2.7 and 8.3 � 4.2% compared with that of 60 mM K� in the thoracic aorta and the carotid artery, respectively. In addition, ET-1-induced responses in these two vessels were not increased even when higher concentrations were used (100 nM, data not shown). These results indicate that ET-1-induced contractile responses vary among the major mouse vessels. Expression of ET receptor mRNAs in mouse vessels. The above results demonstrate that ET receptors mediate a potent con- tractile response in the mouse abdominal aorta. To determine the receptor type(s) involved, ET receptor mRNAs were first exam- ined with RT-PCR in the endothelium-denuded specimens. From 28 to 30 thermal cycles, PCR products of expected sizes for ETA (622 bp) and ETB (608 bp) receptors were detected. However, the band density of the PCR product for the ETB receptor was very low compared with the ETA receptor (lanes 1 and 2, Fig. 3, 30 cycles). To further confirm that the PCR products of expected sizes were amplified from respective mRNAs, enzymatic diges- tion with BamHI was performed. As shown in Fig. 3, the products for the ETA receptor turned into a single band of �310 bp (lane 3), while those for the ETB receptor appeared as bands of 215 and 393 bp (lane 4), which is well consistent with mouse cDNA sequences (310 and 312 bp for ETA; 215 and 393 bp for ETB). Effect of ET receptor-specific agonist or antagonist. An explanation for the low abundance of ETB PCR products could be that ETB is not a major receptor type in the smooth muscle cells of mouse abdominal aorta. To test this hypothesis, we examined the effects of the ETB receptor-specific agonist S6c and the ETA receptor-specific antagonist BQ-123. As shown in Fig. 4A, top, in the presence of 1 mM L-NAME, S6c (100 nM) induced only a contraction of 4.8 � 0.9% (n � 3) compared with that of 60 mM K�. However, in the mouse trachea, in which ETB receptor has been previously found to have a significant functional presence (10), 100 nM S6c caused a contraction of 65% (Fig. 4A, bottom). In addition, the ETA- specific antagonist BQ-123 (1 �M) completely antagonized the maximum contractile response (in the presence of 1 mM L-NAME) induced by 10 nM ET-1. These results together point to the conclusion that ETA receptors account for most of Fig. 3. Detection of ET receptor mRNAs with RT-PCR in the endothelium- denuded mouse abdominal aorta. Lanes 1 and 2: the level of PCR product amplified (30 cycles) from mRNA of ETA (622 bp, lane 1) or ETB receptor (608 bp, lane 2). Lanes 3 and 4: an enzymatic analysis of PCR products (30 cycles) for ETA (lane 3) and for ETB (lane 4) receptors with BamHI, which was expected to produce fragments of 310 and 312 bp andthose of 215 and 393 bp, respectively. M, 100-bp ladder size makers (top to bottom: 1,000–100 bp). Fig. 2. Representative traces showing the maximum contractile response induced by 10 nM ET-1 in the thoracic aorta (A) and in the carotid artery (B) in the presence of 1 mM L-NAME. Fig. 4. Effect of ET receptor type-specific agonist or antagonist in the mouse abdominal aorta. A: representative recordings demonstrating the contractile responses induced by the ETB receptor-specific agonist sarafotoxin 6c (S6c) in the mouse abdominal aorta (top) and the trachea (bottom). B: representative trace (from 3 identical experiments) showing the effect of ETA receptor antagonist BQ-123 on ET-1-induced contractile response. H575ENDOTHELIN-1 RESPONSES IN MOUSE VESSELS AJP-Heart Circ Physiol • VOL 287 • AUGUST 2004 • www.ajpheart.org Downloaded from journals.physiology.org/journal/ajpheart at CAPES-USP (200.144.220.090) on April 4, 2023. ET-1-induced contractile response in the mouse abdominal aorta. Effect of ET-1 and S6c on mouse vessels with intact NOS activity. ET-1 has been proposed to activate a concomitant endo- thelial NO release, which can compromise part of its vasocon- strictor effects (14, 14, 23). To test this in mice, ET-1-induced responses in vessels with normal NOS activity were examined. As shown in Fig. 5A, when L-NAME was omitted from the medium the contraction induced by 1, 10, and 100 nM ET-1 (6.1 � 2.5, 26.4 � 3.8, or 67.1 � 5.3%, respectively) was significantly less than that in the presence of L-NAME. However, in the thoracic aorta and the carotid artery, the responses (8.2 � 3.6 and 7.3 � 2.7%, respectively) caused by 10 nM ET-1 were similar to those in the presence of L-NAME. These results suggest that the NOS activity may have a negative effect on ET-1-induced vasocon- strictor response in certain mouse vessel types, such as the abdominal aorta. To further determine whether the decreased ET-1 response was due to an ETB receptor-mediated endothelial NO-dependent re- laxation, the effects of S6c on PE-induced contractions were examined. As shown in Fig. 6, 100 nM S6c did not cause any relaxation in abdominal aorta precontracted with either 0.3 or 1 �M PE. In contrast, the subsequent application of 10 �M ACh produced a complete relaxation. Therefore, we propose that ETB receptor may not be a major player in mediating endothelium- dependent relaxation in the mouse abdominal aorta. DISCUSSION The goal of this study was to determine the function of ET receptors in major mouse vessels. For this purpose, ET-1- induced responses in different mouse vessels were examined with isometric force measurements. Because ET receptors have been proposed to mediate vasoconstriction as well as endothe- lium-dependent vasodilation, ET-1-induced response in mouse vessels was examined in the presence and absence of L-NAME, a NOS inhibitor that is able to abolish ACh-induced relaxation in major mouse vessels (6, 28). To further determine the function of each ET receptor type, the expression of mRNA and the effect of ET receptor-specific agonist or antagonist were also examined in vessels that might have a potent re- sponse to ET-1. An important finding of this study is that ET-1 induces a potent vasoconstrictor response in the mouse abdominal aorta. As demonstrated by the concentration-response curve obtained with the presence of NOS inhibitor L-NAME, ET-1-induced contractile response in the mouse abdominal aorta is as potent as those in human vessels, such as saphenous vein graft (12). Thus it is clear that ET receptors play a significant role in mediating the vasoconstriction in mice. However, ET-1-in- duced responses are not uniform among major mouse vessels. Fig. 5. Effect of nitric oxide synthase activity on ET-1-induced response. A: summary of the contractile responses induced by different concentrations of ET-1 in the abdominal aorta in the presence (open bars) and in the absence (hatched bars) of 1 mM L-NAME (n � 4–5). B: summary of contractile responses induced by 10 nM ET-1 in the presence (open bars) and in the absence (hatched bars) of 1 mM L-NAME (n � 3–4) in the thoracic aorta (TA) and the carotid artery (CA). The force development was expressed as a percentage compared with that induced by 60 mM K�. The values are expressed as means � SE. * P � 0.05. Fig. 6. Representative recordings illustrating the effect of ETB receptor ago- nist S6c (100 nM) on 0.3 �M (A) and 1 �M (B) phenylephrine (PE)- precontracted mouse abdominal aorta. Top panels in A and B are controls. H576 ENDOTHELIN-1 RESPONSES IN MOUSE VESSELS AJP-Heart Circ Physiol • VOL 287 • AUGUST 2004 • www.ajpheart.org Downloaded from journals.physiology.org/journal/ajpheart at CAPES-USP (200.144.220.090) on April 4, 2023. In the thoracic aorta, we found that 10 nM ET-1 only induced a contraction of 7.8% compared with that of 60 mM K�, similar to the results previously reported on the endothelium- denuded tissue specimens (20). In addition, we found that the carotid artery, a peripheral mouse vessel, is also poorly respon- sive to ET-1 (8.3% as a percentage of that induced by 60 mM K�). These results may suggest that the vasoconstrictor role of ET receptors varies considerably among different mouse ves- sels. The above results prompt us to determine the ET receptor type(s) mediating the contractile response in the abdominal aorta. As shown by RT-PCR amplification, mRNAs of both ET receptors are expressed in the endothelium-denuded speci- mens. Interestingly, the PCR product for ETB was in very low abundance (Fig. 3). We suspect that ETB receptors may not have a major role in ET-1-induced contraction. However, the RT-PCR reactions were performed using different primers. In addition, there is a possibility of endothelial contamination. Therefore, the functional involvement of receptor types was further determined with a receptor-specific agonist or antago- nist. As shown in Fig. 4A, the ETB receptor-specific agonist S6c (100 nM) induced only a minimal contractile response in the presence of L-NAME. However, the specific ETA antago- nist BQ-123 (1 �M) completely antagonized the maximum contractile response induced by 10 nM ET-1 (Fig. 4B). These results altogether indicate that ETA, but not ETB, is the pre- dominant vasoconstrictor ET receptor in the mouse abdominal aorta, which concurs with reports on several rat as well as human vessels (5, 8, 12, 21, 22, 25). Also of interest is our finding that ET-1-induced contraction in the abdominal aorta was significantly decreased when L- NAME was omitted from the medium (Fig. 5A). This may suggest an existence of NOS-dependent vasodilation that an- tagonized part of the vasoconstrictor effect of ET-1. However, in the thoracic aorta and the carotid artery, which exhibited a minimal contractile response to ET-1, the effect of this NOS- dependent vasodilation is not detectable (Fig. 5B), suggesting that the basal NO release may not significantly modify the contractility of isolated mouse vessels. In addition, we have recently found that the response of mouse vessels (including the abdominal aorta) to ANG II was not affected by L-NAME (28). Therefore, the NOS-dependent vasodilation might be specifically elicited by ET-1 stimulation, consistent with the endothelial NO-releasing effects of ET-1 as generally proposed (14, 17, 23). However, we were unable to remove the endo- thelial cells in the mouse vascular rings efficiently to reach a conclusion that the NOS-dependent vasodilation was origi- nated from the endothelium. In contrast to ET-1, the ETB receptor-specific agonist S6c, which has only a minimal vasoconstrictor effect on the mouse abdominal aorta, was unable to cause a vasodilating response in tissue with intact endothelial function (Fig. 6). This may suggest that ETB receptor does not mediate a significant extent of endothelium-dependent relaxation in the abdominal aorta. Thus the divergent effects of ET-1 in the abdominal aorta might have been mediated by ETA receptor, whichseems contradictory to the generally proposed role of ETB receptor in the endothelium. However, it must be noted that ETA receptor has been found to exist in the endothelial cells of certain vessel types (11, 18). Also, the ETA receptor has been demonstrated to mediate the Ca2� homeostasis in endothelial cells of porcine aortic valves in situ (19). Thus ETA receptors could also mediate the endothelial NO release, considering that the endo- thelial NOS is a Ca2�-calmodulin-activated enzyme (9). How- ever, we were unable to document an ETA receptor-mediated relaxation. In addition, other unclassified ET receptors (non-A and non-B receptors) might also exist (2). Therefore, the exact mechanism for the NOS-dependent vasodilation that compro- mised ET-1-induced contractile response in mouse abdominal aorta requires further investigation. The above results suggest that the ETB receptor may not be significantly involved in mediating vasoconstriction or endo- thelium-dependent vasodilation in the mouse abdominal aorta. However, ETB receptors have been found to mediate the vasoconstriction in certain mouse vessels. For example, both ETA and ETB receptors have been found to mediate contraction in the perfused renal or mesenteric arteries (4). Thus the involvement of ET receptor types in vasoconstrictor response also appears to differ depending on the location of a vessel. On the other hand, there has been little direct evidence to indicate that ETB receptor mediates endothelium-dependent relaxation in mice, as those observed on porcine coronary and pulmonary arteries (17, 23). We noted that the ETB receptor S6c had been reported to produce a concentration-dependent relaxation in the mouse thoracic aorta (15). However, we were unable to obtain such a response using a similar experimental protocol (data not shown). Instead, we found that ET-1 induced a subtle contrac- tion with or without L-NAME (Fig. 5B), which is similar to a report performed on specimens with or without endothelium (20). As a result, the role of ETB receptor in mediating endothelium-dependent relaxation in mice has yet to be further elucidated. In summary, in this study we examined ET-1-induced re- sponses in isolated mouse vessels using isometric force mea- surements. Our data demonstrate that the role of ET receptors varies considerably among different mouse vessels. In the abdominal aorta, ETA receptor mediates a potent vasoconstric- tor response, while ETB has, if any, a minimal functional presence. In addition, in the abdominal aorta, ET-1 might also involve a NOS-dependent vasodilation, which remains to be further defined. ACKNOWLEDGMENTS We thank M. Bonar for critical reading of the manuscript. GRANTS This work was supported by National Heart, Lung, and Blood Institute (NHLBI) Grant HL-38355 to M. Periasamy and NHLBI Grants HL-63744, HL-65608, and HL-38324 to J. L. Zweier. Y. Zhou is a recipient of an American Heart Association (Ohio Valley) Postdoctoral Fellowship grant. REFERENCES 1. 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