Endothelin System in Hypertension and Chronic Kidney Disease

ET (endothelin) is a powerful vasoconstrictor 21-amino acid peptide present in many tissues, which exerts many physiological functions across the body and participates as a mediator in many pathological conditions. ETs exert their effects through ETA and ETB receptors, which can be blocked by selective receptor antagonists. ETs were shown to play important roles among others, in systemic hypertension, particularly when resistant or difficult to control, and in pulmonary hypertension, atherosclerosis, cardiac hypertrophy, subarachnoid hemorrhage, chronic kidney disease, diabetic cardiovascular disease, scleroderma, some cancers, etc. To date, ET antagonists are only approved for the treatment of primary pulmonary hypertension and recently for IgA nephropathy and used in the treatment of digital ulcers in scleroderma. However, they may soon be approved for the treatment of patients with resistant hypertension and different types of nephropathy. Here, the role of ETs is reviewed with a special emphasis on participation in and treatment of hypertension and chronic kidney disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:81

Enthalten in:

Hypertension (Dallas, Tex. : 1979) - 81(2024), 4 vom: 27. März, Seite 691-701

Sprache:

Englisch

Beteiligte Personen:

Schiffrin, Ernesto L [VerfasserIn]
Pollock, David M [VerfasserIn]

Links:

Volltext

Themen:

Diabetic nephropathies
Endothelin Receptor Antagonists
Endothelin receptor antagonists
Endothelin-1
Endothelins
Glomerulosclerosis, focal segmental
Journal Article
Receptor, Endothelin A
Receptors, Endothelin
Review
Vascular remodeling

Anmerkungen:

Date Completed 22.03.2024

Date Revised 29.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1161/HYPERTENSIONAHA.123.21716

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM365502634