The vascular effects of endothelin-1 (ET) in humans were investigated by brachial artery infusions of ET into 25 healthy volunteers. Forearm blood flow increased from a mean±SD value of 2.3± 1.5 to 2.5± 1.5 ml/min/100 ml forearm tissue (n=25, p<0.05) in response to low dose (0.5 ng/min/100 ml forearm tissue) ET infusion and decreased to 1.78±1.3 and 1.1±0.9 ml/min/100 ml forearm tissue (p<0.001) during higher dosages (25 and 50 ng/min/100 ml forearm tissue). Sodium nitroprusside (0.6 ,g/min/100 ml forearm tissue, n=6), acetylcholine (16 ,g/min/100 ml forearm tissue, n=7), nifedipine (6 pg/min/100 ml forearm tissue, n=6), and verapamil (80 ,ug/min/100 ml forearm tissue, n=6) were infused alone and in combination with ET ity in supernatants from cultured endothelial cells.4 Endothelin is a 21-amino-acid polypeptide that has been isolated from supernatants of cultured porcine endothelial cells.5 Endothelial cells produce and release endothelin-1 (formerly human or porcine endothelin),6 which has potent and long-lasting vasoconstrictor activity in vivo and in vitro.7-10 The peptide produces sustained increases of blood pressure in rats pretreated with atropine, propranolol, and bunazosin,5 but systemic vasodilation and a decrease of blood pressure have also been described after left atrial injection of endothelin-1 into cats.1'The precise cellular mechanism of action of endothelin-1 is not known, and differing results have been obtained with respect to the reversibility of endothelin-1-induced vasoconstriction. The contention that endothelin-1 may act as an endogenous Ca21 channel agonist5 has been disputed based on observations that endothelin-1-induced vasoconstriction is not