The endothelins are a family of endothelium-derived peptides that possess a variety of biological activities, including potent vasoconstriction. Endothelin-1 (ET-1) is up-regulated during tissue repair and pulmonary fibrosis. Here, we use genome-wide expression array analysis to show that the addition of ET-1 (100 nM, 4 h) to normal lung fibroblasts directly induces expression of matrix and matrix-associated genes, including the profibrotic protein CCN2 (connective tissue growth factor, or CTGF). ET-1 induces the MEK/ERK MAP kinase pathway in fibroblasts. Blockade of the MEK/ERK kinase pathway with U0126 abrogates the ability of ET-1 to induce expression of matrix and matrix-associated mRNAs and the CCN2 protein. The CCN2 promoter possesses an ET-1 response element, which maps to the previously identified basal control element-1 (BCE-1) site. Our results suggest that ET-1 induces a program of matrix synthesis in lung fibroblasts and that ET-1 may play a key role in connective tissue deposition during wound repair and in pulmonary fibrosis.As a response to environmental insults or a consequence of local inflammatory processes, structural damage to tissue can occur, triggering a wound-healing response. This response consists of an integrated series of biochemical, immunological, and structural changes that result in the de novo synthesis of a new epithelium, blood vessels, and connective tissue (1). The proper repair of connective tissue requires the synthesis and organization of new ECM 1 components, such as collagen and fibronectin (2).A growing body of evidence implicates the vasoconstrictive peptide endothelin-1 (ET-1) as a key mediator of tissue repair (3). Each of the three known endothelin isoforms (-1, -2, and -3) arise by proteolytic processing of large precursors (ϳ200 amino acid residues). Intermediates, termed big ET-1, -2, and -3 (38 -41 amino acids), are excised from pre-propeptides at sites containing paired basic amino acids. Big endothelins, which have little or no biological activity (4), are cleaved at Trp-21-Val/Ile-22 to produce mature, 21-residue, biologically active peptides (5, 6). The enzyme responsible for the specific cleavage at Trp-21 has been termed the endothelin-converting enzyme (7,8). Injury and the wound-healing response lead to stabilization of endothelin-converting enzyme-1 mRNA and to the generation of bioactive endothelin (9). Elevated levels of ET-1 have been shown in patients with fibrotic disease, suggesting that ET-1 may play a key role not only in normal wound repair but also in the pathogenesis of fibrosis (10 -14).ET-1 demonstrates a wide range of biological properties, including significant mitogenic activity toward a number of cell types such as smooth muscle cells and fibroblasts (15). ET-1 also promotes the contractile ability of normal fibroblasts (16), which is essential for wound closure and reconstitution of the dermis (17). In addition, ET-1 modifies extracellular matrix metabolism (15, 18 -20). For example, ET-1 enhances collagen types I and III and decreases...