Simeone SM, Li MW, Paradis P, Schiffrin EL. Vascular gene expression in mice overexpressing human endothelin-1 targeted to the endothelium. Physiol Genomics 43: 148 -160, 2011. First published November 2, 2010; doi:10.1152/physiolgenomics.00218.2009.-Endothelin (ET)-1 plays an important pathophysiological role in several vascular diseases including hypertension and atherosclerosis. Transgenic mice overexpressing human preproET-1 selectively in the endothelium (eET-1) exhibit vascular injury in the absence of blood pressure elevation. ET-1 overexpression may induce vascular injury by inducing changes in gene expression. To understand mechanisms whereby ET-1 induces vascular damage, vascular gene expression profiling was performed using DNA microarrays. RNA from mesenteric arteries of male and female young (6 -7 wk) and mature (6 -8 mo) eET-1 and wild-type (WT) mice was isolated, and changes in gene expression were determined by genome-wide expression profiling using Illumina microarray and FlexArray software. Data were analyzed using a relaxed and a stringent statistical approach. The gene lists were compared and analyzed as well with Ingenuity Pathway Analysis. The most common change was an increase in the expression of lipid metabolism genes. Four of these genes were validated by qPCR, cyp51, dgat2, and scd1 genes in young and elovl6 in both young and mature male mice, supporting a role of ET-1 in atherosclerosis. To test the hypothesis that ET-1 participates in mechanisms leading to atherosclerosis, we crossed eET-1 with atherosclerosisprone apoE Ϫ/Ϫ mice to determine whether ET-1 overexpression exacerbates high-fat diet (HFD)-induced atherosclerosis using oil red O staining of descending thoracic aorta. HFD increased lipid plaques by 3-, 27-, and 86-fold in eET-1, apoE Ϫ/Ϫ , and crossed mice, respectively, vs. WT. This suggests that increased endothelial ET-1 expression results in early changes in gene expression in the vascular wall that enhance lipid biosynthesis and accelerate progression of atherosclerosis. aorta; artery; lipid biosynthesis; vascular remodeling; inflammation; atherosclerosis ESSENTIAL HYPERTENSION IS characterized by increased peripheral resistance to blood flow (48). The vasoconstrictor peptide endothelin-1 (ET-1) (58), which has a critical role in normal development and probably in regulation of blood flow in normal physiology (24), has been associated with increased blood pressure (BP) in human and experimental animal studies (1, 47). ET-1 has also been implicated in other pathophysiological conditions such as pulmonary hypertension (16), atherosclerosis (4, 22, 56), heart failure (17,19,35,46,52), myocardial infarction (8, 34), and chronic renal failure (1, 11, 37), among others (49). ET-1 is produced predominantly by endothelial cells but also by many other cells and tissues such as vascular smooth muscle cells, fibroblasts, macrophages/ monocytes and cardiomyocytes, as well as noncardiovascular cells and tissues such as renal tubular epithelial cells, glial cells, and pituitary cell...