“…cerebral vasospasm; rabbit cerebral artery; signal transduction A POTENT VASOACTIVE PEPTIDE generated in vascular endothelial and smooth muscle cells, endothelin-1 (ET-1), has been implicated in the pathogenesis of a number of cerebrovascular disorders, including stroke, ischemia, and, in particular, cerebral vasospasm, which develops after aneurysmal subarachnoid hemorrhage (SAH) (1,2,29,46). The following findings favor of a role for ET-1 in the pathogenesis of cerebral vasospasm: 1) intracisternal injections of this peptide induce vasospasm in experimental animals (10), 2) the levels of ET-1 are elevated in the cerebrospinal fluid of patients after SAH (29,32,36,46), and 3) selective antagonists of ET type A (ET A ) receptors and inhibitors of ET-1 synthesis attenuate vasospasm in animal models (1,13,45,46). Furthermore, evidence has been provided that synthesis of ET-1 is stimulated by a number of vasoactive agents, including oxyhemoglobin (OxyHb) and thrombin, which are liberated during posthemorrhagic clot lysis (9,21).…”