“…ET-1 is synthesized predominantly in vascular endothelial cells, where the endothelin gene product, preproET-1 (ppET-1) is sequentially converted to big-ET-1 (bET-1) and active ET-1 by proteases (Marasciulo et al, 2006, Khimji and Rockey, 2010). Ang II and insulin increase (Hsu, Chen, Chang et al, 2004, Hu, Levin, Pedram et al, 1993, Kobayashi, Nogami, Taguchi et al, 2008, Oliver, de la Rubia, Feener et al, 1991), while NO and PGI 2 inhibit ppET-1 expression in the endothelium (Bourque, Davidge and Adams, 2011, Prins, Hu, Nazario et al, 1994). Locally released ET-1, acting in a paracrine fashion binds to ET A receptors on VSMC causing sustained vasoconstriction (Verhaar, Strachan, Newby et al, 1998).…”