Piuhola, Jarkko, Markus Mä kinen, Istvá n Szokodi, and Heikki Ruskoaho. Dual role of endothelin-1 via ET A and ETB receptors in regulation of cardiac contractile function in mice. Am J Physiol Heart Circ Physiol 285: H112-H118, 2003. First published February 27, 2003 10.1152/ajpheart.00480.2002.-An increase in coronary perfusion pressure leads to increased cardiac contractility, a phenomenon known as the Gregg effect. Exogenous endothelin (ET)-1 exerts a positive inotropic effect; however, the role of endogenous ET-1 in the contractile response to elevated load is unknown. We characterized here the role of ET A and ET B receptors in regulation of contractility in isolated, perfused mouse hearts subjected to increased coronary flow. Elevation of coronary flow from 2 to 5 ml/min resulted in 80 Ϯ 10% increase in contractile force (P Ͻ 0.001). BQ-788 (ET B receptor antagonist) augmented the load-induced contractile response by 35% (P Ͻ 0.05), whereas bosentan (ET A/B receptor antagonist) and BQ-123 (ET A receptor antagonist) attenuated it by 34% and 56%, respectively (P Ͻ 0.05). CV-11974 (ANG II type 1 receptor antagonist) did not modify the increase in contractility. These results show that endogenous ET-1 is a key mediator of the Gregg effect in mouse hearts. Moreover, ET-1 has a dual role in the regulation of cardiac contractility: ET A receptor-mediated increase in contractile force is suppressed by ET B receptors. angiotensin II; coronary pressure; Gregg effect INCREASED CORONARY FLOW RATE results in an increase in cardiac oxygen consumption and contractility, a phenomenon known as the Gregg effect (6, 8). The molecular and cellular mechanisms of the Gregg effect are not completely understood. It has been suggested that changes in cardiac muscle length occur because of the increased capacity of coronary vasculature (garden hose effect), thereby leading to increased force production according to the Frank-Starling law of the heart (1). However, in a more recent study (30), it was reported that in the papillary muscle preparation the magnitude of the Gregg effect is greater than that of the Frank-Starling response. On the other hand, local regulation of cardiac contractility by capillary endothelial cells has been hypothesized to account for the Gregg effect (30). Increased coronary flow rate stimulates capillary endothelium (4), and a role for endothelial cells in the regulation of cardiac function has been demonstrated (38). Furthermore, a recent study with the papillary muscle preparation showed a role for stretch-activated ion channels in the Gregg effect (17).Elevated coronary flow has been suggested to stimulate the production and release of various vasoactive factors including nitric oxide (NO) and endothelin (ET)-1 (22, 36). Previously, the role of NO in the Gregg effect was excluded (17). ET-1 exerts a direct positive inotropic effect in guinea pig, rat, and human myocardium (12, 23). ET A receptors are considered to mediate the positive inotropic effect (15). ET B receptors also exist on cardiac myocyt...