Cerebral ischaemia results in enhanced endothelin B (ET B ) receptor-mediated contraction and receptor protein expression in the affected cerebrovascular smooth muscle cells (SMC). Organ culture of cerebral arteries is a method to induce similar alterations in ET B receptor expression. We suggest that rapid and sustained reduction in wall tension/stretch is a possible trigger mechanism for this vascular remodelling. Isolated rat middle cerebral artery (MCA) segments were incubated in a wire myograph with or without mechanical stretch, prior to assessment of their contractile response to the selective ET B receptor agonist sarafotoxin 6c. The involvement of extracellular regulated kinase (ERK) 1/2 and focal adhesion kinase (FAK) was studied by their specific inhibitors U0126 and PF-228, respectively. Compared with their stretched counterparts, unstretched MCA segments showed a significantly increased ET B receptor-mediated contractile response after 12 hr of incubation, which was attenuated by either U0126 or PF-228. The functionally increased ET B -mediated contractility could be attributed to two different mechanisms: (i) a difference in ET B receptor localization from primarily endothelial expression to SMC expression and (ii) an increased calcium sensitivity of the SMCs due to an increased expression of the calcium channel transient receptor potential canonical 1. Collectively, our results present a possible mechanism linking lack of vessel wall stretch/tension to changes in ET B receptormediated contractility via triggering of an early mechanosensitive signalling pathway involving ERK1/2 and FAK signalling. A mechanism likely to be an initiating factor for the increased ET B receptor-mediated contractility found after cerebral ischaemia.In physiological conditions, the powerful vasoconstrictor endothelin 1 (ET-1) induces arterial vasoconstriction primarily via activation of the endothelin A (ET A ) receptor on the vascular smooth muscle cells (VSMCs). During pathological conditions with disturbed blood flow or altered perfusion pressure, a characteristic shift in arterial contractility emerges with arterial segments displaying a considerable contractile response to the stimulation of the otherwise primarily vasodilating endothelin B (ET B ) receptor. Hence, increased ET B receptor-mediated contractions and receptor protein levels have been observed in coronary, mesenteric and middle cerebral arteries (MCAs) affected by disturbed blood flow after ischaemia-reperfusion of the heart and gut, experimental subarachnoid haemorrhage (SAH) and focal ischaemia-reperfusion [1][2][3][4]. Interestingly, a strikingly similar shift in the reactive profile has been observed when subjecting isolated arterial segments to organ culture, a condition which largely mimics conditions of no flow/no perfusion pressure [5][6][7][8][9]. Therefore, organ culture of isolated arterial segments is often used as a method to study phenotypic changes in arterial receptors expression and the mechanisms behind this phenomenon [10].I...