ABSTRACT. We explored the involvement of endothelin-1 (ET-1) in the pathophysiology of dog dirofilariasis (heartworm disease caused by Dirofilaria immitis) by analyzing mRNA levels of preproendothelin-1 (PPET-1), the precursor form of ET-1, in cardiopulmonary organs as well as ET-1 peptide levels in plasma. To determine the cDNA sequence and primary protein structure of dog PPET-1, we performed molecular cloning of the full-length cDNA. Based on the determined sequence information, comparative expression analysis of PPET-1 mRNA was carried out by real-time polymerase chain reaction on cardiopulmonary organs from healthy (n=5) and filarial (n=5) dogs. Filarial dogs showed a significantly (p<0.05) higher mRNA expression level in the heart (about one hundred times) and lung (about ten times) than healthy dogs. Analysis of plasma ET-1 levels in healthy (n=10) and filarial (n=10) dogs showed that filarial dogs (6.9 ± 2.7 pg/ml) have significantly (p<0.01) increased plasma ET-1 levels compared with healthy dogs (1.4 ± 0.3 pg/ml). To assess the pathophysiological significance of ET-1 in dirofilariasis relative to other cardiopulmonary disorders, plasma ET-1 levels determined in dogs diagnosed with mitral regurgitation (n=10), tricuspid regurgitation (n=5), ventricular septal defect (n=5), and patent ductus arteriosus (n=5) were compared to plasma ET-1 levels in filarial dogs. Filarial dogs, which commonly develop serious pulmonary hypertension, exhibited by far the highest ET-1 levels of the disease states examined. Based on the fact that ET-1 is a potent bioactive mediator that induces vasoconstriction and promotes vascular remodeling, these findings suggest that ET-1 plays an important role in the pathophysiology of dog dirofilariasis as an aggravating factor by inducing pulmonary hypertension. KEY WORDS: cardiopulmonary disorder, dirofilariasis, dog endothelin-1 cDNA cloning, mRNA expression, plasma endothelin-1 level.J. Vet. Med. Sci. 67(11): 1155-1161, 2005 Endothelin-1 (ET-1) is a bioactive peptide originally isolated from vascular endothelial cells [33]. Recent clinical studies in humans provide convincing evidence that ET-1 is intimately involved in the pathophysiology of cardiopulmonary diseases as a potent vasoconstrictor and promoter of cell proliferation. In many cardiopulmonary diseases, including pulmonary hypertension, congestive heart failure, and cardiomyopathy, the strong and prolonged pressor activity of ET-1 directly affects cardiopulmonary hemodynamics and function, and its proliferative activity causes chronic structural changes in the cardiopulmonary tissues, leading to tissue remodeling [1,2,14]. In patients at advanced stages of these disorders, high plasma ET-1 concentrations are often observed and are associated with the severity of the disease [12,20,28].In dogs, pulmonary hypertension is a recognized form of cardiopulmonary disease and is commonly associated with dirofilariasis (heartworm disease), which is caused by parasitic filarial nematodes (Dirofilaria immitis) residing within the ani...