“…In vitro studies have shown that ET-1 release is stimulated by hemodynamic shear stress, hypoxia, inflammatory cytokines (tumor necrosis factor, interleukin-1, and transforming growth factor-p), vasoac tive hormones (angiotensin II. vasopressin, bradykinin, and epinephrine), and thrombin [5,[11][12][13][14], There is evi dence that ETs function as a local hormone synthesized The renal vasculature is much more sensitive to the vasoconstricting effects of ET-1 than any other vascular bed [12], The hemodynamic actions of ET-1 in the kidney have been extensively examined by exogenous adminis tration and are characterized by initial transient vasodila tion, followed by intense, prolonged vasoconstriction [18][19][20], The vasodilatory response involves the ET-1 stimula tion of renal release of endothelium-derived NO and pros tacyclin [18,19,21], Inhibiting the production of either of these vasodilatory substances modifies or abolishes the vasodilatory responses and markedly intensifies vasocon striction [18,19,21], In the glomerular microcirculation, ET-1 causes vasoconstriction of afferent and efferent arte rioles, as well as mesangial contraction, leading to a reduc tion in GFR [22][23][24][25][26][27], In general, the decrease in GFR noted in animal studies is less severe than the reduction in renal blood flow [ 18. 22, 23], a finding also observed in a human study in which a small dose of ET-1 was infused intravenously raising only diastolic but not systolic blood pressure [28],…”