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European Heart Journal 2003 24(4):294-296; doi:10.1016/S0195-668X(02)00630-9
Copyright © 2003 by the European Society of Cardiology.
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Editorial

The role of the endothelin system in myocardial infarction—new therapeutic targets?

R Berger* and R Pacher

University Hospital of Vienna, Vienna, Austria

Received August 26, 2002; accepted August 28, 2002 * Corresponding author. Department of Cardiology, University of Vienna, Wahringer Gurtel 18-20, A-1090 Vienna, Austria. Tel.: +431-40400-4614; fax: +431-4081148
rberger@gmx.at

The first 10% of the full text of this article appears below.

See doi:10.1016/S1095-668X(02)00420-7for the article to which this editorial refers.

Endothelin (ET)-1, a 21-amino acid peptide, represents the major isoform of the endothelin peptide family, which further includes ET-2, ET-3, and ET-4.1 It is the most potent vasoconstrictor known and stimulates cell proliferation in various tissues. The biologically inactive precursor big ET is converted to the mature peptide by the endothelin-converting-enzyme. ETAreceptors, which lead to increased intracellular calcium concentrations, induce vasoconstriction and cell proliferation. ETBreceptors which mediate the release of NO and prostacyclin cause vasodilatation and are involved in the clearance of ET-1 and in the inhibition of the endothelin-converting-enzyme.

1. Endothelin and (coronary) atherosclerosis

In atherosclerosis, the production of ET-1 is stimulated and both tissue and plasma ET-1 levels are positively correlated with the extent of atherosclerosis.1 Moreover, in patients with coronaryartery . . . [Full Text of this Article]

2. Endothelin and myocardial infarction/remodelling


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