Endothelin: A Whole-Body Approach

ENDOTHELIN: A WHOLE-BODY APPROACH John Burnett's team has been on a winning streak in the past few months as the Mayo group of clinicians had two more endothelin studies accepted for publication: one appeared in the August issue of the American Journal of Physiology (P.G. Cavaro, et al., "Endothelin in experimental congestive heart failure in the anesthetized dog," 259:F312-17, August 1990), and one is to be published in the January 1991 issue of Circulation. The team also presen

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Using a dog model to mimic human heart failure, the team has shown that plasma endothelin levels are elevated more predictably than other hormones associated with this disease, such as renin and aldosterone. Furthermore, when healthy animals were given endothelin to equal the plasma concentration observed in the sick dogs, coronary, renal, and systemic vasoconstriction were observed.

These findings demonstrated endothelin's potency. The team's original research (W.L. Miller, et al., Journal of Clinical Investigation, 83:317-20, 1989) indicated a pharmacologic effect, says Burnett, while the subsequent work has shown endothelin to have a biologic activity at one-tenth the dosages administered in the first study.

In addition to using dog models, the team has also investigated endothelin's role in the human body. Cardiology fellow Amir Lerman presented the results of the human study this fall. The researchers found that endothelin levels were significantly elevated among patients with symptomatic atherosclerosis. "One of the ...

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