Target intelligence / Profile preview

Endothelin receptor (ETA and ETB subtypes) (ETA, ETB)

Target
ETA, ETB
Molecular classification
G protein-coupled receptor, Receptor
01

Overview

Endothelin receptors (endothelin receptor type A and endothelin receptor type B) are members of the G protein-coupled receptor family that mediate the effects of endothelin-1, one of the most potent endogenous vasoconstrictors. ETA is predominantly found on vascular smooth muscle cells where its activation causes vasoconstriction and cell proliferation, while ETB is present on both endothelial and smooth muscle cells, where it can cause either vasodilation (by releasing nitric oxide and prostacyclin) or vasoconstriction, depending on the subtype and tissue. These receptors are key regulators of vascular tone and tissue remodeling. Overactivation of endothelin signaling is implicated in the pathogenesis of pulmonary arterial hypertension and several cardiovascular and fibrotic diseases. Pharmacological antagonism of these receptors with drugs such as bosentan leads to vasodilation, reduced vascular resistance, and improved outcomes in pulmonary arterial hypertension.

Other names
Endothelin-1 receptorET receptorETA receptorETB receptor
02

Mechanism of action

Competitive antagonism of endothelin-1 at ETA and ETB receptors, leading to reduced vasoconstriction and vascular remodeling

03

Biological functions

Vasoconstriction regulationVasodilation regulationSignal transductionCell proliferationFibrosisInflammation
04

Disease associations

Cardiovascular diseasePulmonary arterial hypertensionHeart failureFibrotic disorders
05

Safety considerations

Hepatotoxicity (liver enzyme elevation is common and requires monitoring)AnemiaTeratogenicity (contraindicated in pregnancy)Drug-drug interactions (notably with cyclosporine and hormonal contraceptives)Fluid retention/edema
06

Interacting drugs

Bosentan

4 more in the full profile.

07

Biomarkers

Endothelin-1 plasma level (used as a pharmacodynamic marker in drug development and some clinical studies)NT-proBNP for monitoring pulmonary arterial hypertension therapy efficacy (clinical context, not specific to receptor expression itself)

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