1. We have examined the expression of endothelin isoforms and their pr
ecursors in the human heart using RIA, HPLC, immunocytochemistry and r
everse transcriptase-polymerase chain reaction assays. 2. Highly speci
fic RIAs were used to measure the levels of mature endothelin and big
endothelin-1 immunoreactivity in extracts of human right ventricle, Th
ere was no significant difference between samples from patients with i
schaemic heart disease and idiopathic dilated cardiomyopathy. 3. HPLC
coupled with RIAs allowed the separation and identification of the thr
ee mature isoforms of endothelin, big endothelin-1 and the C-terminal
fragment of big endothelin-1, In extracts of human endocardial endothe
lial cells, peaks of immunoreactivity that co-eluted with authentic en
dothelin-1, big endothelin-1 and C-terminal fragment were found. 4. In
tense immunocytochemical staining of mature endothelin immunoreactivit
y was detected in the cytoplasm of endothelial cells of all regions of
the heart tested, Big endothelin-1 immunoreactivity mirrored that of
the mature peptide and, in two of three individuals tested, big endoth
elin-2 immunoreactivity was also detected, No big endothelin-3 immunor
eactivity was detected in any of the tissues examined.