Endothelins (ETs) were originally identified as a family of potent vas
oactive peptides produced by endothelial cells (Yanagisawa et al., 198
8). Subsequent studies have demonstrated the presence of ETs and their
receptors in a variety of tissues and cell types where ETs, acting in
a paracrine/autocrine manner, were found to exert various biological
effects (Gulati and Srimal, 1992; Filep, 1993; Haynes and Webb, 1993;
Simonson, 1993; Bauer et al., 1994; Levesque et al., 1994). ETs have b
een implicated in a number of human diseases; clinical relevance of ET
assay in human medicine is critically examined and seems to be promis
ing (Battistini et al., 1993a). At present, the existence of two recep
tor subtypes (seven membrane-spanning domains), designated ET(A) and E
T(B), has been confirmed. The existence of a third type, ET(C), has al
so been reported; however, whether or not it is a variant of the previ
ous ones or a new subtype is not clear yet (Masaki et al., 1994). Furt
her complexity arises from pharmacological and biological studies (Els
hourbagy et al., 1993; Sedo et al., 1993; Sokolovsky, 1994). Interesti
ngly, organ ET receptor type composition and thus ET action in some or
gans can also be sex dependent (Jouneaux et al., 1994). Growth regulat
ory properties of endothelins were reviewed in an excellent paper of B
attistini and coworkers (1993b), covering literature up to the start o
f 1992. However, in the last three years, new studies have added to ou
r knowledge of ETs. Thus, this review will emphasize recent informatio
n about endothelins' role in cell proliferation regulation, ET mitogen
ic effect signal transduction, and ET functional involvement in comple
x cooperations with ''standard'' growth factors and cytokines.