An imbalance between proliferation and apoptosis is an important causa
l factor for disorders involving abnormal cell accumulation. Endotheli
n (ET)-1, a 21-amino-acid peptide with mitogenic and vasoconstricting
activities, not only acts as a mitogen, but also attenuates paclitaxel
-induced apoptosis in smooth muscle cells. In both human pericardial a
nd prostatic smooth muscle cells, addition of ET-1 reduced paclitaxel-
induced DNA fragmentation and phosphatidylserine on the cell surface,
two characteristics of apoptosis. By comparison, angiotensin II, anoth
er vasoactive peptide, did not have a significant effect on apoptosis.
The effect of ET-1 was dose-dependent with an EC50 of 1 nM. These res
ults suggest that ET is a potential survival factor for smooth muscle
cells, and that altered activity of the ET system in disease states ha
s potential to contribute to aberrant cell growth.