Endothelin-1 is mainly synthesized by the vascular endothelial cells a
nd acts on the vascular smooth muscle. Because of its vasoconstrictor
and mitogenic effects it plays a role in the development of vascular d
iseases. In diabetes mellitus atherosclerosis is accelerated. The auth
ors summarize the available data of the role of endothelin-l in Type 1
and Type 2 diabetes mellitus and the development of diabetic complica
tion. (C) 1998 John Wiley & Sons, Ltd.