Two categories of cysteinyl-leukotrienes have been proposed, namely, CysLT(
1) and CysLT(2). These receptors are found not only on the vascular smooth
muscle but also on the endothelium. Activation of the receptor(s) on vascul
ar smooth muscle provokes contraction whereas activation of the receptors:o
n the endothelium produces contraction and/or relaxation. These endothelium
dependent effects are to the release of both contractile and relaxant:fact
ors derived from the endothelium. While factors derived from either the cyc
looxygenase or nitric oxide pathways are involved, in some vascular prepara
tions other mediators such as endothelin may be involved. However, in isola
ted human pulmonary vascular preparations, this appears not to be the case
and presently the nature and origin of the contractile factor remains to be
established.