Leukotrienes are 5-lipoxygenase-derived arachidonic acid metabolites. In ad
dition to their bronchoconstrictor effects, leukotrienes are also important
modulators of the vascular tone which may exert paradoxical effects. Indee
d, depending on the vascular tone (in either the basal or norepinephrine-pr
econtracted state), leukotrienes are capable of inducing either contraction
or relaxation. These paradoxical effects of leukotrienes depend on the vas
cular bed and the species investigated. Since urinary LTE4 excretion is inc
reased in various cardiovascular diseases, including arterial pulmonary hyp
ertension or cardiac ischaemia, the study of the effects of leukotrienes on
human vascular preparations is of interest. This article reviews the in vi
tro evidence linking cysteinyl leukotrienes to the modulation of the vascul
ar tone on human vascular preparations.