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OTHERPEPTIDE PROFILE

Endothelin-1

Also known as ET-1, Big Endothelin-1, Preproendothelin-1 (mature)

Endothelin-1 (ET-1) is a 21-amino acid peptide produced primarily by vascular endothelial cells and is the most potent endogenous vasoconstrictor known. It plays critical roles in cardiovascular regulation, pulmonary hypertension pathophysiology, and renal function. Endothelin receptor antagonists (ERAs) such as bosentan and macitentan are FDA-approved treatments for pulmonary arterial hypertension, validating ET-1 as a key therapeutic target.

Last updated April 10, 2026

TL;DR

Quick summary

Endothelin-1 is a 21-amino acid peptide and the most potent endogenous vasoconstrictor known. FDA-approved receptor antagonists (bosentan, macitentan) for pulmonary arterial hypertension validate it as a key target.

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Overview

Endothelin-1 (ET-1) is a 21-amino acid peptide produced primarily by vascular endothelial cells and is the most potent endogenous vasoconstrictor known. It plays critical roles in cardiovascular regulation, pulmonary hypertension pathophysiology, and renal function. Endothelin receptor antagonists (ERAs) such as bosentan and macitentan are FDA-approved treatments for pulmonary arterial hypertension, validating ET-1 as a key therapeutic target.

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Mechanism of action

ET-1 is synthesized as a 212-amino acid preproendothelin, cleaved to Big Endothelin-1 (38 AA), then converted to the active 21-AA form by endothelin-converting enzyme (ECE). ET-1 acts on two GPCRs: ETA receptors (predominant on smooth muscle, mediating potent vasoconstriction and proliferation) and ETB receptors (on endothelial cells, mediating transient vasodilation via NO and prostacyclin release; also on smooth muscle mediating contraction). ETA activation is the dominant net effect, producing sustained vasoconstriction via PLC/IP3/DAG signaling and calcium mobilization.

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Dosing protocols

PurposeRouteDosageFrequency
vascular pharmacology researchintravenous150 pmol/kg/mincontinuous infusion per experimental protocol

Dosing information is for educational purposes only. Consult a qualified healthcare professional before using any peptide.

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Research summary

ET-1 is implicated in pulmonary arterial hypertension, systemic hypertension, heart failure, renal disease, and preeclampsia. Multiple FDA-approved ERA drugs (bosentan, ambrisentan, macitentan) demonstrate the therapeutic importance of blocking ET-1 signaling. Research continues on ET-1's role in cancer progression, fibrosis, and neuropathic pain. ET-1 is used as a tool compound to model vascular disease in preclinical studies.[1][2][3]

📄This section cites 3 peer-reviewed sources. View all references →
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Evidence grading

Each claimed benefit is graded by the strength of available evidence. Grades reflect study quality, not effect size.

strong
Most potent endogenous vasoconstrictorConsistent decades of pharmacology research and physiology textbook consensus
strong
ET-1 drives pulmonary arterial hypertensionMultiple FDA-approved ERA drugs (bosentan, macitentan) validate pathway in PAH
strong
ETA receptor activation mediates vasoconstrictionExtensive receptor pharmacology and smooth muscle signaling studies
moderate
ET-1 contributes to cardiac and renal fibrosisConsistent preclinical models and human biomarker associations in organ disease
preliminary
ET-1 role in cancer progressionMechanistic in vitro and early clinical correlation studies only

Strong = multiple RCTs · Moderate = limited trials or observational · Preliminary = animal or in vitro only · Insufficient = anecdotal or no published data

§ 05

Side effects

Severe hypertension
Coronary vasospasm
Renal vasoconstriction
Bronchoconstriction

Side effects vary by individual. This is not an exhaustive list. Report unusual symptoms to a healthcare professional.

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Common stacks

Peptides commonly paired with Endothelin-1 for synergistic effects.

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Sourcing & access

Research compound

Endothelin-1 is classified as a research compound. Regulatory status varies by jurisdiction. Always verify current legal status and source from vendors providing third-party certificates of analysis (COA).

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Frequently asked questions

Endothelin-1 (ET-1) is a 21-amino acid peptide produced primarily by vascular endothelial cells. It is the most potent endogenous vasoconstrictor known and plays critical roles in cardiovascular regulation, pulmonary hypertension pathophysiology, and renal function.

ET-1 acts on two GPCRs: ETA receptors on smooth muscle (mediating potent vasoconstriction and proliferation) and ETB receptors on endothelial cells (mediating transient vasodilation via NO release). ETA activation is the dominant net effect, producing sustained vasoconstriction via PLC/IP3/DAG signaling and calcium mobilization.

ET-1 itself is a research compound with severe effects including hypertension, coronary vasospasm, renal vasoconstriction, and bronchoconstriction. Endothelin receptor antagonists that block ET-1 signaling (bosentan, ambrisentan, macitentan) are FDA-approved prescription drugs with established safety profiles.

Multiple endothelin receptor antagonists are FDA-approved for pulmonary arterial hypertension: bosentan (dual ETA/ETB), ambrisentan (ETA-selective), and macitentan (dual ETA/ETB). These drugs block the vasoconstriction and vascular remodeling caused by excess ET-1 signaling in the pulmonary vasculature.

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Research references

  1. Endothelin-1 in cardiovascular disease: pathophysiology and therapeutic targetsYanagisawa M, Kurihara H, et al.Pharmacol Ther, 2015PubMed
  2. Endothelin receptor antagonism in pulmonary arterial hypertensionChannick RN, Simonneau G, et al.Lancet, 2004PubMed
  3. Endothelin-1: vasoconstriction, inflammation, and fibrosis in organ diseaseKohan DE, Rossi NF, et al.Annu Rev Physiol, 2011PubMed
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