SlideShare a Scribd company logo
1 of 20
Seminar on Endothelin Receptors
1
Prepared by-
Kunj M. Patel,
M. Pharm ,sem-1
Roll no - 01
Guided by-
Dr. N. N. Shah,
A. R. College of Pharmacy &
G. H. Patel Institute of Pharmacy, V. V. Nagar
 Introduction
 Classification of endothelin receptors
 Location of endothelin receptors
 Signal transduction mechanism of endothelin receptors
 Physiological functions of endothelin receptors
 Agonists of endothelin receptors
 Antagonists of endothelin receptors
 Adverse effects of endothelin receptor antagonists
 References
Contents
2
 Endothelin is a very potent vasoconstrictor peptide
derived from the endothelial cells of vasculature.
 After the discovery of the endothelium-derived
relaxing factor, a contracting factor was isolated from
bovine aortic and pulmonary endothelium. Its gene
sequence was identified in 1987, and it was named
endothelin (ET).
 ET is a family of four 21-amino acid peptides, i.e., ET-1,
ET-2, ET-3 and ET-4 (vasoactive intestinal constrictor).
Introduction
3
 ET-1 is a potent vasoconstrictor.
 In addition to their cardiovascular effects, ETs are
involved in embryonic development,
bronchoconstriction, prostate growth,
carcinogenesis, and gastrointestinal and endocrine
function.
Continue…...
4
 Endothelin receptors are classified in to:
Endothelin receptor type-A
Endothelin receptor type-B
Classification Of Endothelin Receptors
5
 Endothelin receptor type-A
ETA
 Endothelin receptor type-B
ETB1
ETB2
Subtypes
6
 Endothelin receptor type-A are located on vascular smooth
muscle cells , brain , lungs , kidney and adrenal gland
 Endothelin receptors type-B are located on endothelial cells
lining the vessel wall
 Endothelin receptors have also been found in the brain, e.g.
cerebral cortex, cerebellum and glial cells.
Location Of Endothelin Receptors
7
Figure no -1
Actions of endothelin-1
through its receptors.
8
 Both ET 𝐴 and ETB receptor subtypes are G- protein coupled
receptors.
 ETA response:
 As shown in figure , the signal transduction mechanisms
include :
Opening of ca2+ channels through phospholipase
C/IP3 pathway
↓
increase in intracellular ca2+
↓
results in vasoconstriction
Signal Transduction Mechanism Of
Endothelin Receptors
9
 ETB response:
An activation of phospholipase A2 (which
produce PGI2) and of nitric oxide synthase leading
to vasodilation.
 ETA and ETB response:
Activation of protein kinase –c
through phospholipase C/DAG pathway .
leading to mitogenesis and also leading
to vasoconstriction.
ETB Response And ETA And ETB
Response
10
 ETA is a subtype for vasoconstrictionThese receptors are
found in the smooth muscle tissue of blood vessels, and
binding of endothelin to ETA increases vasoconstriction
and the retention of sodium, leading to increased blood
pressure.
 ETB1 mediates vasodilation, When endothelin binds to ETB1
receptors, this leads to the release of nitric oxide (also
called endothelium-derived relaxing factor), natriuresis and
diuresis and mechanisms that lower blood pressure.
Physiological Functions Of
Endothelin Receptors
11
 ETB2 mediates vasoconstriction
 ET receptor are also found in the nervous system
where they may mediate neurotransmission and
vascular functions.
Continue…..
12
Figure no -2: characteristic features of endothelin receptors.
13
 Endothelin 1:-
Selective agonist for ETB receptors.
 Endothelin 2:-
Potent vasoconstrictor from vascular
endothelial cells; displays similar selectivity for
ETA and ETB receptors
Agonists Of Endothelin Receptors
14
 Endothelin 3:-
Vasoconstrictor from vascular endothelial cells;
preferred agonist for ETB receptors.
 Sarafotoxin:-
ETB agonist; toxin with strong vasoconstrictor activity
ETA agonist; increases intracellular Ca2+
Continue…..
15
 Many selective as well as non- selective antagonists
have been developed.
 Selective ETA receptor antagonists
• sitaxsentan
• ambrisetan
these drugs are currently under trials.
 Selective ETB receptor antagonists
• IRL-1038
Antagonists Of Endothelin receptors
16
 Non selective antagonists
• Bosentan
this drug is active both I.V. and orally . blocks both
ETA and ETB.
 Other antagonists
• Phosphoramidon
it acts by inhibiting endothelin converting enzyme
so, the inhibition of formation of endothelin -1
occurs.
Continue…..
17
 Fall in BP
 Tachycardia
 Headache
 Gastric upset
 Teratogenic effects
Adverse Effects Of Endothelin
Antagonists
18
1. Sharma H.L., sharma K.K., “principles of pharmacology”, Paras
medical publisher, New Delhi, 2nd edition, 2011, page no:242-244
2. http://circ.ahajournals.org/content/102/19/2434.full
3. http://www.ebi.ac.uk/interpro/entry/IPR000499
4. http://en.wikipedia.org/wiki/Endothelin_receptor_type_A
5. http://en.wikipedia.org/wiki/Endothelin_receptor_antagonist
6. http://en.wikipedia.org/wiki/Endothelin_receptor
7. http://www.sigmaaldrich.com/life-science/biochemicals/biochemical-
products.html?TablePage=111029074
8. http://www.pharmacorama.com/en/Sections/Angiotensin_6.php
9. http://www.cvpharmacology.com/vasodilator/ETblockers.htm
10. http://en.wikipedia.org/wiki/Endothelin_receptor_type_B
References
19
THANK YOU
20

More Related Content

What's hot

Phosphodiesterase inhibitors
Phosphodiesterase inhibitorsPhosphodiesterase inhibitors
Phosphodiesterase inhibitorsDr. Mohit Kulmi
 
Phosphodiesterase inhibitors
Phosphodiesterase  inhibitorsPhosphodiesterase  inhibitors
Phosphodiesterase inhibitorsElza Emmannual
 
phosphodiesterase inhibitors.pptx
phosphodiesterase inhibitors.pptxphosphodiesterase inhibitors.pptx
phosphodiesterase inhibitors.pptxmonicaajmerajain
 
Fibrinolytics & antiplatelets
Fibrinolytics & antiplateletsFibrinolytics & antiplatelets
Fibrinolytics & antiplateletsNaser Tadvi
 
Beta adrenoceptor agonists
Beta adrenoceptor agonistsBeta adrenoceptor agonists
Beta adrenoceptor agonistsTural Abdullayev
 
Calcium Channel Blockers
Calcium Channel Blockers Calcium Channel Blockers
Calcium Channel Blockers Dr Htet
 
2nd year anti-anginal_drugs
2nd year anti-anginal_drugs2nd year anti-anginal_drugs
2nd year anti-anginal_drugsUttara Joshi
 
Seretonin (5HT) and Its Antagonists Pharmacology
Seretonin (5HT) and Its Antagonists PharmacologySeretonin (5HT) and Its Antagonists Pharmacology
Seretonin (5HT) and Its Antagonists PharmacologyPranatiChavan
 
1.1 introduction of haemodynamics and electrophysiology of heart
1.1 introduction of haemodynamics and electrophysiology of heart1.1 introduction of haemodynamics and electrophysiology of heart
1.1 introduction of haemodynamics and electrophysiology of heartArunachalam Muthuraman
 
Role of nmda receptors and drugs affecting it
Role of nmda receptors and drugs affecting itRole of nmda receptors and drugs affecting it
Role of nmda receptors and drugs affecting itAshishkumar Baheti
 

What's hot (20)

Beta blockers
Beta blockersBeta blockers
Beta blockers
 
Phosphodiesterase inhibitors
Phosphodiesterase inhibitorsPhosphodiesterase inhibitors
Phosphodiesterase inhibitors
 
ACE Inhibitors
ACE InhibitorsACE Inhibitors
ACE Inhibitors
 
Sympatholytics
SympatholyticsSympatholytics
Sympatholytics
 
Phosphodiesterase inhibitors
Phosphodiesterase  inhibitorsPhosphodiesterase  inhibitors
Phosphodiesterase inhibitors
 
Drug therapy for heart failure
Drug therapy for heart failureDrug therapy for heart failure
Drug therapy for heart failure
 
Nitric oxide
Nitric oxideNitric oxide
Nitric oxide
 
Drugs affecting renin-angiotensin system
Drugs affecting renin-angiotensin systemDrugs affecting renin-angiotensin system
Drugs affecting renin-angiotensin system
 
phosphodiesterase inhibitors.pptx
phosphodiesterase inhibitors.pptxphosphodiesterase inhibitors.pptx
phosphodiesterase inhibitors.pptx
 
Fibrinolytics & antiplatelets
Fibrinolytics & antiplateletsFibrinolytics & antiplatelets
Fibrinolytics & antiplatelets
 
Beta blockers
Beta blockers Beta blockers
Beta blockers
 
ANTI- EMETICS
ANTI- EMETICS ANTI- EMETICS
ANTI- EMETICS
 
Beta adrenoceptor agonists
Beta adrenoceptor agonistsBeta adrenoceptor agonists
Beta adrenoceptor agonists
 
Alpha blockers
Alpha blockersAlpha blockers
Alpha blockers
 
Calcium Channel Blockers
Calcium Channel Blockers Calcium Channel Blockers
Calcium Channel Blockers
 
2nd year anti-anginal_drugs
2nd year anti-anginal_drugs2nd year anti-anginal_drugs
2nd year anti-anginal_drugs
 
Seretonin (5HT) and Its Antagonists Pharmacology
Seretonin (5HT) and Its Antagonists PharmacologySeretonin (5HT) and Its Antagonists Pharmacology
Seretonin (5HT) and Its Antagonists Pharmacology
 
1.1 introduction of haemodynamics and electrophysiology of heart
1.1 introduction of haemodynamics and electrophysiology of heart1.1 introduction of haemodynamics and electrophysiology of heart
1.1 introduction of haemodynamics and electrophysiology of heart
 
Role of nmda receptors and drugs affecting it
Role of nmda receptors and drugs affecting itRole of nmda receptors and drugs affecting it
Role of nmda receptors and drugs affecting it
 
Hypertension
HypertensionHypertension
Hypertension
 

Viewers also liked

Slideshare biological actions of endothelium aj
Slideshare  biological actions of endothelium aj Slideshare  biological actions of endothelium aj
Slideshare biological actions of endothelium aj Anu Priya
 
Endothelial cell in health & disease seminar
Endothelial cell in health & disease seminarEndothelial cell in health & disease seminar
Endothelial cell in health & disease seminarSweety Kalantri
 
Endothelial Dysfunction Y O U S R Y Y Yeasured
Endothelial  Dysfunction   Y O U S R Y Y YeasuredEndothelial  Dysfunction   Y O U S R Y Y Yeasured
Endothelial Dysfunction Y O U S R Y Y YeasuredM.YOUSRY Abdel-Mawla
 
Bipn105 Symposia Presentation- Slides
Bipn105 Symposia Presentation- SlidesBipn105 Symposia Presentation- Slides
Bipn105 Symposia Presentation- Slidesrobinyslideshare
 
Slideshow
SlideshowSlideshow
Slideshowhome
 
Cours les ecosanoides
Cours les ecosanoides Cours les ecosanoides
Cours les ecosanoides Nisrine Bouji
 
Lung carcinoid tumor
Lung carcinoid tumorLung carcinoid tumor
Lung carcinoid tumorDaniel Henny
 
Lecture 8 hypertension - Pathology
Lecture 8 hypertension - Pathology Lecture 8 hypertension - Pathology
Lecture 8 hypertension - Pathology Areej Abu Hanieh
 
Determination of nephroprotective activity of ethanolic leaf extract of morin...
Determination of nephroprotective activity of ethanolic leaf extract of morin...Determination of nephroprotective activity of ethanolic leaf extract of morin...
Determination of nephroprotective activity of ethanolic leaf extract of morin...pharmaindexing
 
NEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREA
NEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREANEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREA
NEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREApharmaindexing
 
Dept activities pharmacology, pescp 3 2-2016
Dept activities pharmacology, pescp  3 2-2016Dept activities pharmacology, pescp  3 2-2016
Dept activities pharmacology, pescp 3 2-2016Dr.Shivalinge Gowda KP
 
Nf-Kappa B signalling
Nf-Kappa B signalling Nf-Kappa B signalling
Nf-Kappa B signalling Sakshi Saxena
 
5. Carcinoid Tumour Biochemical And Radiological Testing
5. Carcinoid Tumour Biochemical And Radiological Testing5. Carcinoid Tumour Biochemical And Radiological Testing
5. Carcinoid Tumour Biochemical And Radiological Testingensteve
 

Viewers also liked (20)

Slideshare biological actions of endothelium aj
Slideshare  biological actions of endothelium aj Slideshare  biological actions of endothelium aj
Slideshare biological actions of endothelium aj
 
Endothelins
EndothelinsEndothelins
Endothelins
 
Vascular endothelium
Vascular endotheliumVascular endothelium
Vascular endothelium
 
Endothelial cell in health & disease seminar
Endothelial cell in health & disease seminarEndothelial cell in health & disease seminar
Endothelial cell in health & disease seminar
 
Endothelial Dysfunction Y O U S R Y Y Yeasured
Endothelial  Dysfunction   Y O U S R Y Y YeasuredEndothelial  Dysfunction   Y O U S R Y Y Yeasured
Endothelial Dysfunction Y O U S R Y Y Yeasured
 
Nitric oxide
Nitric oxideNitric oxide
Nitric oxide
 
Bipn105 Symposia Presentation- Slides
Bipn105 Symposia Presentation- SlidesBipn105 Symposia Presentation- Slides
Bipn105 Symposia Presentation- Slides
 
Slideshow
SlideshowSlideshow
Slideshow
 
Final .-p.practise
Final .-p.practiseFinal .-p.practise
Final .-p.practise
 
Cours les ecosanoides
Cours les ecosanoides Cours les ecosanoides
Cours les ecosanoides
 
Lung carcinoid tumor
Lung carcinoid tumorLung carcinoid tumor
Lung carcinoid tumor
 
Lecture 8 hypertension - Pathology
Lecture 8 hypertension - Pathology Lecture 8 hypertension - Pathology
Lecture 8 hypertension - Pathology
 
Renal haemodynamics
Renal haemodynamicsRenal haemodynamics
Renal haemodynamics
 
Lect 26 9th oct angiotensin system
Lect 26 9th oct angiotensin systemLect 26 9th oct angiotensin system
Lect 26 9th oct angiotensin system
 
Determination of nephroprotective activity of ethanolic leaf extract of morin...
Determination of nephroprotective activity of ethanolic leaf extract of morin...Determination of nephroprotective activity of ethanolic leaf extract of morin...
Determination of nephroprotective activity of ethanolic leaf extract of morin...
 
NEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREA
NEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREANEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREA
NEPHROPROTECTIVE ACTIVITY OF AERIAL PARTS OF BAUHINIA PURPUREA
 
Ckd dr. shanjida
Ckd dr. shanjidaCkd dr. shanjida
Ckd dr. shanjida
 
Dept activities pharmacology, pescp 3 2-2016
Dept activities pharmacology, pescp  3 2-2016Dept activities pharmacology, pescp  3 2-2016
Dept activities pharmacology, pescp 3 2-2016
 
Nf-Kappa B signalling
Nf-Kappa B signalling Nf-Kappa B signalling
Nf-Kappa B signalling
 
5. Carcinoid Tumour Biochemical And Radiological Testing
5. Carcinoid Tumour Biochemical And Radiological Testing5. Carcinoid Tumour Biochemical And Radiological Testing
5. Carcinoid Tumour Biochemical And Radiological Testing
 

Similar to Endothelin ppt

Vasoactive peptides
Vasoactive peptidesVasoactive peptides
Vasoactive peptidesAyesha Rida
 
Types of receptors pharmacology
Types of receptors pharmacologyTypes of receptors pharmacology
Types of receptors pharmacologyWasiem El-Helaly
 
Cholinomemtic drugs
Cholinomemtic drugsCholinomemtic drugs
Cholinomemtic drugshuma2012
 
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...Jackfrimpong
 
Pharmacology of Proteins and peptides
Pharmacology of Proteins and peptidesPharmacology of Proteins and peptides
Pharmacology of Proteins and peptidesKoppala RVS Chaitanya
 
Rupajit Bhattacharjee hypertension management
Rupajit Bhattacharjee hypertension management Rupajit Bhattacharjee hypertension management
Rupajit Bhattacharjee hypertension management RupajitBhattacharjee1
 
Yousry Endothelial Vs Erectile Dysfunction
Yousry Endothelial Vs Erectile DysfunctionYousry Endothelial Vs Erectile Dysfunction
Yousry Endothelial Vs Erectile Dysfunctionguest5a246c
 
The pharmacology of proteins and peptides
The pharmacology of proteins and peptidesThe pharmacology of proteins and peptides
The pharmacology of proteins and peptidesOdetteHeyneke
 
IVMS-Autonomic Pharmacology Formative Exam with Answer Key
IVMS-Autonomic Pharmacology Formative Exam with Answer KeyIVMS-Autonomic Pharmacology Formative Exam with Answer Key
IVMS-Autonomic Pharmacology Formative Exam with Answer KeyImhotep Virtual Medical School
 
Atenolol Presentation Clin 210 50
Atenolol   Presentation Clin 210 50Atenolol   Presentation Clin 210 50
Atenolol Presentation Clin 210 50Dr.RAJEEV KASHYAP
 
Renin angiotensin aldosterone- Updates
Renin angiotensin aldosterone-   UpdatesRenin angiotensin aldosterone-   Updates
Renin angiotensin aldosterone- UpdatesRamachandra Barik
 
Serotonin agonist &antagonist
Serotonin agonist &antagonistSerotonin agonist &antagonist
Serotonin agonist &antagonistShipra Jain
 
SEROTONIN KININ AND PROSTAGLANDIN AUTACOID
SEROTONIN KININ AND PROSTAGLANDIN AUTACOIDSEROTONIN KININ AND PROSTAGLANDIN AUTACOID
SEROTONIN KININ AND PROSTAGLANDIN AUTACOIDAnkita
 

Similar to Endothelin ppt (20)

Vasoactive peptides
Vasoactive peptidesVasoactive peptides
Vasoactive peptides
 
Types of receptors pharmacology
Types of receptors pharmacologyTypes of receptors pharmacology
Types of receptors pharmacology
 
Cholinomemtic drugs
Cholinomemtic drugsCholinomemtic drugs
Cholinomemtic drugs
 
Endogenous ligands
Endogenous ligandsEndogenous ligands
Endogenous ligands
 
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
Lecture 15,16--Drugs Used in Congestive Heart Failure 1 and 2 Syllabus(1)_mer...
 
Pharmacology of Proteins and peptides
Pharmacology of Proteins and peptidesPharmacology of Proteins and peptides
Pharmacology of Proteins and peptides
 
Rupajit Bhattacharjee hypertension management
Rupajit Bhattacharjee hypertension management Rupajit Bhattacharjee hypertension management
Rupajit Bhattacharjee hypertension management
 
Yousry Endothelial Vs Erectile Dysfunction
Yousry Endothelial Vs Erectile DysfunctionYousry Endothelial Vs Erectile Dysfunction
Yousry Endothelial Vs Erectile Dysfunction
 
d1. Angiotensin.pdf
d1. Angiotensin.pdfd1. Angiotensin.pdf
d1. Angiotensin.pdf
 
b4. Serotonin.pdf
b4. Serotonin.pdfb4. Serotonin.pdf
b4. Serotonin.pdf
 
The pharmacology of proteins and peptides
The pharmacology of proteins and peptidesThe pharmacology of proteins and peptides
The pharmacology of proteins and peptides
 
ANS Pharmacology- Adrenergic Drugs
ANS Pharmacology- Adrenergic DrugsANS Pharmacology- Adrenergic Drugs
ANS Pharmacology- Adrenergic Drugs
 
IVMS-Autonomic Pharmacology Formative Exam with Answer Key
IVMS-Autonomic Pharmacology Formative Exam with Answer KeyIVMS-Autonomic Pharmacology Formative Exam with Answer Key
IVMS-Autonomic Pharmacology Formative Exam with Answer Key
 
Sheetal
SheetalSheetal
Sheetal
 
into
intointo
into
 
Atenolol Presentation Clin 210 50
Atenolol   Presentation Clin 210 50Atenolol   Presentation Clin 210 50
Atenolol Presentation Clin 210 50
 
Renin angiotensin aldosterone- Updates
Renin angiotensin aldosterone-   UpdatesRenin angiotensin aldosterone-   Updates
Renin angiotensin aldosterone- Updates
 
Eicosanoids
EicosanoidsEicosanoids
Eicosanoids
 
Serotonin agonist &antagonist
Serotonin agonist &antagonistSerotonin agonist &antagonist
Serotonin agonist &antagonist
 
SEROTONIN KININ AND PROSTAGLANDIN AUTACOID
SEROTONIN KININ AND PROSTAGLANDIN AUTACOIDSEROTONIN KININ AND PROSTAGLANDIN AUTACOID
SEROTONIN KININ AND PROSTAGLANDIN AUTACOID
 

Endothelin ppt

  • 1. Seminar on Endothelin Receptors 1 Prepared by- Kunj M. Patel, M. Pharm ,sem-1 Roll no - 01 Guided by- Dr. N. N. Shah, A. R. College of Pharmacy & G. H. Patel Institute of Pharmacy, V. V. Nagar
  • 2.  Introduction  Classification of endothelin receptors  Location of endothelin receptors  Signal transduction mechanism of endothelin receptors  Physiological functions of endothelin receptors  Agonists of endothelin receptors  Antagonists of endothelin receptors  Adverse effects of endothelin receptor antagonists  References Contents 2
  • 3.  Endothelin is a very potent vasoconstrictor peptide derived from the endothelial cells of vasculature.  After the discovery of the endothelium-derived relaxing factor, a contracting factor was isolated from bovine aortic and pulmonary endothelium. Its gene sequence was identified in 1987, and it was named endothelin (ET).  ET is a family of four 21-amino acid peptides, i.e., ET-1, ET-2, ET-3 and ET-4 (vasoactive intestinal constrictor). Introduction 3
  • 4.  ET-1 is a potent vasoconstrictor.  In addition to their cardiovascular effects, ETs are involved in embryonic development, bronchoconstriction, prostate growth, carcinogenesis, and gastrointestinal and endocrine function. Continue…... 4
  • 5.  Endothelin receptors are classified in to: Endothelin receptor type-A Endothelin receptor type-B Classification Of Endothelin Receptors 5
  • 6.  Endothelin receptor type-A ETA  Endothelin receptor type-B ETB1 ETB2 Subtypes 6
  • 7.  Endothelin receptor type-A are located on vascular smooth muscle cells , brain , lungs , kidney and adrenal gland  Endothelin receptors type-B are located on endothelial cells lining the vessel wall  Endothelin receptors have also been found in the brain, e.g. cerebral cortex, cerebellum and glial cells. Location Of Endothelin Receptors 7
  • 8. Figure no -1 Actions of endothelin-1 through its receptors. 8
  • 9.  Both ET 𝐴 and ETB receptor subtypes are G- protein coupled receptors.  ETA response:  As shown in figure , the signal transduction mechanisms include : Opening of ca2+ channels through phospholipase C/IP3 pathway ↓ increase in intracellular ca2+ ↓ results in vasoconstriction Signal Transduction Mechanism Of Endothelin Receptors 9
  • 10.  ETB response: An activation of phospholipase A2 (which produce PGI2) and of nitric oxide synthase leading to vasodilation.  ETA and ETB response: Activation of protein kinase –c through phospholipase C/DAG pathway . leading to mitogenesis and also leading to vasoconstriction. ETB Response And ETA And ETB Response 10
  • 11.  ETA is a subtype for vasoconstrictionThese receptors are found in the smooth muscle tissue of blood vessels, and binding of endothelin to ETA increases vasoconstriction and the retention of sodium, leading to increased blood pressure.  ETB1 mediates vasodilation, When endothelin binds to ETB1 receptors, this leads to the release of nitric oxide (also called endothelium-derived relaxing factor), natriuresis and diuresis and mechanisms that lower blood pressure. Physiological Functions Of Endothelin Receptors 11
  • 12.  ETB2 mediates vasoconstriction  ET receptor are also found in the nervous system where they may mediate neurotransmission and vascular functions. Continue….. 12
  • 13. Figure no -2: characteristic features of endothelin receptors. 13
  • 14.  Endothelin 1:- Selective agonist for ETB receptors.  Endothelin 2:- Potent vasoconstrictor from vascular endothelial cells; displays similar selectivity for ETA and ETB receptors Agonists Of Endothelin Receptors 14
  • 15.  Endothelin 3:- Vasoconstrictor from vascular endothelial cells; preferred agonist for ETB receptors.  Sarafotoxin:- ETB agonist; toxin with strong vasoconstrictor activity ETA agonist; increases intracellular Ca2+ Continue….. 15
  • 16.  Many selective as well as non- selective antagonists have been developed.  Selective ETA receptor antagonists • sitaxsentan • ambrisetan these drugs are currently under trials.  Selective ETB receptor antagonists • IRL-1038 Antagonists Of Endothelin receptors 16
  • 17.  Non selective antagonists • Bosentan this drug is active both I.V. and orally . blocks both ETA and ETB.  Other antagonists • Phosphoramidon it acts by inhibiting endothelin converting enzyme so, the inhibition of formation of endothelin -1 occurs. Continue….. 17
  • 18.  Fall in BP  Tachycardia  Headache  Gastric upset  Teratogenic effects Adverse Effects Of Endothelin Antagonists 18
  • 19. 1. Sharma H.L., sharma K.K., “principles of pharmacology”, Paras medical publisher, New Delhi, 2nd edition, 2011, page no:242-244 2. http://circ.ahajournals.org/content/102/19/2434.full 3. http://www.ebi.ac.uk/interpro/entry/IPR000499 4. http://en.wikipedia.org/wiki/Endothelin_receptor_type_A 5. http://en.wikipedia.org/wiki/Endothelin_receptor_antagonist 6. http://en.wikipedia.org/wiki/Endothelin_receptor 7. http://www.sigmaaldrich.com/life-science/biochemicals/biochemical- products.html?TablePage=111029074 8. http://www.pharmacorama.com/en/Sections/Angiotensin_6.php 9. http://www.cvpharmacology.com/vasodilator/ETblockers.htm 10. http://en.wikipedia.org/wiki/Endothelin_receptor_type_B References 19