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Endothelin A Receptor (ETA): A Central Regulator in Cardiovascular Signaling
Exploring the molecular mechanisms and therapeutic implications of ETA in cardiovascular health.
The endothelin A receptor (ETA) is a G protein–coupled receptor (GPCR) that plays a critical role in cardiovascular physiology and pathology. ETA is predominantly expressed in vascular smooth muscle cells and cardiomyocytes, where it mediates the biological effects of endothelin-1 (ET-1), one of the most potent endogenous vasoconstrictor peptides.
Figure 1: Mechanism of ET-1/ETA signaling in vascular cells.
I. Molecular Characteristics
ETA belongs to the class A GPCR family. Its expression is highly localized to ensure targeted cardiovascular response:
- Vascular Smooth Muscle: Regulates tone.
- Cardiac Myocytes: Influences contractility.
- Fibroblasts: Manages structural integrity.
II. Signal Transduction
Binding of ET-1 triggers the Gq/G11 pathway, activating PLC and generating key second messengers:
- IP3: Induces Ca2+ release (Contraction).
- DAG: Activates Protein Kinase C (PKC).
III. Cardiovascular Remodeling
Beyond immediate vasoconstriction, ETA signaling activates mitogen-activated protein kinase (MAPK) cascades, leading to chronic structural changes:
Proliferation
Smooth Muscle Cells
Hypertrophy
Cardiomyocytes
Fibrosis
Matrix Deposition
IV. Pathophysiological Implications
| Condition | ETA Role |
|---|---|
| Hypertension | Increased peripheral vascular resistance. |
| Heart Failure | Promotion of myocardial remodeling and stiffness. |
| Atherosclerosis | Vascular wall thickening and inflammation. |
V. Therapeutic Significance
Selective ETA antagonists are vital pharmacological tools. They are currently utilized in clinical settings—most notably for Pulmonary Arterial Hypertension (PAH)—to reduce vascular resistance and halt pathological tissue remodeling.

