Endothelin B receptor

From WikiMD's Wellness Encyclopedia

Endothelin B receptor (ETB receptor) is a G protein-coupled receptor that is activated by endothelin peptide ligands, specifically ET-1, ET-2, and ET-3. This receptor is involved in various physiological and pathological processes, including vasoconstriction and vasodilation, which affect blood pressure and blood flow. It also plays a role in the development of certain diseases, such as pulmonary arterial hypertension (PAH) and cancer.

Function[edit | edit source]

The ETB receptor mediates several important physiological functions. It is expressed in various tissues, including vascular endothelium, smooth muscle cells, and the central nervous system. In the vascular system, activation of the ETB receptor by endothelin leads to vasodilation, a process that involves the release of nitric oxide (NO) and prostacyclin (PGI2) from endothelial cells. This receptor also plays a critical role in clearing endothelin from the circulation, thereby regulating its levels and minimizing its vasoconstrictive effects.

In addition to its vasodilatory effects, the ETB receptor is involved in promoting sodium excretion in the kidneys, which contributes to its role in blood pressure regulation. It also influences cell proliferation and survival, which has implications for both tissue repair and oncogenesis.

Pathology[edit | edit source]

Abnormalities in ETB receptor function or expression are associated with several diseases. In PAH, a condition characterized by high blood pressure in the arteries of the lungs, the balance between the ETA and ETB receptors may be disrupted, leading to excessive vasoconstriction and vascular remodeling. ETB receptor antagonists, along with ETA receptor antagonists, are being explored as potential treatments for PAH.

The role of the ETB receptor in cancer is complex and varies among different types of cancer. It can influence tumor growth, angiogenesis, and metastasis. Research is ongoing to understand the potential of targeting the ETB receptor in cancer therapy.

Genetics[edit | edit source]

The gene encoding the ETB receptor is located on human chromosome 13. Mutations in this gene can lead to disorders such as Hirschsprung's disease, a congenital condition characterized by the absence of nerve cells in parts of the intestine, leading to severe constipation or intestinal obstruction.

Pharmacology[edit | edit source]

The pharmacological modulation of the ETB receptor is of interest for treating various cardiovascular and renal diseases. ETB receptor antagonists and agonists are being developed and tested for their therapeutic potential. Understanding the precise roles of the ETB receptor in health and disease is crucial for the development of targeted therapies.

See also[edit | edit source]



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Contributors: Prab R. Tumpati, MD