Necessity of dual blockade of endothelin ETA and ETB receptor subtypes for antagonism of endothelin‐1‐induced contraction in human bronchi

1 Endothelin (ET)‐1 has been postulated to be involved in the development of obstructive airway diseases in man. In the present study, we attempted to characterize ET receptor subtypes mediating ET‐1‐induced contraction in human isolated bronchi. The ET receptor antagonists used in the present study were BQ‐123 (ETA receptor‐selective), BQ‐788 (ETB receptor‐selective) and BQ‐928 (ETA/ETB dual). Sarafotoxin S6c (S6c) was also used as an ETB receptor‐selective agonist. 2 In human bronchi, ET‐1 and S6c (10−12 m to 10−7 M) produced concentration‐dependent contraction with almost equal potency (pD2: 8.88± 0.16 for ET‐1 and 9.42±0.15 for S6c). The contraction induced by S6c was competitively antagonized by BQ‐788 alone (1 and 10 μm) with a pKB value of 7.49±0.21, suggesting that the stimulation of ETB receptors causes a contraction of human bronchi. However, contrary to expectation, the concentration‐response curves for ET‐1 were not affected by BQ‐788. The ET‐1‐ and S6c‐induced contractions were not affected by BQ‐123 (10 μm). Thus, ET‐1‐induced contraction of human bronchi is not antagonized by BQ‐123 alone or by BQ‐788 alone. 3 Combined treatment with 10 μm BQ‐123 and 10 μm BQ‐788 significantly antagonized the contraction induced by ET‐1 with a dose‐ratio of 11. BQ‐928 also significantly antagonized ET‐1‐induced contraction with a pKB value of 6.32±0.24. 4The specific binding of [125I]‐ET‐1 to human bronchial membrane preparations was inhibited by BQ‐123 (100 pM to 1 μm) by approximately 40%. Combination treatment with BQ‐788 (100 pM to 1 μm) completely inhibited the BQ‐123‐resistant component of [125I]‐ET‐1 specific binding. 5 In conclusion, the present study demonstrates that BQ‐788 alone cannot inhibit ET‐1‐induced contractions in human bronchi, although human bronchial ETB receptors are BQ‐788‐sensitive. Furthermore, it was shown that blockade of both receptor subtypes antagonizes ET‐1‐induced contraction, and that both receptor subtypes co‐exist in human bronchial smooth muscles. These findings suggest that ETA receptors as well as ETB receptors are involved in ET‐1‐induced contraction in human bronchi. If ET‐1 is involved in human airway diseases, dual blockade of ETA and ETB receptors may be necessary to treat the diseases.