ETA

Endothelin receptor ETA is a G protein-coupled receptor activated by endothelin-1 and endothelin-2, while endothelin-3 has lower affinity for ETA[1]. Mechanistically, ET-1/ETA signaling contributes to vasoconstriction, vascular and cardiac hypertrophy, inflammation, and cardiovascular disease progression[2]. In kidney disease, ETA activation causes sustained afferent arteriolar vasoconstriction, hyperfiltration, podocyte damage, proteinuria, and GFR decline[3]. Compared with ETB, ETA predominates on smooth muscle and mediates many pathophysiological actions of ET-1, whereas endothelial ETB releases vasodilators and clears ET-1[4]. In human coronary studies, endogenous endothelin predominantly via ETA receptor stimulation contributes to basal constrictor tone and endothelial dysfunction[5]. For experimental applications, selective ETA antagonists such as BQ-123 help delineate receptor function, while approved endothelin receptor antagonists include bosentan, macitentan, and ambrisentan[4].