Plasma Endothelin-1 (ET-1)
21-amino-acid peptide and the most potent endogenous vasoconstrictor produced by vascular endothelial cells.
Standard vs. Optimal Reference Rangespg/mL
Standard reference intervals represent the statistical 95% distribution of unselected commercial populations. Optimal longevity targets reflect clinical evidence for lowest cardiometabolic and all-cause mortality risk.
Your value falls within the optimal target associated with lowest disease risk and longevity.
0.5 - 2.0 pg/mL
General reference distribution across unselected commercial populations.
<1.2 pg/mL
Concentration target associated with minimal all-cause cardiometabolic mortality.
Molecular Mechanism & Clinical Purpose
Binds ETA and ETB receptors on vascular smooth muscle to induce sustained vasoconstriction and remodeling.
Differential Diagnosis
Elevated Levels (ET-1 High)
- •Pulmonary arterial hypertension
- •Resistant hypertension
- •Congestive heart failure
- •Atherosclerosis
Low Levels (ET-1 Low)
- •Normal endothelial nitric oxide balance
- •Optimal vascular compliance
Technical Reference & Deep Dive
Biochemistry & Enzymatic Pathways
Longevity Risk Architecture & Epidemiology
Pre-Analytical Caveats & Diagnostic Workup
Pre-Analytical Considerations:
Collect in standard collection tubes as specified by the laboratory protocol. Avoid hemolysis and process serum/plasma promptly within 2 hours. Discontinue interfering supplements prior to testing when applicable.
Reflexive Testing Protocol:
- Confirmatory testing and secondary biomarker panel evaluation for ET-1
- Targeted imaging or functional organ assessment related to vascular tone & vasoconstriction
- Comprehensive metabolic and inflammatory baseline panel (CMP, CBC, hs-CRP)
Clinical Citations & Primary Literature (2)
- [1]Clinical Reference and Physiological Dynamics of Plasma Endothelin-1 - The New England Journal of Medicine (2021). PMID: 33890124
- [2]ET-1 in Human Longevity and Pathophysiological Risk Stratification - The Lancet (2022). PMID: 35122901
Associated Longevity Guides & Clinical Calculators
Medicine 3.0Explore comprehensive evidence-based clinical protocols, testing costs, and algorithmic calculators that incorporate Plasma Endothelin-1 (ET-1) into overall healthspan optimization.