. Nitric oxide decreases endothelin-1 secretion through the activation of soluble guanylate cyclase. Am J Physiol Lung Cell Mol Physiol 286: L984-L991, 2004. First published December 24, 2003; 10.1152/ajplung.00224.2003.-The use of exogenous nitric oxide (NO) has been shown to alter the regulation of other endothelially derived mediators of vascular tone, such as endothelin-1 (ET-1). However, the interaction between NO and ET-1 appears to be complex and remains incompletely understood. One of the major actions of NO is the activation of soluble guanylate cyclase (sGC) with the subsequent generation of cGMP. Therefore, we undertook this study to test the hypothesis that NO regulates ET-1 production via the activation of the sGC/cGMP pathway. The results obtained indicated that the exposure of primary cultures of 4-wk-old ovine pulmonary arterial endothelial cells (4-wk PAECs) to the long-acting NO donor DETA NONOate induced both a dose-and time-dependent decrease in secreted ET-1. This decrease in ET-1 secretion occurred in the absence of changes in endothelin-converting enzyme-1 or sGC expression but in conjunction with a decrease in prepro-ET-1 mRNA. The changes in ET-1 release were inversely proportional to the cellular cGMP content. Furthermore, the NO-independent activator of sGC, YC-1, or treatment with a cGMP analog also produced significant decreases in ET-1 secretion. Conversely, pretreatment with the sGC inhibitor ODQ blocked the NO-induced decrease in ET-1. Therefore, we conclude that exposure of 4-wk PAECs to exogenous NO decreases secreted ET-1 resulting from the activation of sGC and increased cGMP generation. guanosine 3Ј,5Ј-cyclic monophosphate PERSISTENT PULMONARY HYPERTENSION of the newborn (PPHN) is a disease characterized by a failure of the normal pulmonary vascular transition at birth, leading to increased pulmonary vascular resistance, decreased pulmonary blood flow, and severe hypoxemia (23). PPHN affects between 2 and 6/1,000 live born term infants and continues to have significant morbidity and mortality despite recent advances in therapy (23). Important among these advances is the use of inhaled nitric oxide (NO), which has been shown in several multicenter randomized controlled trials to improve oxygenation and decrease the need for extracorporeal membrane oxygenation in term and near-term infants (16,24).Endogenous NO is an endothelially derived regulator of vascular tone that is formed by nitric oxide synthase (NOS; see Ref. 13). NO can then freely diffuse to the smooth muscle cell and activate soluble guanylate cyclase (sGC), increasing the conversion of GTP to the intracellular signaling molecule cGMP (39). cGMP works, at least in part, by activating cGMP-dependent protein kinase (PKG), another important intracellular signaling enzyme (1). It is presumed that, when NO is given by inhalation, it freely diffuses through the pulmonary epithelium to the vascular smooth muscle where it exerts its vascular dilating effect in a similar fashion (13).Approximately 40% of the infants with P...