Increased renal artery contractility leads to renal vasospasm and ischaemia as well as kidney damage. This study was designed to examine the hypothesis that organ culture of renal arteries induces transcriptional up-regulation of endothelin type A (ET A ) and type B2 (ET B2 ) receptors in the smooth muscle cells via activation of nuclear factor-kappaB (NF-jB) and subsequently increases renal artery contractility. Rat renal artery segments were organ-cultured for 6 or 24 hr to increase endothelin receptor-mediated contraction. To dissect molecular mechanisms involved in this process, inhibitors for NF-jB signalling pathway (MG-132 and BMS345541), transcription (actinomycin D) and translation (cycloheximide) were used during organ culture. Endothelin receptors were studied using a sensitive myograph (functional contractility), real-time PCR (mRNA analysis) and immunohistochemistry (protein localization). Compared with fresh segments, contractile responses to endothelin-1 (non-selective endothelin receptor agonist) and sarafotoxin 6c (selective ET B receptor agonist) were significantly increased in the segments after 24 hr of organ culture; ET B2 receptor-mediated maximal contraction increased from 2.7 AE 0.5 to 135.3 AE 5.1 (p < 0.001), and potency (pEC 50 ) of ET A receptor agonist increased from 8.20 AE 0.04 to 8.72 AE 0.07 (p < 0.001). This was in parallel with increased corresponding mRNA and protein expression for ET A and ET B2 receptors. BMS345541, MG-132, actinomycin D or cyclohexamide, respectively, suppressed the up-regulation of ET A and ET B2 receptors. Immunostaining performed with specific antibody showed that IjB was phosphorylated during organ culture. In conclusion, activation of NF-jB mediates up-regulation of ET A and ET B2 receptors and subsequently increases renal artery contractility, which may contribute to renal vasospasm and ischaemia as well as kidney damage.Increased renal vascular contractility and resistance trigger a cascade of events that lead to reduced renal blood flow, renal ischaemia and dysfunction, and even structural injury of kidney [1,2]. This cascade is often seen in endotoxaemic shockinduced renal ischaemia [3,4], renal artery stenosis [1] and severe renal artery spasm after blunt abdominal trauma [5], percutaneous transluminal renal angioplasty [6] and abdominal neuroblastoma removal [7]. However, the underlying molecular mechanisms that are responsible for the increased renal artery contractility and reduced renal blood flow are still not fully understood. Fenhammar et al. [4] reported that treatment with the dual endothelin receptor antagonist tezosentan in a porcine model of endotoxaemic shock attenuates the reduction of renal microcirculation and total renal blood flow, suggesting that endothelin-1 (ET-1) and its receptors are involved in the renal ischaemia. A recent study demonstrates that ET-1 released during endotoxaemia acts via endothelin type A (ET A ) receptors to impair renal blood flow and cause acute kidney injury [3]. To provide novel knowledge a...