Circulation, Vol 88, 1004-1009, Copyright © 1993 by American Heart Association
CM Wei, DM Heublein, MA Perrella, A Lerman, RJ Rodeheffer, CG McGregor, WD Edwards, HV Schaff and JC Burnett Jr
BACKGROUND. Atrial natriuretic peptide (ANP), brain natriuretic peptide
(BNP), and C-type natriuretic peptide (CNP) are a family of structurally
related peptides that participate in the integrated control of renal and
cardiovascular function. Previous studies suggest a functional role for
these hormonal peptides in cardiorenal regulation in congestive heart
failure (CHF). METHODS AND RESULTS. The present studies were performed in
normal subjects (n = 6) and in patients with mild (New York Heart
Association [NYHA] class I to II, n = 20) and severe (NYHA class III to IV,
n = 20) CHF by use of radioimmunoassay and immunohistochemical staining
(IHCS). Plasma ANP was significantly increased in both mild and severe CHF
compared with normal subjects. In contrast, plasma BNP was only moderately
increased in the severe CHF group, and plasma CNP concentration was
unchanged in CHF compared with normal subjects. Atrial tissue
concentrations of the natriuretic peptides did not parallel circulating
concentrations. ANP predominated in normal atrial tissue, but BNP
predominated in CHF. In ventricular tissue, IHCS staining was present for
all three peptides in normal ventricular myocardium and was markedly
enhanced in CHF. CONCLUSIONS. These studies support a differential
regulation of ANP, BNP, and CNP circulating concentrations and tissue
activity in human CHF.
ARTICLES
Natriuretic peptide system in human heart failure
Cardiorenal Research Laboratory, Mayo Clinic and Foundation, Rochester, MN 55905.
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M. Bevilacqua, T. Vago, G. Baldi, G. Norbiato, S. Masson, and R. Latini Analytical Agreement and Clinical Correlates of Plasma Brain Natriuretic Peptide Measured by Three Immunoassays in Patients with Heart Failure Clin. Chem., December 1, 1997; 43(12): 2439 - 2440. [Full Text] |
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K. Yamamoto, J. C. Burnett Jr., and M. M. Redfield Effect of endogenous natriuretic peptide system on ventricular and coronary function in failing heart Am J Physiol Heart Circ Physiol, November 1, 1997; 273(5): H2406 - H2414. [Abstract] [Full Text] [PDF] |
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S. Daggubati, J. R Parks, R. M Overton, G. Cintron, D. D Schocken, and D. L Vesely Adrenomedullin, endothelin, neuropeptide Y, atrial, brain, and C-natriuretic prohormone peptides compared as early heart failure indicators Cardiovasc Res, November 1, 1997; 36(2): 246 - 255. [Abstract] [Full Text] [PDF] |
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A. K. Kiemer and A. M. Vollmar Effects of Different Natriuretic Peptides on Nitric Oxide Synthesis in Macrophages Endocrinology, October 1, 1997; 138(10): 4282 - 4290. [Abstract] [Full Text] [PDF] |
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M. Jougasaki, T. L. Stevens, D. D. Borgeson, A. Luchner, M. M. Redfield, and J. C. Burnett Jr. Adrenomedullin in experimental congestive heart failure: cardiorenal activation Am J Physiol Regulatory Integrative Comp Physiol, October 1, 1997; 273(4): R1392 - R1399. [Abstract] [Full Text] [PDF] |
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J. G. Lainchbury, A. M. Richards, M. G. Nicholls, P. J. Hunt, H. Ikram, E. A. Espiner, T. G. Yandle, and E. Begg The Effects of Pathophysiological Increments in Brain Natriuretic Peptide in Left Ventricular Systolic Dysfunction Hypertension, September 1, 1997; 30(3): 398 - 404. [Abstract] [Full Text] |
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C.-F. Wu, N. H. Bishopric, and R. E. Pratt Atrial Natriuretic Peptide Induces Apoptosis in Neonatal Rat Cardiac Myocytes J. Biol. Chem., June 6, 1997; 272(23): 14860 - 14866. [Abstract] [Full Text] [PDF] |
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A. E. Gamel, N. A. Yonan, B. Keevil, R. Warbuton, J. Kakadellis, A. Woodcock, C. S. Campbell, A. N. Rahman, and A. K. Deiraniya Significance of Raised Natriuretic Peptides After Bicaval and Standard Cardiac Transplantation Ann. Thorac. Surg., April 1, 1997; 63(4): 1095 - 1100. [Abstract] [Full Text] |
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K. Yamamoto, J. C. Burnett Jr, M. Jougasaki, R. A. Nishimura, K. R. Bailey, Y. Saito, K. Nakao, and M. M. Redfield Superiority of Brain Natriuretic Peptide as a Hormonal Marker of Ventricular Systolic and Diastolic Dysfunction and Ventricular Hypertrophy Hypertension, December 1, 1996; 28(6): 988 - 994. [Abstract] [Full Text] |
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M. Marttila, O. Vuolteenaho, D. Ganten, K. Nakao, and H. Ruskoaho Synthesis and Secretion of Natriuretic Peptides in the Hypertensive TGR(mREN-2)27 Transgenic Rat Hypertension, December 1, 1996; 28(6): 995 - 1004. [Abstract] [Full Text] |
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R. O. Bonow New Insights Into the Cardiac Natriuretic Peptides Circulation, June 1, 1996; 93(11): 1946 - 1950. [Full Text] |
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M. Jougasaki, C.-M. Wei, L. J. McKinley, and J. C. Burnett Jr Elevation of Circulating and Ventricular Adrenomedullin in Human Congestive Heart Failure Circulation, August 1, 1995; 92(3): 286 - 289. [Abstract] [Full Text] |
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J. P.J. Halcox, K. R.A. Nour, G. Zalos, and A. A. Quyyumi Coronary Vasodilation and Improvement in Endothelial Dysfunction With Endothelin ETA Receptor Blockade Circ. Res., November 23, 2001; 89(11): 969 - 976. [Abstract] [Full Text] [PDF] |
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