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Circulation. 1993;88:1004-1009

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Circulation, Vol 88, 1004-1009, Copyright © 1993 by American Heart Association


ARTICLES

Natriuretic peptide system in human heart failure

CM Wei, DM Heublein, MA Perrella, A Lerman, RJ Rodeheffer, CG McGregor, WD Edwards, HV Schaff and JC Burnett Jr
Cardiorenal Research Laboratory, Mayo Clinic and Foundation, Rochester, MN 55905.

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.


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A. Rossi, M. Enriquez-Sarano, J. C. Burnett Jr., A. Lerman, M. D. Abel, and J. B. Seward
Natriuretic peptide levels in atrial fibrillation: A prospective hormonal and Doppler-echocardiographic study
J. Am. Coll. Cardiol., April 1, 2000; 35(5): 1256 - 1262.
[Abstract] [Full Text] [PDF]


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J Am Coll CardiolHome page
L. Tiret, C. Mallet, O. Poirier, V. Nicaud, A. Millaire, J.-B. Bouhour, G.e. Roizes, M. Desnos, R. Dorent, K. Schwartz, et al.
Lack of association between polymorphisms of eight candidate genes and idiopathic dilated cardiomyopathy: The CARDIGENE study
J. Am. Coll. Cardiol., January 1, 2000; 35(1): 29 - 35.
[Abstract] [Full Text] [PDF]


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Circ. Res.Home page
J.-L. Liu and I. H. Zucker
Regulation of Sympathetic Nerve Activity in Heart Failure : A Role for Nitric Oxide and Angiotensin II
Circ. Res., March 5, 1999; 84(4): 417 - 423.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
M. Hirose, Y. Furukawa, Y. Miyashita, F. Kurogouchi, K. Nakajima, M. Tsuboi, and S. Chiba
CNP causes receptor-mediated positive dromotropic effects in anesthetized dog hearts
Am J Physiol Heart Circ Physiol, August 1, 1998; 275(2): H717 - H720.
[Abstract] [Full Text] [PDF]


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J. Pharmacol. Exp. Ther.Home page
M. Hirose, Y. Furukawa, F. Kurogouchi, K. Nakajima, Y. Miyashita, and S. Chiba
C-Type Natriuretic Peptide Increases Myocardial Contractility and Sinus Rate Mediated by Guanylyl Cyclase-Linked Natriuretic Peptide Receptors in Isolated, Blood-Perfused Dog Heart Preparations
J. Pharmacol. Exp. Ther., July 1, 1998; 286(1): 70 - 76.
[Abstract] [Full Text]


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Clin. Chem.Home page
Y. Numata, K. Dohi, A. Furukawa, S. Kikuoka, H. Asada, T. Fukunaga, Y. Taniguchi, K. Sasakura, T. Tsuji, K. Inouye, et al.
Immunoradiometric assay for the N-terminal fragment of proatrial natriuretic peptidein human plasma
Clin. Chem., May 1, 1998; 44(5): 1008 - 1013.
[Abstract] [Full Text] [PDF]


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Am. J. Physiol. Heart Circ. Physiol.Home page
A. Luchner, T. L. Stevens, D. D. Borgeson, M. Redfield, C.-M. Wei, J. G. Porter, and J. C. Burnett Jr.
Differential atrial and ventricular expression of myocardial BNP during evolution of heart failure
Am J Physiol Heart Circ Physiol, May 1, 1998; 274(5): H1684 - H1689.
[Abstract] [Full Text] [PDF]


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HypertensionHome page
G. Barletta, C. Lazzeri, S. Vecchiarino, R. Del Bene, G. Messeri, A. Dello Sbarba, M. Mannelli, and G. La Villa
Low-Dose C-Type Natriuretic Peptide Does Not Affect Cardiac and Renal Function in Humans
Hypertension, March 1, 1998; 31(3): 802 - 808.
[Abstract] [Full Text] [PDF]


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HeartHome page
Y. Miyao, T. Nishikimi, Y. Goto, S. Miyazaki, S. Daikoku, I. Morii, T. Matsumoto, S. Takishita, A. Miyata, H. Matsuo, et al.
Increased plasma adrenomedullin levels in patients with acute myocardial infarction in proportion to the clinical severity
Heart, January 1, 1998; 79(1): 39 - 44.
[Abstract] [Full Text] [PDF]


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Clin. Chem.Home page
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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Am. J. Physiol. Heart Circ. Physiol.Home page
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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Cardiovasc ResHome page
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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EndocrinologyHome page
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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Am. J. Physiol. Regul. Integr. Comp. Physiol.Home page
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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HypertensionHome page
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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J. Biol. Chem.Home page
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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Ann. Thorac. Surg.Home page
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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HypertensionHome page
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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HypertensionHome page
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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CirculationHome page
R. O. Bonow
New Insights Into the Cardiac Natriuretic Peptides
Circulation, June 1, 1996; 93(11): 1946 - 1950.
[Full Text]


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CirculationHome page
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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Circ. Res.Home page
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]