Long-term blood pressure lowering and cGMP-activating actions of the novel ANP analog MANP

• Published in: American journal of physiology. Regulatory, integrative and comparative physiology Vol. 318; no. 4; pp. R669 - R676
• Main Authors: Chen, Yang, Schaefer, Jacob J, Iyer, Seethalakshmi R, Harders, Gerald E, Pan, Shuchong, Sangaralingham, S Jeson, Chen, Horng H, Redfield, Margaret M, Burnett, Jr, John C
• Format: Journal Article
• Language: English
• Published: United States American Physiological Society 01.04.2020
• Series: Hormones, Reproduction and Development
• Subjects: Angiotensin; Angiotensin II; Animals; Aorta; Arteries; Atrial natriuretic peptide; Blood pressure; Blood Pressure - drug effects; Calcium (intracellular); Calcium ions; Clinical trials; Cyclic GMP; Cyclic GMP - metabolism; Dogs; Femoral Artery - drug effects; Guanylate cyclase; Homeostasis; Hypertension; Injection; Kidney - drug effects; Kidney - physiology; Male; Muscles; Natriuretic Peptides - chemical synthesis; Natriuretic Peptides - chemistry; Natriuretic Peptides - pharmacology; Neurotransmitter Agents - urine; Nitric oxide; Rats; Rats, Sprague-Dawley; Rodents; Smooth muscle; Vasodilation - drug effects; guanylyl cyclase A receptor; smooth muscle cells; subcutaneous; MANP; 3′,5′-cyclic guanosine monophosphate; natriuretic peptide; atrial natriuretic peptide; hypertension
• ISSN: 0363-6119; 1522-1490
• DOI: 10.1152/ajpregu.00354.2019

Based on the cardiac hormone atrial natriuretic peptide (ANP) and its seminal role in blood pressure (BP) homeostasis, we investigated the chronic BP lowering actions of a novel ANP analog currently entering clinical trials for hypertension. Previous reports demonstrate that this analog MANP activates the guanylyl cyclase A receptor (GC-A) and results in more potent biological actions compared with ANP; thus, it may represent a new therapeutic drug for hypertension. A major goal of this study was to establish that chronic subcutaneous delivery of MANP is feasible and hypotensive together with cGMP effects. We investigated the BP-lowering and cGMP-activating actions of acute and chronic subcutaneous delivery in normal and hypertensive rats. Furthermore, we explored vascular mechanisms of MANP in human aortic smooth muscle cells (HASMC) and ex vivo in isolated arteries. In normal rats with a single subcutaneous injection, MANP promoted robust dose-dependent BP-lowering actions and natriuresis, together with cGMP activation. Most importantly in hypertensive rats, once-a-day subcutaneous injection of MANP for 7 days induced cGMP elevation and long-term BP reduction compared with vehicle. Mechanistically, in HASMC, MANP activated cGMP and attenuated angiotensin II-mediated increases in intracellular Ca levels while directly vasorelaxing arterial rings. Our study demonstrates for the first time the effectiveness of subcutaneous administration of MANP for 7 days and provides innovative, vascular mechanisms of BP regulation supporting its continued development as a novel therapeutic for hypertension.