Natriuretic peptides: Physiology, therapeutic potential, and risk stratification in ischemic heart disease

Background The natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif. Atrial natriuretic peptide and brain natriuretic peptide are similar in their ability to promote natriuresis and diuresis, inhibit the renin-a...

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Bibliographic Details
Published inThe American heart journal Vol. 135; no. 5; pp. 914 - 923
Main Authors Stein, Bruce C., Levin, Richard I.
Format Journal Article
LanguageEnglish
Published New York, NY Elsevier Inc 01.05.1998
Elsevier
Subjects
Animals
Atrial Natriuretic Factor - physiology
Atrial Natriuretic Factor - therapeutic use
Biological and medical sciences
Cardiology. Vascular system
Coronary heart disease
Heart
Humans
Medical sciences
Myocardial Infarction - diagnosis
Myocardial Infarction - physiopathology
Myocardial Infarction - therapy
Myocardial Ischemia - diagnosis
Myocardial Ischemia - physiopathology
Myocardial Ischemia - therapy
Vasodilation - drug effects
Vasodilation - physiology
Brain natriuretic peptide
State of the art
Chemical structure
Biochemistry
Biosynthesis
Atrial natriuretic peptide
Review
C type natriuretic peptide
Biological activity
Bibliographic review
Therapeutic role
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Abstract Background The natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif. Atrial natriuretic peptide and brain natriuretic peptide are similar in their ability to promote natriuresis and diuresis, inhibit the renin-angiotensin-aldosterone axis, and act as vasodilators. Understanding of the actions of C-type natriuretic peptide and dendroaspis natriuretic peptide is incomplete, but these two new family members also act as vasodilators. Because of the rapid evolution of information about this peptide family, we reviewed the state of the art with respect to risk stratification and therapeutic ability. Methods English-language papers were identified by a MEDLINE database search covering 1966 through 1997 and supplemented with bibliographic references and texts. Conclusions The natriuretic peptides are counterregulatory hormones with prognostically important levels. They are similarly upregulated in heart failure and counteract neurohormones that induce vasoconstriction and fluid retention. BNP may be the superior prognosticator for risk stratification after myocardial infarction and is independent of left ventricular ejection fraction. Lastly, experimental trials suggest that administration of exogenous natriuretic peptides or inhibitors of their catabolism to patients with ischemic heart disease may be clinically beneficial. (Am Heart J 1998;135:914-23.)
AbstractList BACKGROUNDThe natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif. Atrial natriuretic peptide and brain natriuretic peptide are similar in their ability to promote natriuresis and diuresis, inhibit the renin-angiotensin-aldosterone axis, and act as vasodilators. Understanding of the actions of C-type natriuretic peptide and dendroaspis natriuretic peptide is incomplete, but these two new family members also act as vasodilators. Because of the rapid evolution of information about this peptide family, we reviewed the state of the art with respect to risk stratification and therapeutic ability.METHODSEnglish-language papers were identified by a MEDLINE database search covering 1966 through 1997 and supplemented with bibliographic references and texts.CONCLUSIONSThe natriuretic peptides are counterregulatory hormones with prognostically important levels. They are similarly upregulated in heart failure and counteract neurohormones that induce vasoconstriction and fluid retention. BNP may be the superior prognosticator for risk stratification after myocardial infarction and is independent of left ventricular ejection fraction. Lastly, experimental trials suggest that administration of exogenous natriuretic peptides or inhibitors of their catabolism to patients with ischemic heart disease may be clinically beneficial.
The natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif. Atrial natriuretic peptide and brain natriuretic peptide are similar in their ability to promote natriuresis and diuresis, inhibit the renin-angiotensin-aldosterone axis, and act as vasodilators. Understanding of the actions of C-type natriuretic peptide and dendroaspis natriuretic peptide is incomplete, but these two new family members also act as vasodilators. Because of the rapid evolution of information about this peptide family, we reviewed the state of the art with respect to risk stratification and therapeutic ability. English-language papers were identified by a MEDLINE database search covering 1966 through 1997 and supplemented with bibliographic references and texts. The natriuretic peptides are counterregulatory hormones with prognostically important levels. They are similarly upregulated in heart failure and counteract neurohormones that induce vasoconstriction and fluid retention. BNP may be the superior prognosticator for risk stratification after myocardial infarction and is independent of left ventricular ejection fraction. Lastly, experimental trials suggest that administration of exogenous natriuretic peptides or inhibitors of their catabolism to patients with ischemic heart disease may be clinically beneficial.
Background The natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif. Atrial natriuretic peptide and brain natriuretic peptide are similar in their ability to promote natriuresis and diuresis, inhibit the renin-angiotensin-aldosterone axis, and act as vasodilators. Understanding of the actions of C-type natriuretic peptide and dendroaspis natriuretic peptide is incomplete, but these two new family members also act as vasodilators. Because of the rapid evolution of information about this peptide family, we reviewed the state of the art with respect to risk stratification and therapeutic ability. Methods English-language papers were identified by a MEDLINE database search covering 1966 through 1997 and supplemented with bibliographic references and texts. Conclusions The natriuretic peptides are counterregulatory hormones with prognostically important levels. They are similarly upregulated in heart failure and counteract neurohormones that induce vasoconstriction and fluid retention. BNP may be the superior prognosticator for risk stratification after myocardial infarction and is independent of left ventricular ejection fraction. Lastly, experimental trials suggest that administration of exogenous natriuretic peptides or inhibitors of their catabolism to patients with ischemic heart disease may be clinically beneficial. (Am Heart J 1998;135:914-23.)
Author Stein, Bruce C.
Levin, Richard I.
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Issue 5
Keywords Brain natriuretic peptide
State of the art
Chemical structure
Biochemistry
Biosynthesis
Atrial natriuretic peptide
Review
C type natriuretic peptide
Biological activity
Bibliographic review
Therapeutic role
Language English
License CC BY 4.0
LinkModel DirectLink
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Notes ObjectType-Article-2
SourceType-Scholarly Journals-1
ObjectType-Feature-3
content type line 23
ObjectType-Review-1
OpenAccessLink https://doi.org/10.1016/s0002-8703(98)70054-7
PMID 9588425
PQID 79868066
PQPubID 23479
PageCount 10
ParticipantIDs proquest_miscellaneous_79868066
crossref_primary_10_1016_S0002_8703_98_70054_7
pubmed_primary_9588425
pascalfrancis_primary_2234715
elsevier_sciencedirect_doi_10_1016_S0002_8703_98_70054_7
PublicationCentury 1900
PublicationDate 1998-05-01
PublicationDateYYYYMMDD 1998-05-01
PublicationDate_xml – month: 05
  year: 1998
  text: 1998-05-01
  day: 01
PublicationDecade 1990
PublicationPlace New York, NY
PublicationPlace_xml – name: New York, NY
– name: United States
PublicationTitle The American heart journal
PublicationTitleAlternate Am Heart J
PublicationYear 1998
Publisher Elsevier Inc
Elsevier
Publisher_xml – name: Elsevier Inc
– name: Elsevier
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Snippet Background The natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif....
The natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif. Atrial...
BACKGROUNDThe natriuretic peptide family consists of four molecules that share significant amino acid sequence homologic characteristics and a looped motif....
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SubjectTerms Animals
Atrial Natriuretic Factor - physiology
Atrial Natriuretic Factor - therapeutic use
Biological and medical sciences
Cardiology. Vascular system
Coronary heart disease
Heart
Humans
Medical sciences
Myocardial Infarction - diagnosis
Myocardial Infarction - physiopathology
Myocardial Infarction - therapy
Myocardial Ischemia - diagnosis
Myocardial Ischemia - physiopathology
Myocardial Ischemia - therapy
Vasodilation - drug effects
Vasodilation - physiology
Title Natriuretic peptides: Physiology, therapeutic potential, and risk stratification in ischemic heart disease
URI https://dx.doi.org/10.1016/S0002-8703(98)70054-7
https://www.ncbi.nlm.nih.gov/pubmed/9588425
https://search.proquest.com/docview/79868066
Volume 135
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