Cosecretion of peptides derived from gamma-human atrial natriuretic polypeptide in normal volunteers and patients with essential hypertension and adrenal disorders

J Hypertens Suppl. 1988 Dec;6(4):S327-9. doi: 10.1097/00004872-198812040-00101.

Abstract

Using two radio-immunoassays for N-terminal and C-terminal fragments of human atrial natriuretic polypeptide (ANP) precursor, gamma-hANP [human atrial natriuretic factor-(1-126)], that is gamma-hANP(1-25) [human atrial natriuretic factor-(1-25)] and alpha-hANP [human atrial natriuretic factor-(99-126)], we studied the secretion of gamma-hANP-derived peptides into circulation from the heart in normal subjects and patients with essential hypertension and adrenal disorders. Volume expansion with 2 litres physiological saline increased plasma gamma-hANP(1-25)-like immunoreactivity concomitantly with plasma alpha-hANP-like immunoreactivity in normal subjects. Infusion of angiotensin II (20 ng/kg per min) or noradrenaline (200 ng/kg per min) also caused a parallel increase in plasma gamma-hANP(1-25)-like and alpha-hANP-like immunoreactivity. Plasma gamma-hANP(1-25)-like immunoreactivity levels were changed together with alpha-hANP-like immunoreactivity in patients with essential hypertension and adrenal disorders. These results indicate that gamma-hANP-derived peptides, alpha-hANP and the 10-k N-terminal fragment of gamma-hANP (N-peptide) are cosecreted from the heart and that the simultaneous measurement of N-peptide and alpha-hANP serves as an indicator of the cardiac endocrine function. The significance of N-peptide as a hormone must await further clarification.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Addison Disease / metabolism
  • Adrenal Gland Diseases / metabolism*
  • Adrenal Gland Neoplasms / metabolism
  • Angiotensin II / pharmacology
  • Atrial Natriuretic Factor / metabolism*
  • Blood Volume
  • Cushing Syndrome / metabolism*
  • Humans
  • Hyperaldosteronism / metabolism
  • Hypertension / metabolism*
  • Immunoassay
  • Pheochromocytoma / metabolism

Substances

  • Angiotensin II
  • Atrial Natriuretic Factor