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Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development
The pathogenesis of hypertension, as a multifactorial trait, is complex. High blood pressure levels, in turn, concur with the development of cardiovascular damage. Abnormalities of several neurohormonal mechanisms controlling blood pressure homeostasis and cardiovascular remodeling can contribute to...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412747/ https://www.ncbi.nlm.nih.gov/pubmed/30781751 http://dx.doi.org/10.3390/ijms20040798 |
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author | Rubattu, Speranza Forte, Maurizio Marchitti, Simona Volpe, Massimo |
author_facet | Rubattu, Speranza Forte, Maurizio Marchitti, Simona Volpe, Massimo |
author_sort | Rubattu, Speranza |
collection | PubMed |
description | The pathogenesis of hypertension, as a multifactorial trait, is complex. High blood pressure levels, in turn, concur with the development of cardiovascular damage. Abnormalities of several neurohormonal mechanisms controlling blood pressure homeostasis and cardiovascular remodeling can contribute to these pathological conditions. The natriuretic peptide (NP) family (including ANP (atrial natriuretic peptide), BNP (brain natriuretic peptide), and CNP (C-type natriuretic peptide)), the NP receptors (NPRA, NPRB, and NPRC), and the related protease convertases (furin, corin, and PCSK6) constitute the NP system and represent relevant protective mechanisms toward the development of hypertension and associated conditions, such as atherosclerosis, stroke, myocardial infarction, heart failure, and renal injury. Initially, several experimental studies performed in different animal models demonstrated a key role of the NP system in the development of hypertension. Importantly, these studies provided relevant insights for a better comprehension of the pathogenesis of hypertension and related cardiovascular phenotypes in humans. Thus, investigation of the role of NPs in hypertension offers an excellent example in translational medicine. In this review article, we will summarize the most compelling evidence regarding the molecular mechanisms underlying the physiological and pathological impact of NPs on blood pressure regulation and on hypertension development. We will also discuss the protective effect of NPs toward the increased susceptibility to hypertensive target organ damage. |
format | Online Article Text |
id | pubmed-6412747 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-64127472019-04-05 Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development Rubattu, Speranza Forte, Maurizio Marchitti, Simona Volpe, Massimo Int J Mol Sci Review The pathogenesis of hypertension, as a multifactorial trait, is complex. High blood pressure levels, in turn, concur with the development of cardiovascular damage. Abnormalities of several neurohormonal mechanisms controlling blood pressure homeostasis and cardiovascular remodeling can contribute to these pathological conditions. The natriuretic peptide (NP) family (including ANP (atrial natriuretic peptide), BNP (brain natriuretic peptide), and CNP (C-type natriuretic peptide)), the NP receptors (NPRA, NPRB, and NPRC), and the related protease convertases (furin, corin, and PCSK6) constitute the NP system and represent relevant protective mechanisms toward the development of hypertension and associated conditions, such as atherosclerosis, stroke, myocardial infarction, heart failure, and renal injury. Initially, several experimental studies performed in different animal models demonstrated a key role of the NP system in the development of hypertension. Importantly, these studies provided relevant insights for a better comprehension of the pathogenesis of hypertension and related cardiovascular phenotypes in humans. Thus, investigation of the role of NPs in hypertension offers an excellent example in translational medicine. In this review article, we will summarize the most compelling evidence regarding the molecular mechanisms underlying the physiological and pathological impact of NPs on blood pressure regulation and on hypertension development. We will also discuss the protective effect of NPs toward the increased susceptibility to hypertensive target organ damage. MDPI 2019-02-13 /pmc/articles/PMC6412747/ /pubmed/30781751 http://dx.doi.org/10.3390/ijms20040798 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Rubattu, Speranza Forte, Maurizio Marchitti, Simona Volpe, Massimo Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development |
title | Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development |
title_full | Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development |
title_fullStr | Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development |
title_full_unstemmed | Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development |
title_short | Molecular Implications of Natriuretic Peptides in the Protection from Hypertension and Target Organ Damage Development |
title_sort | molecular implications of natriuretic peptides in the protection from hypertension and target organ damage development |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6412747/ https://www.ncbi.nlm.nih.gov/pubmed/30781751 http://dx.doi.org/10.3390/ijms20040798 |
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