Skip to main content

B-Type Natriuretic Peptide

Biochemistry and Measurement

  • Chapter

Part of the book series: Pathology and Laboratory Medicine ((PLM))

Abstract

In 1988, Sudoh and co-workers first isolated a novel peptide from porcine brain and designated the peptide “brain natriuretic peptide,” or BNP, based on its similarity to atrial natriuretic peptide (ANP) (1). BNP also was isolated from the cardiac tissue of pigs, rats, and humans (2–5). Owing to its presence in cardiac tissue, the designation “brain natriuretic peptide” is a misnomer. Hence, the designation “B-type natriuretic peptide” is currently used. Subsequent immunological studies identified the cardiac ventricle as the major source of circulating BNP in humans (6). Additional studies indicated that the left ventricle is the major source of circulating BNP and that the release of BNP into the circulation is stimulated by increased ventricular wall tension and volume overload (7–11).

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   169.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Sudoh T, Kangawa K, Minamino N, Matsuo H. A new natriuretic peptide in porcine brain. Nature 1988; 332: 78–81.

    Article  PubMed  CAS  Google Scholar 

  2. Saito Y, Nakao K, Itoh H, et al. Brain natriuretic peptide is a novel cardiac hormone. Biochem Biophys Res Commun 1989; 158: 360–368.

    Article  PubMed  CAS  Google Scholar 

  3. Itoh H, Nakao K, Kamhayashi Y, et al. Occurrence of a novel cardiac natriuretic peptide in rats. Biochem Biophys Res Commun 1989; 161: 732–739.

    Article  PubMed  CAS  Google Scholar 

  4. Kamhayashi Y, Nakao K, Itoh H, et al. Isolation and sequence determination of rat cardiac natriuretic peptide. Biochem Biophys Res Commun 1989; 163: 233–240.

    Article  Google Scholar 

  5. Kamhayashi Y, Nakao K, Mukoyama M, et al. Isolation and sequence determination of human brain natriuretic peptide in human atrium. FEBS Lett 1990; 259: 341–345.

    Article  Google Scholar 

  6. Mukoyama M, Nakao K, Hosoda K, et al. Brain natriuretic peptide as a novel cardiac hormone in humans. J Clin Invest 1991; 87: 1402–1412.

    Article  PubMed  CAS  Google Scholar 

  7. Yasue H, Yoshimura M, Sumida H, et al. Localization and mechanism of secretion of B-type natriuretic peptide in comparison with those of A-type natriuretic peptide in normal subjects and patients with heart failure. Circulation 1994; 90: 195–203.

    Article  PubMed  CAS  Google Scholar 

  8. McDowell G, Shaw C, Buchanan KD, Nicholls DP. The natriuretic peptide family. Eur J Clin Invest 1995; 25: 291–298.

    Article  PubMed  CAS  Google Scholar 

  9. Davidson NC, Struthers AD. Brain natriuretic peptide. J Hypertens 1994; 12: 329–336.

    Article  PubMed  CAS  Google Scholar 

  10. de Bold AJ, Bruneau BG, Kuroski de Bold ML. Mechanical and neuroendocrine regulation of the endocrine heart. Cardiovasc Res 1996; 31: 7–18.

    Article  PubMed  Google Scholar 

  11. Yandle TG. Biochemistry of natriuretic peptides. J Intern Med 1994; 235: 561–576.

    Article  PubMed  CAS  Google Scholar 

  12. Tamura N, Ogawa Y, Yasoda A, et al. Two cardiac natriuretic peptide genes (atrial natriuretic peptide and brain natriuretic peptide) are organized in tandem in the mouse and human genomes. J Mol Cell Cardiol 1996; 28: 1811–1815.

    Article  PubMed  CAS  Google Scholar 

  13. Espiner EA, Richards AM, Yandle TG, Nicholls MG. Natriuretic hormones. Endocrinol Metab Clin North Am 1995; 24: 481–509.

    PubMed  CAS  Google Scholar 

  14. Wilson T, Treisman R. Removal of poly(A) and consequent degradation of c-fos mRNA facilitated by 3’ AU-rich sequences. Nature 1988; 336: 396–399.

    Article  PubMed  CAS  Google Scholar 

  15. Shaw G, Kamen R. A conserved AU sequence from the 3’ untranslated region of GM-CSF mRNA mediates selective mRNA degradation. Cell 1986; 46: 659–667.

    Article  PubMed  CAS  Google Scholar 

  16. Liang F, Wu J, Garam M, Gardner DG. Mechanical strain increases expression of the brain natriuretic peptide gene in rat cardiac myocytes. J Biol Chem 1997; 272: 28050–28056.

    Article  PubMed  CAS  Google Scholar 

  17. Magga J, Vuolteenaho O, Tokola H, et al. B-type natriuretic peptide: a myocyte-specific marker for characterizing load-induced alterations in cardiac gene expression. Ann Med 1998; 30 (Suppl 1): 39–45.

    PubMed  CAS  Google Scholar 

  18. Weise S, Breyer T, Dragu A, et al. Gene expression of brain natriuretic peptide in isolated atrial and ventricular human myocardium. Circulation 2000; 102: 3074–3079.

    Article  Google Scholar 

  19. Molloy SS, Bresnahan PA, Leppla SH, et al. Human furin is a calcium-dependent serine endoprotease that recognizes the sequence Arg-X-X-Arg and efficiently cleaves anthrax toxin protective antigen. J Biol Chem 1992; 267: 16396–16402.

    PubMed  CAS  Google Scholar 

  20. Dahlen JR, Jean F, Thomas G, et al. Inhibition of soluble recombinant furin by human proteinase inhibitor 8. J Biol Chem 1998; 273: 1851–1854.

    Article  PubMed  CAS  Google Scholar 

  21. Sawada Y, Suda M, Yokoyama H, et al. Stretch-induced hypertrophie growth of cardiocytes and processing of brain-type natriuretic peptide are controlled by proprotein-processing endoprotease furin. J Biol Chem 1997; 272: 20545–20554.

    Article  PubMed  CAS  Google Scholar 

  22. Lin X, Hanze J, Heese F, et al. Gene expression of natriuretic peptide receptors in myocardial cells. Cire Res 1995; 77: 750–758.

    Article  CAS  Google Scholar 

  23. Matsukawa N, Grzesik WJ, Takahashi N, et al. The natriuretic peptide clearance receptor locally modulates the physiological effects of the natriuretic peptide system. Proc Natl Acad Sci USA 1999; 96: 7403–7408.

    Article  PubMed  CAS  Google Scholar 

  24. Holmes SJ, Espiner EA, Richards AM, et al. Renal, endocrine, and hemodynamic effects of human brain natriuretic peptide in normal man. J Clin Endocrinol Metab 1993; 76: 91–96.

    Article  PubMed  CAS  Google Scholar 

  25. Mair J, Friedl W, Thomas S, Puschendorf B. Natriuretic peptides in assessment of left-ventricular dysfunction. Scan J Clin Lab Invest 1999; 59 (Suppl 230): 132–142.

    CAS  Google Scholar 

  26. Malfroy B, Kuang WJ, Seeburg PH, et al. Molecular cloning and amino acid sequence of human enkephalinase (neutral endopeptidase). FEBS Lett 1988; 229: 206–210.

    Article  PubMed  CAS  Google Scholar 

  27. Kenny AJ, Bourne A, Ingram J. Hydrolysis of human and pig brain natriuretic peptides, urodilatin, C-type natriuretic peptide and some C-receptor ligands by endopeptidase 24.11. Biochem J 1993; 291: 83–88.

    PubMed  CAS  Google Scholar 

  28. Maisel A. B-type natriuretic peptide in the diagnosis and management of congestive heart failure. Cardiol Clin 2001; 19: 557–571.

    Article  PubMed  CAS  Google Scholar 

  29. Mair J, Hammerer-Lercher A, Puschendorf B. The impact of cardiac natriuretic peptide determination on the diagnosis and management of heart failure. Clin Chem Lab Med 2001; 39: 571–588.

    Article  PubMed  CAS  Google Scholar 

  30. Sagnella GA. Measurement and significance of circulating natriuretic peptides in cardiovascular disease. Clin Sci 1998; 95: 519–529.

    Article  PubMed  CAS  Google Scholar 

  31. de Lemos JA, Morrow DA, Bentley JH, et al. The prognostic value of B-type natriuretic peptide in patients with acute coronary syndromes. N Engl J Med 2001; 345: 1014–1021.

    Article  PubMed  Google Scholar 

  32. Mair J, Friedl W, Thomas S, Puschendorf B. Natriuretic peptides in assessment of left-ventricular dysfunction. Scand J Clin Lab Invest Suppl 1999; 230: 132–142.

    PubMed  CAS  Google Scholar 

  33. Tateyama H, Hino J, Minamino N, et al. Characterization of immunoreactive brain natriuretic peptide in human cardiac atrium. Biochem Biophys Res Commun 1990; 166: 1080–1087.

    Article  PubMed  CAS  Google Scholar 

  34. Shionoria BNP package insert. Shionogi & Co., Osaka, Japan.

    Google Scholar 

  35. Peacock WF. The B-type natriuretic peptide assay: a rapid test for heart failure. Cleve Clin J Med 2002; 69: 243–251.

    Article  PubMed  Google Scholar 

  36. Triage® BNP Test package insert. Biosite, San Diego, CA.

    Google Scholar 

  37. Heart and Stroke Statistical Update, American Heart Association.

    Google Scholar 

  38. Data on file, Biosite.

    Google Scholar 

  39. Campbell DJ, Mitchelhill KI, Schlicht SM, Booth RJ. Plasma amino-terminal pro-brain natriuretic peptide: a novel approach to the diagnosis of cardiac dysfunction. J Cardiac Fail 2000; 6: 130–139.

    CAS  Google Scholar 

  40. Hammerer-Lercher A, Neubauer E, Muller S, et al. Head-to-head comparison of N-terminal pro-brain natriuretic peptide, brain natriuretic peptide and N-terminal pro-atrial natriuretic peptide in diagnosing left ventricular dysfunction. Clin Chim Acta 2001; 310: 193–197.

    Article  PubMed  CAS  Google Scholar 

  41. Clerico A, Caprioli R, Del Ry S, Giannessi D. Clinical relevance of cardiac natriuretic peptides measured by means of competitive and non-competitive immunoassay methods in patients with renal failure on chronic hemodialysis. J Endocrinol Invest 2001; 24: 24–30.

    PubMed  CAS  Google Scholar 

  42. Fischer Y, Filzmaier K, Stiegler H, et al. Evaluation of a new, rapid bedside test for quantitative determination of B-type natriuretic peptide. Clin Chem 2001; 47: 591–594.

    PubMed  CAS  Google Scholar 

  43. Vogeser M, Jacob K. B-type natriuretic peptide (BNP)—validation of an immediate response assay. Clin Lab 2001; 47: 29–33.

    PubMed  CAS  Google Scholar 

  44. Del Ry S, Giannessi D, Clerico A. Plasma brain natriuretic peptide measured by fully-automated immunoassay and by immunoradiometric assay compared. Clin Chem Lab Med 2001; 39: 446–450.

    Article  PubMed  Google Scholar 

  45. Buckley MG, Marcus NJ, Yacoub MH. Cardiac peptide stability, aprotinin and room temperature: importance for assessing cardiac function in clinical practice. Clin Sci (Lond) 1999; 97: 689–695.

    Article  CAS  Google Scholar 

  46. Buckley MG, Marcus NJ, Yacoub MH, Singer DR. Prolonged stability of brain natriuretic peptide: importance for non-invasive assessment of cardiac function in clinical practice. Clin Sci (Lond) 1998; 95: 235–239.

    Article  CAS  Google Scholar 

  47. Murdoch DR, Byrne J, Morton JJ, et al. Brain natriuretic peptide is stable in whole blood and can be measured using a simple rapid assay: implications for clinical practice. Heart 1997; 78: 594–597.

    PubMed  CAS  Google Scholar 

  48. Evans MJ, Livesey JH, Ellis MJ, Yandle TG. Effect of anticoagulants and storage temperatures on stability of plasma and serum hormones. Clin Biochem 2001; 34: 107–112.

    Article  PubMed  CAS  Google Scholar 

  49. Gobinet-Georges A, Valli N, Filliatre H, et al. Stability of brain natriuretic peptide (BNP) in human whole blood and plasma. Clin Chem Lab Med 2000; 38: 519–523.

    Article  PubMed  CAS  Google Scholar 

  50. Shimizu H, Aono K, Masuta K, et al. Stability of brain natriuretic peptide (BNP) in human blood samples. Clin Chim Acta 1999; 285: 169–172.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2003 Springer Science+Business Media New York

About this chapter

Cite this chapter

Dahlen, J.R. (2003). B-Type Natriuretic Peptide. In: Wu, A.H.B. (eds) Cardiac Markers. Pathology and Laboratory Medicine. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-385-9_23

Download citation

  • DOI: https://doi.org/10.1007/978-1-59259-385-9_23

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-319-0

  • Online ISBN: 978-1-59259-385-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics