Atrial natriuretic hormone, vessel dilator, long acting natriuretic hormone, and kaliuretic hormone decrease

D L Vesely1, G I San Miguel, I Hassan

  • 1University of South Florida Cardiac Hormone Center, Tampa, FL 33612, USA. vesely_david_l@tampa.va.gov

Hormone and Metabolic Research = Hormon- Und Stoffwechselforschung = Hormones Et Metabolisme
|June 14, 2002
PubMed

Insights

Four cardiac hormones, including atrial natriuretic hormone, were found to significantly lower circulating prolactin levels in humans. These prolactin-inhibitory hormones offer new insights into hormonal regulation.

Area of Science:

  • Endocrinology
  • Neuroendocrinology
  • Cardiovascular Physiology

Background:

  • Prolactin (PRL) is a hormone with diverse functions, and its release is tightly regulated by hypothalamic factors like dopamine.
  • Understanding additional regulators of prolactin secretion is crucial for comprehending endocrine system dynamics.

Purpose of the Study:

  • To investigate the effect of four specific cardiac hormones on circulating prolactin concentrations in humans.
  • To determine if long-acting natriuretic hormone, vessel dilator, kaliuretic hormone, and atrial natriuretic hormone act as prolactin-inhibitory agents.

Main Methods:

  • A study involving 30 human participants was conducted.
  • Four cardiac hormones were infused at a concentration of 100 ng/kg/min for 60 minutes.
  • Prolactin levels were measured at the end of infusion and 3 hours post-infusion.

Main Results:

  • All four infused hormones significantly decreased circulating prolactin levels (p < 0.001).
  • Vessel dilator and atrial natriuretic hormone showed the most potent acute reduction in prolactin.
  • Sustained prolactin reduction was observed 3 hours after infusions, with vessel dilator and atrial natriuretic hormone maintaining significant effects.

Conclusions:

  • Four cardiac hormones (long-acting natriuretic hormone, vessel dilator, kaliuretic hormone, atrial natriuretic hormone) function as circulating prolactin-inhibitory hormones.
  • These hormones may exert their effects partly via dopamine pathways and by reducing corticotropin-releasing hormone.
  • The findings expand the known regulatory network of prolactin secretion beyond hypothalamic control.

Related Concept Videos

Antihypertensive Drugs: Potassium-Sparing Diuretics01:28

Antihypertensive Drugs: Potassium-Sparing Diuretics

Liddle syndrome is a genetically inherited form of hypertension characterized by the overactivity of epithelial sodium channels in the nephron, the functional unit of the kidney. This heightened activity leads to increased sodium reabsorption and excessive excretion of potassium. To counteract this, potassium-sparing diuretics such as amiloride are used. They function by blocking these sodium channels, thereby reducing the influx of sodium into the epithelial cells and minimizing the loss of...
Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors01:30

Antihypertensive Drugs: Angiotensin-Converting Enzyme Inhibitors

Angiotensin-converting enzyme (ACE), a vital component of the renin-angiotensin-aldosterone system, is abundant in lung endothelial cells. ACE converts the inactive decapeptide, angiotensin I, into the active octapeptide, angiotensin II. This potent vasoconstrictor narrows blood vessels, increasing resistance to blood flow and elevating blood pressure. Angiotensin II also stimulates aldosterone production, encouraging kidney cells to reabsorb more sodium and water from urine, thereby increasing...
Antihypertensive Drugs: Vasodilators01:23

Antihypertensive Drugs: Vasodilators

Vasodilators, primarily affecting the smooth muscles within arterial and venous walls, are commonly used for hypertension treatment. Medications such as minoxidil and hydralazine primarily target arteries and arterioles, while sodium nitroprusside acts on arterioles and venules. Minoxidil, functioning as a prodrug, is metabolized by hepatic sulfotransferase into its active form, minoxidil sulfate, after oral administration. This metabolite binds to the sulfonylurea receptor (SUR) component of...
Heart Failure Drugs: Diuretics01:22

Heart Failure Drugs: Diuretics

Heart failure and kidney perfusion are interconnected in a complex way. Reduced renal perfusion and venous congestion are two significant factors that contribute to renal dysfunction in heart failure. The kidneys, primarily responsible for fluid balance in the body, are adversely affected due to compromised cardiac output and increased venous pressure. In response to reduced renal perfusion, the kidneys activate neurohumoral mechanisms to restore balance. However, these mechanisms can be...
Hormonal Regulation of Blood Pressure01:17

Hormonal Regulation of Blood Pressure

Endocrinal or hormonal intervention in the cardiovascular system is predominantly exerted by the catecholamines - epinephrine and norepinephrine, as well as a slew of hormones that interact with renal function to modulate blood volume.
Epinephrine and Norepinephrine
The adrenal medulla releases epinephrine and norepinephrine, catecholamines that enhance and extend the sympathetic or "fight or flight" physiological response. These hormones escalate heart rate and the force of contraction while...
Regulation of Sodium and Potassium01:26

Regulation of Sodium and Potassium

The regulation of sodium and potassium ion concentrations in the human body is a complex process governed primarily by hormones such as aldosterone, antidiuretic hormone (ADH), and atrial natriuretic peptide (ANP).
Sodium Regulation
Sodium ions make up approximately 90% of extracellular cations, with a normal blood plasma concentration of 136–148 mEq/L. A decrease in blood volume and pressure triggers the release of renin from granular cells in the juxtaglomerular complex (JGC), primarily in...