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Updated: Aug 6, 2026

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Published on: July 25, 2019
C-type natriuretic peptide and heart failure
Silvia Del Ry1, Claudio Passino, Michele Emdin
1CNR Institute of Clinical Physiology, National Research Council Via Giuseppe Moruzzi 1, 56124 Pisa, Italy.
Insights
C-type natriuretic peptide (CNP), a vasodilator, is increasingly recognized for its role in cardiovascular functions. Research suggests CNP may be a significant mediator in heart failure, though further study is needed.
Area of Science:
- Cardiovascular Physiology
- Endocrinology
- Molecular Biology
Background:
- C-type natriuretic peptide (CNP) is a vasodilator produced by vascular endothelium.
- CNP shares properties with atrial (ANP) and brain natriuretic peptides (BNP), key in heart failure.
- The precise role of CNP in cardiovascular pathophysiology, especially heart failure, remains under investigation.
Purpose of the Study:
- To review the cardiovascular functions of CNP.
- To examine the specific role of CNP in the pathophysiology of chronic heart failure (CHF).
Main Methods:
- Literature review of existing studies on CNP.
- Analysis of CNP's genetic regulation and peptide forms.
- Investigation of CNP's presence and levels in myocardial tissue and plasma.
Main Results:
- CNP is produced in the myocardium, with elevated plasma levels observed in CHF.
- Two mature forms, CNP-53 (tissue) and CNP-22 (plasma), have been identified.
- Gene transcription is influenced by factors like tumor necrosis factor and interleukin-1.
Conclusions:
- CNP exhibits vasodilative properties and is implicated in cardiovascular regulation.
- CNP may function as a crucial local (autocrine) and systemic (endocrine) mediator in CHF.
- Further research is essential to fully elucidate CNP's pathophysiological significance in chronic heart failure.
Abstract:
C-type natriuretic peptide (CNP) is a peptide produced by the vascular endothelium with vasodilative properties. It shares structural and physiological properties with the atrial and brain natriuretic peptides (ANP and BNP), whose central role in the pathophysiology of heart failure (CHF) is firmly established. The role of CNP, first isolated from porcine brain, has not been yet completely determined. The transcription of the gene, that in man is located on chromosome 2, is regulated by factors such as tumor necrosis factor and interleukin-1. Two mature forms of the peptide exist: CNP-53, that predominates in tissues and CNP-22, found mainly in plasma. As recently found, CNP is produced directly in the myocardium and an increase in plasma levels of this peptide and of its precursor was observed in CHF. The aim of this review was to examine the current literature relating to cardiovascular functions of CNP and in particular to its role in CHF. In fact, CNP may represent an important new local autocrine and endocrine mediator in CHF although further evaluations are required to define its full pathophysiological role in this disease.
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