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Updated: Jun 28, 2026

Isolation of Atrial Myocytes from Adult Mice
Published on: July 25, 2019
Novel bifunctional natriuretic peptides as potential therapeutics
Deborah M Dickey1, John C Burnett, Lincoln R Potter
1Department of Biochemistry, Molecular Biology, and Biophysics, University of Minnesota, Minneapolis, Minnesota 55455, USA.
A novel chimeric peptide, CD-NP, enhances kidney function by modifying natriuretic peptide receptor activity. This peptide shows promise as a new therapeutic for heart failure, improving upon existing treatments.
Area of Science:
- Cardiovascular Pharmacology
- Renal Physiology
- Peptide Therapeutics
Background:
- Synthetic atrial natriuretic peptide (carperitide) and B-type natriuretic peptide (BNP; nesiritide) treat heart failure but are limited by reduced renal perfusion.
- A chimeric peptide, CD-NP (C-type natriuretic peptide fused to Dendroaspis natriuretic peptide tail), enhances glomerular filtration rate more than BNP in dogs.
- The molecular mechanisms behind CD-NP's enhanced responsiveness were previously undetermined.
Purpose of the Study:
- To elucidate the molecular basis for CD-NP's enhanced glomerular filtration rate (GFR) activity.
- To investigate the effects of the Dendroaspis natriuretic peptide (DNP) tail on natriuretic peptide receptor (NPR) activation.
- To engineer chimeric peptides with improved potency and efficacy for natriuretic peptide receptor A (NPR-A).
Main Methods:
- Investigated the interaction of CD-NP and its components with human and rat natriuretic peptide receptors (NPR-A, NPR-B, NPR-C).
- Assessed the agonist activity and receptor binding affinities of CD-NP, DNP tail, and engineered variants.
- Modified specific amino acid sequences within the C-type natriuretic peptide (CNP) ring of CD-NP to mimic B-type natriuretic peptide (BNP) sequences.
Main Results:
- The DNP tail converted CNP from a non-agonist to a partial agonist of human NPR-A, while retaining NPR-B activation.
- CD-NP showed species-specific effects on NPR-A, being a stronger activator in humans than rats.
- Engineered CD-NP variants with BNP-like sequences exhibited significantly increased affinity and full agonist activity for NPR-A, with one variant matching known potent activators.
- DNP was found to bind the natriuretic peptide clearance receptor (NPR-C), but chimeric peptides did not show significantly higher affinity than endogenous ligands.
Conclusions:
- The DNP tail significantly modulates CNP's activity at natriuretic peptide receptors, enhancing NPR-A agonism.
- Bifunctional chimeric peptides, like CD-NP, represent a promising new class of therapeutics for cardiovascular and renal conditions.
- Further development of these engineered peptides could lead to more effective treatments for heart failure by optimizing renal perfusion and cardiac unloading.
Related Concept Videos
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
Heart Failure II: Pathophysiology
Heart Failure Drugs: Diuretics
Heart Failure V: Medical Management
Antihypertensive Drugs: Vasodilators
