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Published on: April 28, 2016
Pharmacodynamic responses of plasma and tissue C-type natriuretic peptide to GH: correlation with linear growth in
T C R Prickett1, J C Bothwell, T G Yandle
1Department of Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch 8140, New Zealand. tim.prickett@otago.ac.nz
Insights
C-type natriuretic peptide (CNP) levels rapidly increase in plasma and tissues after growth hormone (GH) administration, preceding linear growth. CNP concentrations serve as biomarkers for linear growth and potential therapeutic targets for growth disorders.
Area of Science:
- Endocrinology
- Molecular Biology
- Developmental Biology
Background:
- C-type natriuretic peptide (CNP) signaling is crucial for postnatal endochondral growth.
- Previous studies indicate CNP's role, but its dynamic changes during normal growth and in response to growth hormone (GH) are not well-documented.
Purpose of the Study:
- To investigate the pharmacodynamic response of CNP and its precursor, NTproCNP, in plasma and tissues.
- To correlate these changes with linear growth metrics in rodent pups during GH treatment.
Main Methods:
- Rodent pups with GH deficiency were treated with GH or saline for one week.
- Plasma and tissue concentrations of CNP and NTproCNP were measured.
- Linear growth parameters (nose-tail length, tibial length, growth plate width) were assessed.
Main Results:
- GH treatment significantly increased plasma and tissue CNP forms within 24 hours, preceding measurable growth changes.
- GH increased CNP in various tissues, with the greatest enrichment in growth plates and kidneys.
- Plasma NTproCNP strongly correlated with linear growth and tissue concentrations at one week, suggesting renal involvement in peptide clearance.
Conclusions:
- CNP levels promptly increase in growth-regulating tissues following GH administration, supporting its role in endochondral ossification.
- CNP concentrations can serve as effective biomarkers for monitoring linear growth.
- These findings provide a rationale for developing CNP agonists as a therapeutic strategy for growth disorders unresponsive to conventional treatments.
Abstract:
Studies from genetic modification and spontaneous mutations show that C-type natriuretic peptide (CNP) signalling plays an essential part in postnatal endochondral growth, but measurement of CNP proteins and changes in their abundance in tissues and plasma during normal growth has not been reported. Using rodent pups with GH deficiency, we now describe the pharmacodynamic response of CNP and rat amino-terminal proCNP (NTproCNP) in plasma and tissues, and relate these to changes in linear growth (nose-tail length, tibial length and tibial growth plate width) during the course of 1 week of GH or saline (control) administration. Compared with saline, significant increases in plasma and tissue CNP forms were observed after 24 h in GH-treated pups and before any detectable change in linear growth. Whereas CNP abundance was increased in most tissues (muscle, heart and liver) by GH, enrichment was the greatest in extracts from growth plates and kidney. Plasma and tissue concentrations in GH-treated pups were sustained or further increased at 1 week when strong positive associations were found between plasma NTproCNP and linear growth or tissue concentrations. High content of NTproCNP in kidney tissue strongly correlated with plasma concentrations, which is consistent with previous data showing renal extraction of the peptide. In showing a prompt and significant increase in CNP in tissues driving normal endochondral growth, these findings provide further rationale for CNP agonists in the treatment of growth disorders resistant to current therapies and support the use of CNP concentrations as biomarkers of linear growth.
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