Related Experiment Video
Updated: May 12, 2026

Transfer of Manipulated Tumor-associated Neutrophils into Tumor-Bearing Mice to Study their Angiogenic Potential In Vivo
Published on: July 20, 2019
ANP-NPRA signaling pathway--a potential therapeutic target for the treatment of malignancy
Zhilong Zhao1, Jia Zhang, Min Li
1Department of Surgical Oncology, First Affiliated Hospital, Xi'an Jiaotong University, Xi'an, Shaanxi, China.
Abstract:
It was well established that the atrial natriuretic peptide (ANP)/natriuretic peptide receptor-A (NPRA) signaling pathway controls natriuretic, diuretic, vasorelaxant, and anti-proliferative responses in the regulation of the human cardiovascular system by previous studies. Yet in recent years, more and more evidence has shown that the ANP/NPRA signaling pathway plays an important role in human cancer. For example, NPRA is abundantly expressed on tumorigenic mouse and human prostate cancer (PCa) cells, but not in nontumorigenic prostate epithelial cells and down-regulation of NPRA-induced apoptosis in PCa cells. Dexamethasone can increase the expression of ANP markedly, and that is the reason why dexamethasone is the cornerstone in the treatment of multiple myeloma. NPRA deficiency can substantially protect C57BL/6 mice from lung, skin, and ovarian cancers. These results strongly suggest ANP and NPRA may play an anti-cancer and carcinogenesis role, respectively, and this signaling pathway could be a more potent target for cancer therapy. In light of these new insights, this review will summarize the structures, functions, and their regulation by cell signaling, and their different impacts on tumors.
Insights
The atrial natriuretic peptide (ANP)/natriuretic peptide receptor-A (NPRA) pathway, known for cardiovascular regulation, also impacts cancer. Evidence suggests ANP and NPRA have anti-cancer roles, making this pathway a potential therapeutic target.
Area of Science:
- Cardiovascular Biology
- Oncology
- Molecular Signaling
Background:
- The atrial natriuretic peptide (ANP)/natriuretic peptide receptor-A (NPRA) pathway is established in cardiovascular regulation.
- Emerging evidence highlights the ANP/NPRA pathway's significant role in human cancer.
- NPRA is overexpressed in prostate cancer cells, and its downregulation induces apoptosis.
Purpose of the Study:
- To review the structure and function of the ANP/NPRA signaling pathway.
- To explore the pathway's regulation by cell signaling.
- To summarize the pathway's diverse impacts on tumor development and progression.
Main Methods:
- Literature review of existing studies on ANP/NPRA signaling in cardiovascular and cancer biology.
- Analysis of data demonstrating NPRA expression in various cancer types.
- Examination of studies investigating the effects of ANP/NPRA modulation on cancer progression and treatment.
Main Results:
- NPRA is highly expressed in tumorigenic cells, including prostate cancer, but not in normal cells.
- Downregulation of NPRA promotes apoptosis in prostate cancer cells.
- NPRA deficiency confers protection against lung, skin, and ovarian cancers in mice.
- Dexamethasone, used in multiple myeloma treatment, significantly increases ANP expression.
Conclusions:
- ANP and NPRA may possess anti-cancer and anti-carcinogenesis properties, respectively.
- The ANP/NPRA signaling pathway represents a promising therapeutic target for cancer treatment.
- Further research into this pathway's role in oncology is warranted.
Related Concept Videos
Abnormal Proliferation
Interactions Between Signaling Pathways
Convergence and divergence, and cross-talk between signaling pathways
Two distinct signaling pathways can converge on a single functional unit, which may either be a single protein or a complex of proteins. The response is either functionally distinct or synergistic between the two pathways but different from the response...
Transducer Mechanism: Enzyme-Linked Receptors
Major types that are helpful drug targets include:
Chemotherapy-Induced Nausea and Vomiting: Neurokinin-1 Receptor Antagonists
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
