Biosensors for natriuretic peptides in cardiovascular diseases. A review

Mariana P Sousa1, Paulo Bettencourt2, Carmen Brás-Silva2

  • 1Instituto de Investigação e Inovação em Saúde - i3S, Universidade do Porto, Porto 4200-135, Portugal.

PubMed

Insights

Natriuretic peptides are key biomarkers for monitoring heart failure (HF). This review covers HF, peptide roles, and the evolution of biosensors for effective disease management and early diagnosis.

Area of Science:

  • Biomedical Engineering
  • Cardiology
  • Clinical Diagnostics

Background:

  • Heart failure (HF) is a significant clinical syndrome with high morbidity and mortality.
  • Accurate biomarkers are crucial for early diagnosis and precise monitoring of HF.
  • Natriuretic peptides have demonstrated significant potential as biomarkers in HF assessment.

Purpose of the Study:

  • To provide a comprehensive overview of heart failure, including its pathogenesis and diagnostic features.
  • To elucidate the role of natriuretic peptides in HF, detailing their characteristics and biomarker potential.
  • To review the advancements in biosensor technology and existing natriuretic peptide biosensors for HF monitoring.

Main Methods:

  • Literature review focusing on heart failure, natriuretic peptides, and biosensor technology.
  • Analysis of the pathophysiological roles and diagnostic utility of natriuretic peptides.
  • Examination of the technological evolution and application of biosensors for natriuretic peptide detection.

Main Results:

  • Natriuretic peptides are established indicators in HF assessment.
  • Biosensors offer promising new avenues for medical diagnostics and disease monitoring.
  • Advancements in biosensor technology are enabling more sensitive and specific detection of natriuretic peptides.

Conclusions:

  • Natriuretic peptides are vital biomarkers for heart failure management.
  • Biosensors represent a rapidly evolving field with significant potential for improving HF diagnosis and monitoring.
  • The integration of natriuretic peptide detection via biosensors can enhance patient outcomes through early intervention.

Related Concept Videos

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers01:19

Blood Studies for Cardiovascular System II: CRP, Hcy, and Cardiac Natriuretic Peptide Markers

Cardiac biomarkers are critical in diagnosing, prognosing, and managing cardiovascular diseases. Routine measurement of specific biomarkers such as B-type natriuretic peptide (BNP), C-reactive protein (CRP), and homocysteine (Hcy) is common practice in clinical settings to evaluate heart function and predict cardiovascular events.
These markers indicate stress or strain on the heart muscle:
Natriuretic Peptides (BNP)
Cardiac myocytes produce these hormones in response to ventricular stretching...
98
Transducer Mechanism: Enzyme-Linked Receptors01:27

Transducer Mechanism: Enzyme-Linked Receptors

Enzyme-linked receptors are cell-surface receptors acting as an enzyme or associating with an enzyme intracellularly. They make excellent drug targets. Drugs can bind to the extracellular ligand-binding domain or directly affect their enzymatic domain and alter their activity.
Major types that are helpful drug targets include:
2.5K
Heart Failure II: Pathophysiology01:29

Heart Failure II: Pathophysiology

Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
14
Heart Failure Drugs: Inhibitors of Renin-Angiotensin System01:26

Heart Failure Drugs: Inhibitors of Renin-Angiotensin System

The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
438
Hypertension II: Pathophysiology01:29

Hypertension II: Pathophysiology

Hypertension is a chronic condition in which the blood's force against artery walls is excessively high, posing risks such as heart disease. The condition's underlying mechanisms involve complex interactions among the cardiovascular, kidney, and autonomic nervous systems.Renin-Angiotensin-Aldosterone System (RAAS): This system significantly influences blood pressure regulation. When blood pressure decreases, the kidneys secrete renin. This enzyme transforms angiotensinogen, a plasma protein,...
13
Blood Studies for Cardiovascular System I: Cardiac Biomarkers01:20

Blood Studies for Cardiovascular System I: Cardiac Biomarkers

Cardiac biomarkers are enzymes, proteins, and hormones released into the blood when cardiac cells are injured. They are powerful tools for triaging.
The essential diagnostic tools for detecting myocardial necrosis and monitoring individuals suspected of having acute coronary syndrome (ACS) include:
Troponins
Troponins, particularly cardiac troponins I and T, are the most precise and sensitive markers of myocardial injury. They are detectable within 4-6 hours of myocardial injury and remain...
171