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Published on: May 17, 2016
Blood pressure and atrial natriuretic peptides correlate throughout the day
R B Sothern1, D L Vesely, E L Kanabrocki
1Rhythmometry Laboratory, St. Paul-Ramsey Medical Center, Minneapolis, Minn., USA.
Insights
Atrial natriuretic peptides, including vessel dilator and atrial natriuretic factor (ANF), show inverse correlations with blood pressure. These findings suggest their crucial role in maintaining normal blood pressure levels in humans.
Area of Science:
- Cardiovascular Physiology
- Endocrinology
- Human Physiology
Background:
- Atrial natriuretic peptides, such as vessel dilator and atrial natriuretic factor (ANF), are known for their vasodilatory effects.
- Circulating levels of these peptides and their relationship with blood pressure regulation in normotensive individuals require further investigation.
Purpose of the Study:
- To investigate the relationship between circulating atrial natriuretic peptides (vessel dilator and ANF) and blood pressure in healthy humans.
- To examine the circadian rhythms of these peptides and their correlation with naturally occurring blood pressure variations over time.
Main Methods:
- Longitudinal study examining seven healthy individuals in 1988 and 1993.
- Measurement of circulating vessel dilator and ANF concentrations.
- Monitoring of circadian rhythms of mean arterial pressure, systolic blood pressure, and diastolic blood pressure.
Main Results:
- Both vessel dilator and ANF exhibited significant circadian rhythms, with peak concentrations around 4:00 AM.
- Blood pressure parameters (mean arterial, systolic, diastolic) showed circadian rhythms opposite to those of the peptides.
- A significant inverse correlation was observed between 24-hour averages of blood pressure and circulating levels of vessel dilator and ANF.
Conclusions:
- Circulating vessel dilator and ANF demonstrate significant circadian variations.
- These peptides are inversely correlated with blood pressure in normotensive individuals.
- Atrial natriuretic peptides play a vital role in maintaining blood pressure within the normotensive range.
Abstract:
Vessel dilator consisting of amino acids (a.a.) 31-67 and atrial natriuretic factor (ANF) composed of a.a. 99-126 of the 126 a.a. ANF prohormone circulate in humans and have potent vasodilatory properties. To determine whether these atrial natriuretic peptides are directly related to blood pressure in healthy normotensive humans, we recently had the unique opportunity to examine the circadian rhythms of vessel dilator, ANF, and blood pressure in seven individuals in 1988 and again in 1993. The changes in mean arterial pressure and systolic and diastolic blood pressure in these individuals during this 5-year hiatus allows comparison in the same individual, if circulating concentrations of atrial natriuretic peptides directly correlate with naturally occurring changes in blood pressure. In both 1988 and in 1993 vessel dilator and ANF each had significant (p < 0.001) circadian rhythms with their peak concentrations at 4:00 AM being nearly twice their concentrations at 4:00 PM. Mean arterial pressure, systolic blood pressure, and diastolic blood pressure also had significant circadian rhythms with peaks and troughs that were exactly opposite to those of ANF and vessel dilator. A significant inverse correlation between 24-hour averages of mean arterial blood pressure and 24-hour averages of vessel dilator (p = 0.05) and ANF (p = 0.02) was also found. These data suggest that vessel dilator and ANF are important for the maintenance of blood pressure within the normotensive range.
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