B-type natriuretic peptide and its precursor in cardiac venous blood from failing hearts
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B-type natriuretic peptide and its precursor in cardiac venous blood from failing hearts. / Goetze, Jens Peter; Rehfeld, Jens F.; Videbaek, Regitze; Friis-Hansen, Lennart; Kastrup, Jens.
In: European Journal of Heart Failure, Vol. 7, No. 1, 01.2005, p. 69-74.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - B-type natriuretic peptide and its precursor in cardiac venous blood from failing hearts
AU - Goetze, Jens Peter
AU - Rehfeld, Jens F.
AU - Videbaek, Regitze
AU - Friis-Hansen, Lennart
AU - Kastrup, Jens
PY - 2005/1
Y1 - 2005/1
N2 - Background: Plasma concentrations of B-type natriuretic peptide (BNP-32) and its precursor (proBNP) are increased in chronic heart failure. Accordingly, BNP-32 and proBNP are both being implemented as clinical markers. Aim: To determine the molar relation of BNP-32 and proBNP in different cardiovascular regions. Methods and results: Blood samples were obtained from different cardiovascular regions during right heart catheterization in heart failure patients, and from normal subjects. Plasma BNP-32 and proBNP concentrations were measured using sequence-specific radioimmunoassays. Patients with severe left ventricular dysfunction (n=21) displayed increased peripheral plasma concentrations of both BNP-32 (four-fold, P=0.0008) and proBNP (seven-fold, P=0.0002) compared with normal subjects. Moreover, the peripheral concentrations were highly correlated with the corresponding concentrations in the coronary sinus (BNP-32: r=0.97, P<0.0001; proBNP: r=0.94, P<0.0001). Despite comparable peripheral concentrations of BNP-32 and proBNP, the BNP-32 concentration was higher than the proBNP concentration in the coronary sinus (median 126 pmol/l (21-993) vs. 103 pmol/l (16-691), P=0.035). Conclusions: The BNP-32 and proBNP concentrations are closely related in venous cardiac blood. The findings suggest an overall constitutive secretion of processed proBNP, i.e. an N-terminal precursor fragment and BNP-32, in chronic heart failure.
AB - Background: Plasma concentrations of B-type natriuretic peptide (BNP-32) and its precursor (proBNP) are increased in chronic heart failure. Accordingly, BNP-32 and proBNP are both being implemented as clinical markers. Aim: To determine the molar relation of BNP-32 and proBNP in different cardiovascular regions. Methods and results: Blood samples were obtained from different cardiovascular regions during right heart catheterization in heart failure patients, and from normal subjects. Plasma BNP-32 and proBNP concentrations were measured using sequence-specific radioimmunoassays. Patients with severe left ventricular dysfunction (n=21) displayed increased peripheral plasma concentrations of both BNP-32 (four-fold, P=0.0008) and proBNP (seven-fold, P=0.0002) compared with normal subjects. Moreover, the peripheral concentrations were highly correlated with the corresponding concentrations in the coronary sinus (BNP-32: r=0.97, P<0.0001; proBNP: r=0.94, P<0.0001). Despite comparable peripheral concentrations of BNP-32 and proBNP, the BNP-32 concentration was higher than the proBNP concentration in the coronary sinus (median 126 pmol/l (21-993) vs. 103 pmol/l (16-691), P=0.035). Conclusions: The BNP-32 and proBNP concentrations are closely related in venous cardiac blood. The findings suggest an overall constitutive secretion of processed proBNP, i.e. an N-terminal precursor fragment and BNP-32, in chronic heart failure.
KW - B-type natriuretic peptide
KW - Cardiac secretion
KW - Heart failure
KW - Natriuretic peptide
KW - proBNP
UR - http://www.scopus.com/inward/record.url?scp=11844288336&partnerID=8YFLogxK
U2 - 10.1016/j.ejheart.2004.04.012
DO - 10.1016/j.ejheart.2004.04.012
M3 - Journal article
C2 - 15642534
AN - SCOPUS:11844288336
VL - 7
SP - 69
EP - 74
JO - European Journal of Heart Failure
JF - European Journal of Heart Failure
SN - 1567-4215
IS - 1
ER -
ID: 310766766