Evidence map›Paper›PMID 35333648›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2022

C-type natriuretic peptide is a pivotal regulator of metabolic homeostasis.

Cristina Perez-Ternero, Aisah A Aubdool, Raj Makwana, Gareth J Sanger, Roland H Stimson, Li F Chan, Amie J Moyes, Adrian J Hobbs

Open access · hybridAbstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Deciphering Uncoupling Proteins in Cellular Homeostasis and Metabolic Health.International journal of biological sciences · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
  12. Natriuretic Peptide Signaling in Uterine Biology and Preeclampsia.International journal of molecular sciences · 2023
    Review
  13. Article
  14. Article
  15. Role of Cardiac Natriuretic Peptides in Heart Structure and Function.International journal of molecular sciences · 2022
    Review
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Cristina Perez-TerneroWilliam Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London EC1M 6BQ, United Kingdom.ORCID 0000-0002-2349-0642
Aisah A AubdoolWilliam Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London EC1M 6BQ, United Kingdom.ORCID 0000-0002-4712-9421
Raj MakwanaBlizard Institute and the National Centre for Bowel Research, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London E1 2AT, United Kingdom.
Gareth J SangerBlizard Institute and the National Centre for Bowel Research, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London E1 2AT, United Kingdom.ORCID 0000-0002-4231-1945
Roland H StimsonUniversity/British Heart Foundation Centre for Cardiovascular Science, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh EH16 4TJ, United Kingdom.ORCID 0000-0002-9002-6188
Li F ChanWilliam Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London EC1M 6BQ, United Kingdom.ORCID 0000-0001-5146-8242
Amie J MoyesWilliam Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London EC1M 6BQ, United Kingdom.
Adrian J HobbsWilliam Harvey Research Institute, Barts & The London School of Medicine & Dentistry, Queen Mary University of London, London EC1M 6BQ, United Kingdom.ORCID 0000-0002-3589-7108
Queen Mary University of London · GBBritish Heart Foundation · GB

Funding

British Heart Foundation RG/16/7/32357Chief Scientist Office SCAF/17/02Medical Research Council G0802796Wellcome TrustWellcome Trust 217543/Z/19/Z
6 · The paper itself

Abstract

Thermogenesis and adipogenesis are tightly regulated mechanisms that maintain lipid homeostasis and energy balance; dysfunction of these critical processes underpins obesity and contributes to cardiometabolic disease. C-type natriuretic peptide (CNP) fulfills a multimodal protective role in the cardiovascular system governing local blood flow, angiogenesis, cardiac function, and immune cell reactivity. Herein, we investigated a parallel, preservative function for CNP in coordinating metabolic homeostasis. Global inducible CNP knockout mice exhibited reduced body weight, higher temperature, lower adiposity, and greater energy expenditure in vivo. This thermogenic phenotype was associated with increased expression of uncoupling protein-1 and preferential lipid utilization by mitochondria, a switch corroborated by a corresponding diminution of insulin secretion and glucose clearance. Complementary studies in isolated murine and human adipocytes revealed that CNP exerts these metabolic regulatory actions by inhibiting sympathetic thermogenic programming via Gi-coupled natriuretic peptide receptor (NPR)-C and reducing peroxisome proliferator-activated receptor-γ coactivator-1α expression, while concomitantly driving adipogenesis via NPR-B/protein kinase-G. Finally, we identified an association between CNP/NPR-C expression and obesity in patient samples. These findings establish a pivotal physiological role for CNP as a metabolic switch to balance energy homeostasis. Pharmacological targeting of these receptors may offer therapeutic utility in the metabolic syndrome and related cardiovascular disorders.

Indexed as

HomeostasisNatriuretic Peptide, C-TypeThermogenesisAnimalsAtrial Natriuretic FactorCardiovascular DiseasesMetabolic DiseasesMiceMice, KnockoutReceptors, Atrial Natriuretic FactorAtrial Natriuretic FactorNatriuretic Peptide, C-TypeReceptors, Atrial Natriuretic Factoradipogenesiscardiometabolic diseaseG protein–coupled receptornatriuretic peptidethermogenesis

Identifiers

PMID35333648
PMCPMC9060477
OpenAlexW4220952536

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.