Evidence map›Paper›PMID 36004816›Full record

ArticleCardiovascular research2023

Natriuretic peptide pathways in heart failure: further therapeutic possibilities.

S Jeson Sangaralingham, Michaela Kuhn, Valentina Cannone, Horng H Chen, John C Burnett

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
10.5field-weighted citation impact, top 1% 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

43 citing papers in PubMed, 70 citations in OpenAlex.

  1. Trial
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  8. Beyond circulating cGMP: revisiting compartmentalized signaling in HFrEF.International journal of cardiology. Heart & vasculature · 2026
    Article
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  20. Epigenetics in Heart Failure.International journal of molecular sciences · 2024
    Review
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

5 authors at 3 institutions in 3 countries.

S Jeson SangaralinghamCardiorenal Research Laboratory, Department of Cardiovascular Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
Michaela KuhnInstitute of Physiology, University of Wuerzburg, Roentgenring 9, D-97070 Wuerzburg, Germany.
Valentina CannoneCardiorenal Research Laboratory, Department of Cardiovascular Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
Horng H ChenCardiorenal Research Laboratory, Department of Cardiovascular Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.ORCID 0000-0002-2315-0330
John C BurnettCardiorenal Research Laboratory, Department of Cardiovascular Medicine, Mayo Clinic, 200 1st Street SW, Rochester, MN 55905, USA.
Mayo Clinic · USUniversity of Parma · ITUniversity of Würzburg · DE

Funding

Human Cardiorenal SyndromeR01HL084155 · NHLBI · MAYO CLINIC ROCHESTER · PI HORNG H CHEN · 2009 to 2026
$5.5M
Preclinical Diastolic Dysfunction in Type 2 DiabetesR01HL136440 · NHLBI · MAYO CLINIC ROCHESTER · PI CHEN, HORNG H · 2018 to 2021
$2.8M
Novel Therapeutics for Cardiovascular DiseaseR01HL158548 · NHLBI · MAYO CLINIC ROCHESTER · PI MALANY, SIOBHAN, SANGARALINGHAM, SASANTHA JESON · 2022 to 2025
$2.8M
Novel Peptide Therapeutics for HypertensionR01HL136340 · NHLBI · MAYO CLINIC ROCHESTER · PI BURNETT, JOHN C · 2018 to 2021
$2.5M
Cardiorenal Fibrosis: Biology and TherapeuticsR01HL132854 · NHLBI · MAYO CLINIC ROCHESTER · PI SANGARALINGHAM, SASANTHA JESON · 2016 to 2020
$2.0M
Novel Peptide Therapeutics for Cardiorenal Protection in Heart FailureR01HL134668 · NHLBI · MAYO CLINIC ROCHESTER · PI BURNETT, JOHN C · 2017 to 2020
$1.6M
Small Molecule Discovery for GC-A ActivatorsR01DK103850 · NIDDK · MAYO CLINIC ROCHESTER · PI BURNETT, JOHN C · 2015 to 2017
$1.4M
NHLBI NIH HHS R01 HL084155NHLBI NIH HHS R01 HL132854NHLBI NIH HHS R01 HL134668NHLBI NIH HHS R01 HL136340NHLBI NIH HHS R01 HL136440NHLBI NIH HHS R01 HL158548NIDDK NIH HHS R01 DK103850
6 · The paper itself

Abstract

The discovery of the heart as an endocrine organ resulted in a remarkable recognition of the natriuretic peptide system (NPS). Specifically, research has established the production of atrial natriuretic peptide (ANP) and B-type natriuretic peptide (BNP) from the heart, which exert pleiotropic cardiovascular, endocrine, renal, and metabolic actions via the particulate guanylyl cyclase A receptor (GC-A) and the second messenger, cGMP. C-type natriuretic peptide (CNP) is produced in the endothelium and kidney and mediates important protective auto/paracrine actions via GC-B and cGMP. These actions, in part, participate in the efficacy of sacubitril/valsartan in heart failure (HF) due to the augmentation of the NPS. Here, we will review important insights into the biology of the NPS, the role of precision medicine, and focus on the phenotypes of human genetic variants of ANP and BNP in the general population and the relevance to HF. We will also provide an update of the existence of NP deficiency states, including in HF, which provide the rationale for further therapeutics for the NPS. Finally, we will review the field of peptide engineering and the development of novel designer NPs for the treatment of HF. Notably, the recent discovery of a first-in-class small molecule GC-A enhancer, which is orally deliverable, will be highlighted. These innovative designer NPs and small molecule possess enhanced and novel properties for the treatment of HF and cardiovascular diseases.

Indexed as

Heart FailureReceptors, Atrial Natriuretic FactorAtrial Natriuretic FactorGuanylate CyclaseHeartHumansNatriuretic Peptide, BrainNatriuretic Peptide, C-TypeNatriuretic PeptidesVasodilator AgentsAtrial Natriuretic FactorGuanylate CyclaseNatriuretic Peptide, BrainNatriuretic Peptide, C-TypeNatriuretic PeptidesReceptors, Atrial Natriuretic FactorVasodilator AgentsGuanylyl cyclase drug discoveryHeart failureNatriuretic peptidesSmall molecules

Identifiers

PMID36004816
PMCPMC9897690
OpenAlexW4293089316

What OpenQuestion holds

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Registered trials

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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.