Heart Disease Clinical Trial
B-type natriuretic Peptide (BNP) is a cardiac hormone secreted from the cardiac myocytes in
response to volume load. Plasma levels of BNP, as measured by immunoassay methods, are
elevated in patients with heart diseases. However, the biological effects of BNP are blunted
in heart failure and other cardiac conditions. Moreover, the peptide levels are also elevated
in non cardiac conditions such as the neonatal period, sepsis and renal failure. Recent
investigations suggest alteration of the peptide molecular structure in heart failure. These
alterations may explain, at least partially, the reduced biological activities of BNP in
heart failure.
Immunoreactive BNP and NT-proBNP have been identified in human urine. It has been suggested
that urinary BNP correlates with plasma BNP, and may serve as a non-invasive measure for this
cardiac marker. It is unclear what BNP fractions are cleared in the urine in health and
disease.
The aim of the proposed studies is to elucidate precisely the molecular form of BNP in
various disease and specific physiological states in plasma and urine of infants and
children.
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