Eur J Endocrinol
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DOI: 10.1530/eje.0.1350265
European Journal of Endocrinology, Vol 135, Issue 3, 265-268
Copyright © 1996 by European Society of Endocrinology
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Brain natriuretic peptide versus atrial natriuretic peptide—physiological and pathophysiological significance in children and adults: a review

Muneo Yoshibayashi, Yoshihiko Saito and Kazuwa Nakao

Since the discovery of atrial natriuretic peptide (ANP) in the cardiac atrium (1, 2). ANP has been implicated in body fluid homeostasis and blood pressure control as a cardiac hormone.

Brain natriuretic peptide (BNP), a second member of the natriuretic peptide family, was isolated originally from the mammalian brain and has a remarkable sequence homology to ANP (3–5). Following its discovery, it has been elucidated that BNP is synthesized and secreted primarily by the cardiac ventricle and is also a cardiac hormone like ANP (6, 7).

BNP vs ANP in physiological conditions: In normal human heart, ANP is mainly synthesized in and secreted from the cardiac atrium, whereas BNP is predominantly in the cardiac ventricle (7–9). In normal human adults, the plasma BNP concentration is 1–2 fmol/ml, which is about one-sixth of the plasma ANP concentration (7–9).

Plasma BNP and ANP concentrations in normal humans show interesting developmental changes. We




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