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Departments of 1 Pediatrics, 2 Pathology, and 3 Physiology and Biophysics, State University of New York at Buffalo, Buffalo, New York 14214; and 4 Department of Pediatrics, Northwestern University, Chicago, Illinois 60614
C-type natriuretic peptide (CNP) is a recently described
endothelium-derived relaxing factor. CNP relaxes vascular smooth muscle
and inhibits smooth muscle proliferation by binding to natriuretic
peptide receptor (NPR) type B (NPR-B) and producing cGMP. Lung
parenchyma and fifth-generation pulmonary arteries (PA) and veins (PV)
were isolated from late-gestation fetal lambs. All three types of NPR
mRNA were detected in PA and PV by RT-PCR. CNP and NPR-B immunostaining
was positive in pulmonary vascular endothelium and medial smooth
muscle. CNP concentration-response curves of PA and PV were compared
with those of atrial natriuretic peptide (ANP) by use of standard
tissue bath techniques. CNP relaxed PV significantly better than PA.
ANP relaxed PA and PV equally, but ANP relaxed PA significantly better
than CNP. Pretreating PA and PV with natriuretic peptide receptor
blocker (HS-142-1) or cGMP-dependent protein kinase inhibitor
Rp-
-phenyl-1- N2-etheno-8-bromoguanosine
3',5'-cyclic monophosphorothionate significantly inhibited the
CNP relaxation response, indicating that the response was
mediated through the NPR-cGMP pathway. We conclude that CNP is
important in mediating pulmonary venous tone in the fetus.
natriuretic peptide receptors; protein kinase G; guanosine 3',5'-cyclic monophosphate
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