Both atrial (
ANP) and brain (BNP)
natriuretic peptide affect development of
cardiac hypertrophy and
fibrosis via binding to
natriuretic peptide receptor (NPR)-A in the heart. A putative clearance receptor, NPR-C, is believed to regulate cardiac levels of
ANP and BNP. The renin-angiotensin system also affects
cardiac hypertrophy and
fibrosis. In this study we examined the expression of genes for the NPRs in rats with pressure-overload
cardiac hypertrophy. The ANG II type 1 receptor was blocked with
losartan (10 mg.kg(-1).day(-1)) to investigate a possible role of the renin-angiotensin system in regulation of
natriuretic peptide and NPR gene expression. The ascending aorta was banded in 84 rats during
Hypnorm/
Dormicum-
isoflurane anesthesia; after 4 wk the rats were randomized to treatment with
losartan or placebo. The left ventricle of the heart was removed 1, 2, or 4 wk later. Aortic banding increased left ventricular expression of NPR-A and NPR-C
mRNA by 110% (P < 0.001) and 520% (P < 0.01), respectively, after 8 wk; as expected, it also increased the expression of
ANP and BNP mRNAs.
Losartan induced a slight reduction of left ventricular weight but did not affect the expression of mRNAs for the
natriuretic peptides or their receptors. Although increased gene expression does not necessarily convey a higher concentration of the
protein, the data suggest that pressure overload is accompanied by upregulation of not only
ANP and BNP but also their receptors NPR-A and NPR-C in the left ventricle.