THE ROLE OF ATRIAL-NATRIURETIC-PEPTIDE (ANP) IN CHRONIC LIVER-DISEASE

被引:16
作者
GERBES, AL
机构
[1] Department of Internal Medicine II, Klinikum Grosshadern, University of Munich
关键词
D O I
10.1016/0163-7258(93)90028-C
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
The role of atrial natriuretic peptide (ANP) and potential defects of ANP in liver disease are reviewed. Patients with cirrhosis of the liver show no decrease of ANP plasma concentrations nor changes in the pattern of ANP immunoreactivity nor changes of splanchnic ANP clearance. The renal effects of exogenously administered as well as endogenously released ANP are blunted in cirrhosis, in particular in patients with ascites. This seems due to increased activity of sodium-retaining hormonal systems and changes of the renal ANP receptor status. Pharmacological inhibition of ANP-degradation or clearance may yield therapeutic potential.
引用
收藏
页码:381 / 390
页数:10
相关论文
共 83 条
[1]   CLEARANCE FUNCTION OF TYPE-C RECEPTORS OF ATRIAL NATRIURETIC FACTOR IN RATS [J].
ALMEIDA, FA ;
SUZUKI, M ;
SCARBOROUGH, RM ;
LEWICKI, JA ;
MAACK, T .
AMERICAN JOURNAL OF PHYSIOLOGY, 1989, 256 (02) :R469-R475
[2]   VARIABILITY OF ATRIAL-NATRIURETIC-PEPTIDE PLASMA-LEVELS IN ASCITIC CIRRHOTICS - PATHOPHYSIOLOGICAL AND CLINICAL IMPLICATIONS [J].
ANGELI, P ;
CAREGARO, L ;
MENON, F ;
SACERDOTI, D ;
DETONI, R ;
MERKEL, C ;
GATTA, A .
HEPATOLOGY, 1992, 16 (06) :1389-1394
[3]  
ARENDT R M, 1987, P544
[4]  
ARENDT RM, 1986, KLIN WOCHENSCHR, V64, P97
[5]   RENAL EFFECTS IN CIRRHOTIC-PATIENTS WITH AVID SODIUM RETENTION OF ATRIAL-NATRIURETIC-FACTOR INJECTION DURING NOREPINEPHRINE INFUSION [J].
BADALAMENTI, S ;
BORRONI, G ;
LORENZANO, E ;
INCERTI, P ;
SALERNO, F .
HEPATOLOGY, 1992, 15 (05) :824-829
[6]   PHYSIOLOGICAL REGULATION OF ATRIAL-NATRIURETIC-PEPTIDE RECEPTORS IN RAT RENAL GLOMERULI [J].
BALLERMANN, BJ ;
HOOVER, RL ;
KARNOVSKY, MJ ;
BRENNER, BM .
JOURNAL OF CLINICAL INVESTIGATION, 1985, 76 (06) :2049-2056
[7]  
BENDTSEN F, 1993, IN PRESS SCAND J CLI
[8]   THE HEMODYNAMIC STATUS OF PREASCITIC CIRRHOSIS - AN EVALUATION UNDER STEADY-STATE CONDITIONS AND AFTER POSTURAL CHANGE [J].
BERNARDI, M ;
DIMARCO, C ;
TREVISANI, F ;
DECOLLIBUS, C ;
FORNALE, L ;
BARALDINI, M ;
ANDREONE, P ;
CURSARO, C ;
ZACA, F ;
LIGABUE, A ;
GASBARRINI, G .
HEPATOLOGY, 1992, 16 (02) :341-346
[9]  
BERNARDI M, 1993, IN PRESS GASTROENTER
[10]   BLUNTED NATRIURETIC RESPONSE AND LOW BLOOD-PRESSURE AFTER ATRIAL NATRIURETIC FACTOR IN EARLY CIRRHOSIS [J].
BEUTLER, JJ ;
KOOMANS, HA ;
RABELINK, TJ ;
GAILLARD, CA ;
VANHATTUM, J ;
BOER, P ;
MEES, EJD .
HEPATOLOGY, 1989, 10 (02) :148-153