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新发现的C型利钠利尿肽(CNP)是心房利钠利尿肽(ANP)家族中的一员,其由内皮细胞产生和血管平滑肌细胞ANPR-B受体结合,使外周静脉扩张和回心血量减少,导致心脏充盈压和心输出量降低,这是降压的主要机理,该肽无利钠利尿作用。CNP的作用机制与cGMP(第二信使)没有关系。心衰时血管对CNP的反应性不变。因此,CNP在来源、作用部位、作用特点、作用机制及病理状态下的反应性与熟知的ANP均有显著不同
The newly discovered C-type natriuretic peptide (CNP) is a member of the atrial natriuretic peptide (ANP) family that is produced by endothelial cells and binds to the ANPR-B receptor of vascular smooth muscle cells, dilating and re-circulating peripheral veins This decrease in volume leads to a decrease in cardiac filling pressure and cardiac output, which is the primary mechanism of antihypertensive activity and does not have natriuretic and diuretic effects. The mechanism of CNP has nothing to do with cGMP (second messenger). Vascular heart failure CNP reactivity unchanged. Therefore, the reactivity of CNP in source, site of action, characteristics of action, mechanism of action and pathology is significantly different from the well-known ANP