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Circulation Research. 2004;94:453-461
Published online before print January 15, 2004, doi: 10.1161/01.RES.0000117070.86556.9F
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(Circulation Research. 2004;94:453.)
© 2004 American Heart Association, Inc.


Molecular Medicine

B-Type Natriuretic Peptide Exerts Broad Functional Opposition to Transforming Growth Factor-ß in Primary Human Cardiac Fibroblasts

Fibrosis, Myofibroblast Conversion, Proliferation, and Inflammation

Ann M. Kapoun*, Faquan Liang*, Gilbert O’Young, Deborah L. Damm, Diana Quon, R. Tyler White, Kimberly Munson, Andrew Lam, George F. Schreiner, Andrew A. Protter

From Scios Inc, Fremont, Calif.

Correspondence to Andrew A. Protter, Scios Inc, 6500 Paseo Padre Pkwy, Fremont, CA 94555. E-mail protter{at}sciosinc.com

The natriuretic peptides, including human B-type natriuretic peptide (BNP), have been implicated in the regulation of cardiac remodeling. Because transforming growth factor-ß (TGF-ß) is associated with profibrotic processes in heart failure, we tested whether BNP could inhibit TGF-ß–induced effects on primary human cardiac fibroblasts. BNP inhibited TGF-ß–induced cell proliferation as well as the production of collagen 1 and fibronectin proteins as measured by Western blot analysis. cDNA microarray analysis was performed on RNA from cardiac fibroblasts incubated in the presence or absence of TGF-ß and BNP for 24 and 48 hours. TGF-ß, but not BNP, treatment resulted in a significant change in the RNA profile. BNP treatment resulted in a remarkable reduction in TGF-ß effects; 88% and 85% of all TGF-ß–regulated mRNAs were affected at 24 and 48 hours, respectively. BNP opposed TGF-ß–regulated genes related to fibrosis (collagen 1, fibronectin, CTGF, PAI-1, and TIMP3), myofibroblast conversion ({alpha}-smooth muscle actin 2 and nonmuscle myosin heavy chain), proliferation (PDGFA, IGF1, FGF18, and IGFBP10), and inflammation (COX2, IL6, TNF{alpha}-induced protein 6, and TNF superfamily, member 4). Lastly, BNP stimulated the extracellular signal-related kinase pathway via cyclic guanosine monophosphate–dependent protein kinase signaling, and two mitogen-activated protein kinase kinase inhibitors, U0126 and PD98059, reversed BNP inhibition of TGF-ß–induced collagen-1 expression. These findings demonstrate that BNP has a direct effect on cardiac fibroblasts to inhibit fibrotic responses via extracellular signal-related kinase signaling, suggesting that BNP functions as an antifibrotic factor in the heart to prevent cardiac remodeling in pathological conditions.


Key Words: B-type natriuretic peptide • transforming growth factor-ß • cardiac fibroblasts • fibrosis




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