Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2002-4-24
pubmed:abstractText
In human heart failure (CHF), adrenomedullin (AM) counteracts vasoconstriction and sodium retention. We investigated circulating levels of proadrenomedullin N-20 peptide (PAMP) and AM, and left ventricular expression of preproAM and calcitonin receptor-like receptor (CRLR) mRNA. Peptide levels were determined from the left ventricle, pulmonary artery, coronary sinus, and antecubital vein in patients demonstrating severe CHF (n = 12; mean +/- SEM cardiac index, 1.9 +/- 0.2 l/min/m(2); pulmonary wedge pressure, 32 +/- 1 mmHg), moderate CHF (n = 11; cardiac index, 2.9 +/- 0.2; pulmonary wedge pressure, 14 +/- 2), and in controls (n = 11). Left ventricular mRNA was quantified using RT-PCR and Southern blot hybridization. Depending on sites of measurement, PAMP and AM in severe CHF were 1.3 - 2.0 and 1.2 - 1.9 times as high as in moderate CHF, and 3.8 - 4.6 and 2.3 - 2.8 times as high as in controls. Only patients with moderate CHF demonstrated pulmonary and coronary net release of both peptides, that is, significant step-ups in concentrations between the pulmonary artery, left ventricle, and coronary sinus. In failing ventricles, preproAM mRNA increased 2.9 times above control, but CRLR mRNA was unchanged. Altogether, the heart and the lungs release AM peptides in moderate CHF. This secretion breaks down in severe CHF: a process that may contribute to and indicate decompensation. Unlike AM, the CRLR is not transcriptionally upregulated in severe CHF.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
http://linkedlifedata.com/resource/pubmed/chemical/Adrenomedullin, http://linkedlifedata.com/resource/pubmed/chemical/CALCRL protein, human, http://linkedlifedata.com/resource/pubmed/chemical/Calcitonin Receptor-Like Protein, http://linkedlifedata.com/resource/pubmed/chemical/Nitroprusside, http://linkedlifedata.com/resource/pubmed/chemical/Peptide Fragments, http://linkedlifedata.com/resource/pubmed/chemical/Peptides, http://linkedlifedata.com/resource/pubmed/chemical/Protein Precursors, http://linkedlifedata.com/resource/pubmed/chemical/Proteins, http://linkedlifedata.com/resource/pubmed/chemical/RNA, Messenger, http://linkedlifedata.com/resource/pubmed/chemical/Receptors, Calcitonin, http://linkedlifedata.com/resource/pubmed/chemical/Vasodilator Agents, http://linkedlifedata.com/resource/pubmed/chemical/preproadrenomedullin
pubmed:status
MEDLINE
pubmed:month
Feb
pubmed:issn
0018-5043
pubmed:author
pubmed:issnType
Print
pubmed:volume
34
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
81-6
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:11972292-Adrenomedullin, pubmed-meshheading:11972292-Calcitonin Receptor-Like Protein, pubmed-meshheading:11972292-Female, pubmed-meshheading:11972292-Heart Failure, pubmed-meshheading:11972292-Heart Ventricles, pubmed-meshheading:11972292-Hemodynamics, pubmed-meshheading:11972292-Humans, pubmed-meshheading:11972292-Lung, pubmed-meshheading:11972292-Male, pubmed-meshheading:11972292-Middle Aged, pubmed-meshheading:11972292-Myocardium, pubmed-meshheading:11972292-Nitroprusside, pubmed-meshheading:11972292-Peptide Fragments, pubmed-meshheading:11972292-Peptides, pubmed-meshheading:11972292-Protein Precursors, pubmed-meshheading:11972292-Proteins, pubmed-meshheading:11972292-RNA, Messenger, pubmed-meshheading:11972292-Receptors, Calcitonin, pubmed-meshheading:11972292-Vasodilator Agents
pubmed:year
2002
pubmed:articleTitle
Cessation of pulmonary and coronary secretion of adrenomedullin peptides in the progression of human heart failure.
pubmed:affiliation
Medizinische Klinik m. S. Kardiologie, Angiologie, Pulmologie Charité (Campus Mitte), Humboldt-Universität zu Berlin, Germany. karl.stangl@charite.de
pubmed:publicationType
Journal Article