Post-translational modifications enhance NT-proBNP and BNP production in acute decompensated heart failure.


Journal Article

BACKGROUND: Increases in plasma B-type natriuretic peptide (BNP) concentrations in those with acutely decompensated heart failure (ADHF) has been mainly attributed to an increase in NPPB gene transcription. Recently, proBNP glycosylation has emerged as a potential regulatory mechanism in the production of amino-terminal (NT)-proBNP and BNP. The aim of the present study was to investigate proBNP glycosylation, and corin and furin activities in ADHF patients. METHODS AND RESULTS: Plasma levels of proBNP, NT-proBNP, BNP, as well as corin and furin concentration and activity were measured in a large cohort of 683 patients presenting with ADHF (n = 468), non-cardiac dyspnoea (non-ADHF: n = 169) and 46 patients with stable chronic heart failure (CHF); the degree of plasma proBNP glycosylation was assessed in a subset of these patients (ADHF: n = 49, non-ADHF: n = 50, CHF: n = 46). Our results showed a decrease in proBNP glycosylation in ADHF patients that paralleled NT-proBNP overproduction (ρ = -0.62, P < 0.001) but less so to BNP. In addition, we observed an increase in furin activity that is positively related to the plasma levels of proBNP, NT-proBNP and BNP overproduction (all P < 0.001, all ρ > 0.88), and negatively related to the degree of proBNP glycosylation (ρ = -0.62, P < 0.001). CONCLUSION: These comprehensive results provide a paradigm for the post-translational modification of natriuretic peptides in ADHF: as proBNP glycosylation decreases, furin activity increases. This synergistically amplifies the processing of proBNP into BNP and NT-proBNP. CLINICAL TRIAL REGISTRATION: Identifier: NCT01374880.

Full Text

Cited Authors

  • Vodovar, N; Séronde, M-F; Laribi, S; Gayat, E; Lassus, J; Boukef, R; Nouira, S; Manivet, P; Samuel, J-L; Logeart, D; Ishihara, S; Cohen Solal, A; Januzzi, JL; Richards, AM; Launay, J-M; Mebazaa, A; GREAT Network,

Published Date

  • December 21, 2014

Published In

Volume / Issue

  • 35 / 48

Start / End Page

  • 3434 - 3441

PubMed ID

  • 25157115

Pubmed Central ID

  • 25157115

Electronic International Standard Serial Number (EISSN)

  • 1522-9645

Digital Object Identifier (DOI)

  • 10.1093/eurheartj/ehu314


  • eng

Conference Location

  • England