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Hypertension. 2004;43:460-465
Published online before print December 22, 2003, doi: 10.1161/01.HYP.0000110907.33263.0b
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(Hypertension. 2004;43:460.)
© 2004 American Heart Association, Inc.


Scientific Contribution

Forced Homodimerization by Site-Directed Mutagenesis Alters Guanylyl Cyclase Activity of Natriuretic Peptide Receptor B

Thomas Langenickel; Jens Buttgereit; Ines Pagel; Rainer Dietz; Roland Willenbrock; Michael Bader

From the Max Delbrueck Center for Molecular Medicine (T.L., J.B., M.B.), Berlin-Buch, and the Franz-Volhard-Clinic (I.P., R.D., R.W.), Humboldt University, Charité Campus Berlin-Buch, Berlin, Germany.

Correspondence to Thomas Langenickel, MD, National Heart, Lung, and Blood Institute, 50 Center Dr, Bldg 50/4529, Bethesda, MD 20892. langenit{at}nhlbi.nih.gov or Michael Bader, PhD, Max-Delbrueck-Center for Molecular Medicine (MDC) Berlin-Buch, Robert-Rössle-Str 10, 13092 Berlin, Germany. mbader@mdc-berlin.de


*    Abstract
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Natriuretic peptides mediate their physiologic effects through activation of membrane-bound, guanylyl cyclase–coupled receptors (NPRs). Receptor dimerization is an important feature of signal transduction. This study was aimed at characterizing structurally important residues of the extracellular ligand-binding domain of NPR-B for receptor dimerization and cGMP generation. Deletion mutagenesis was used to replace cysteine residues at positions 53 (C53S), 417 (C417S), and 426 (C426S) by serine. Receptor expression, dimerization, whole-cell cGMP response, and guanylyl cyclase activity of membrane fractions were determined in stably transfected COS-7 cells. C53S, C417S, and C426S mutants were expressed and found to form disulfide-bridged covalent dimers. In contrast to NPR-B and C53S, C417S and C426S mutants displayed constitutive activity in whole cells (C417S, 146±12%, P<0.01; C426S, 153±7% of ligand-independent NPR-B cGMP generation, P<0.01). The cGMP response of C417S and C426S mutants in whole cells was dose dependent and {approx}4 times lower than that in NPR-B, whereas it was blunted in C53S-transfected cells (1 µmol/L CNP, NPR-B 2868±436%; C53S, 206±16% of control, P<0.001 vs NPR-B, C417S, and C426S). Guanylyl cyclase assay in transfected cells confirmed the constitutive activity of C417S and C426S mutants. These data suggest that receptor dimerization by covalent disulfide bridges alters ligand-independent as well as ligand-dependent receptor activity. Localization of the crosslink in relation to the cell membrane is important for configuration of the extracellular domain and the consecutive signal transduction.


Key Words: natriuretic peptides • receptors, natriuretic peptides • cyclic GMP • signal transduction


*    Introduction
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*Introduction
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The natriuretic peptides are a family of structurally homologous peptide hormones involved in fluid and electrolyte homeostasis as well as regulation of blood pressure and cell growth.1–5 Their actions are mediated by binding to the membrane-bound natriuretic peptide receptors (NPRs) and generation of second-messenger cGMP.6 Three different NPR subtypes have been identified, of which NPR-A and -B are guanylyl cyclases thought to mediate most of the biologic effects. Both receptors display different ligand affinity. Whereas NPR-A is predominantly activated by atrial natriuretic peptide (ANP) and brain natriuretic peptide, NPR-B is preferentially activated by C-type natriuretic peptide (CNP).7

Both receptors display different functional domains: an extracellular ligand-binding domain, a transmembrane domain, and an intracellular domain, which in turn consists of a kinase homology domain (KHD), a hinge region, and a guanylyl cyclase domain.8 In the absence of ligand, NPR-A and -B exist as homodimers or homotetramers.9–11 Ligand binding to the ligand-binding pocket of the dimer leads to a conformational change of the receptor. Three intramolecular disulfide bridges between cysteines at positions 53 and 79, 205 and 314, and 417 and 426 determine the ligand-binding pocket structure.8 Consecutive signaling through the transmembrane domain results in ATP-binding within the phosphorylated KHD.12–14 ATP binding and phosphorylation are essential for receptor activation and generation of second-messenger cGMP. ATP binding counteracts repression of guanylyl cyclase activity by KHD and increases dissociation of the ligand from its receptor.12,15 Dephosphorylation of the KHD, a result of the conformational change of the receptor that presents phosphorylation sites to phosphatases, leads to receptor desensitization.8

Receptor activation is a complex pattern of dimerization, conformational change, and ATP binding and phosphorylation. It is likely that these steps might be influenced by receptor structure. However, no data are currently available to describe the influence of structural modifications at the extracellular domain on NPR-B activation. Thus, this study was aimed at characterizing the role of structurally important residues within the extracellular domain of NPR-B for receptor dimerization and cGMP generation.


*    Methods
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*Methods
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Generation of Rat NPR-B Mutants
Full-length cDNA of rat NRP-B (a generous gift from Dr Lincoln Potter, University of Minnesota, Minneapolis) was subcloned into the pcDNA3.1(-)-myc/His vector (Invitrogen) and expressed as the c-Myc/6xHis fusion protein under control of a cytomegalovirus promotor. The point mutations C53S, C417S, and C426S were inserted by using a site-directed mutagenesis kit (QuickChange, Stratagene) and were confirmed by sequencing.

Cell Culture and Transfection
All culture media and supplements were obtained from Sigma. COS-7 cells were grown in Dulbecco modified Eagle’s medium (DMEM) supplemented with 10% fetal bovine serum, 100 U/mL penicillin, and 100 µg/mL streptomycin. For transfection, cells were grown in a 35-mm tissue-culture plates. Transfection was performed with Lipofectin reagent (GibcoBRL) according to the manufacturer’s protocol. Twenty-four hours after transfection, cells were selected with DMEM containing 600 µg/mL G-418 (Promega).

Qualitative RNA Expression Analysis
Cells were harvested and washed with phosphate-buffered saline. RNA was extracted from the cell pellet with Trizol reagent (GibcoBRL) according to the manufacturer’s protocol. Two micrograms of total RNA was transcribed into cDNA with an oligo-dT primer (Stratagene RT-PCR kit). Polymerase chain reaction (PCR) was performed to amplify NPR-B and glyceraldehyde 3-phosphate dehydrogenase (GAPDH) as a control.

Membrane Preparations
Cells were washed twice with phosphate-buffered saline and homogenized in ice-cold homogenization buffer (20 mmol/L Tris, 2 mmol/L EDTA, 2 mmol/L EGTA, 20 mmol/L iodoacetamide, 1 mmol/L phenylmethylsulfonyl fluoride, 1 µmol/L pepstatin A, 10 µmol/L benzamidine, and 1 µmol/L leupeptin). The homogenate was centrifuged (45 minutes, 40 000g, 4°C), and the resulting pellet was resuspended in homogenization buffer. The protein concentration was measured with the Bradford reagent.

Western Blotting and Immunodetection
Twenty to 50 µg of membrane proteins was separated by 7.5% sodium dodecyl sulfate–polyacrylamide gel electrophoresis (SDS-PAGE) and transferred to nitrocellulose membranes. The epitope-tagged NPR-B and NPR-B mutants were detected with a primary mouse monoclonal antibody against the C-terminal c-myc (Invitrogen), and then probed with a secondary horseradish peroxidase–coupled anti-mouse antibody with use of an enhanced chemiluminescent system (ECL western blotting analysis system, Amersham).

Whole-Cell Guanylyl Cyclase Stimulation
Stable clones expressing either NPR-B or NPR-B mutants were cultivated on 24-well cluster plates. For guanylyl cyclase stimulation, cells were first incubated twice with serum-free DMEM for 15 minutes and thereafter incubated in 400 µL serum-free DMEM containing 1 mmol/L 3-isobutyl-1-methylxanthine (IBMX), 0.5% bovine serum albumin, and varying concentrations of rat CNP (Calbiochem) for 30 minutes. The content of extracellular cGMP was measured by radioimmunoassay.

Guanylyl Cyclase Activity Assay
Five micrograms protein from membrane fractions was incubated for 15 minutes at 37°C in 50 mmol/L Tris-HCl, pH 7.6, with 2 mmol/L IBMX, 10 mmol/L theophylline, 10 mmol/L creatine phosphate, 10 U creatine kinase, 1 mmol/L GTP, and 4 mmol/L MnCl2. Stimulation was carried out with 1% Triton X-100, 4 mmol/L MnCl2, 1 mmol/L GTP, 1 mmol/L ATP, 1 µmol/L CNP or 1 mmol/L ATP, and 1 µmol/L CNP. cGMP was separated from GTP by chromatography and measured by radioimmunoassay.

Statistics
All values are expressed as mean±SEM. Data were compared by ANOVA, and a probability value <0.05 was considered statistically significant.


*    Results
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mRNA Expression of NPR-B and NPR-B Mutants in COS-7 Cells
Clones of stably transfected COS-7 cells were studied regarding mRNA content of either native or mutated NPR-B. No endogenous NPR-B mRNA could be detected in nontransfected COS-7 cells, and no cGMP response could be achieved by stimulation of nontransfected cells with either ANP or CNP (data not shown). Reverse transcription (RT)–PCR revealed mRNA expression of all transfected constructs, NPR-B, and NPR-B mutants (Figure 1A). GAPDH mRNA expression served as an internal control.



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Figure 1. A, RT-PCR of total RNA extracted from transfected COS-7 cells shows expression of NPR-B or 1 of the NPR-B mutants. GAPDH served as a control for RNA preparation and RT-PCR. Nontransfected COS-7 cells served as a control for PCR and transfection. There was no NPR-B mRNA detectable in control cells. B, SDS-PAGE of membrane fractions from transfected COS-7 cells shows similar expression of NPR-B and NPR-B mutants. Under nonreducing conditions, NPR-B mutants were present as {approx}260-kDa proteins, corresponding to receptor dimers. NPR-B was present as an {approx}130-kDa monomer. Under nonreducing conditions, NPR-B and NPR-B mutants were present as {approx}130-kDa proteins, corresponding to receptor monomers. These data indicate covalent dimerization of NPR-B mutants. Nontransfected cells served as controls.

Protein Expression and Structure of NPR-B Mutants
Protein expression and dimer formation of NPR-B and NPR-B mutants were shown in membrane fractions by SDS-PAGE under reducing and nonreducing conditions, followed by Western blotting and immunodetection. Iodoacetamide was used for protein preparation to prevent formation of disulfide bridges during protein isolation. NPR-B was detected under reducing as well as nonreducing conditions as an {approx}130-kDa protein, clearly corresponding to the receptor monomer (Figure 1B). To prove our hypothesis that replacement of a cysteine by serine would lead to free reactive cysteine with consecutive formation of disulfide-bridged NPR-B dimers, membrane fractions of cells transfected with C53S, C417S, or C426S mutants were run under reducing and nonreducing conditions. Under reducing conditions, signals were detected at {approx}130 kDa, corresponding to receptor monomers, whereas under nonreducing conditions, signals were obtained at {approx}260 kDa, corresponding to receptor dimers (Figure 1B). The protein expression levels of NPR-B and all mutants were found to be similar in all preparations.

Whole-Cell Guanylyl Cyclase Activity
To determine the influence of ligand-independent receptor dimerization induced by C53S, C417S, or C426S mutants on receptor activity, basal cGMP formation without ligand stimulation was measured and compared with that of NPR-B. As shown in Figure 2, basal guanylyl cyclase activity was increased in cells expressing C417S or C426S mutants compared with NPR-B (C417S, 146±12% of NPR-B, P<0.01 versus NPR-B; C426S, 153±7% of NPR-B, P<0.01 versus NPR-B). Expression of the C53S mutant had no influence on basal cGMP generation (111±7% of NPR-B).



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Figure 2. Whole cells transfected with NPR-B demonstrated a dose-dependent cGMP response to CNP. Cells expressing C417S and C426S displayed a cGMP response to CNP at a dose range from 10 to 100 nmol/L. The response at all ligand concentrations was below that of NPR-B–transfected cells. C53S-transfected cells displayed a blunted cGMP response to 1 µmol/L CNP. **P<0.01 vs baseline; ##P<0.01 vs NPR-B mutants; ++P<0.01 vs NPR-B; §§P<0.01 vs C53S.

Ligand-dependent guanylyl cyclase activation was tested by stimulation of transfected cells with CNP at different concentrations (Figure 2). Cells transfected with NPR-B demonstrated a dose-dependent cGMP response on stimulation with 1 nmol/L to 1 µmol/L CNP (1 nmol/L, 174±11% of baseline, P<0.001 versus baseline; 1 µmol/L, 2868±435% of baseline, P<0.001 versus baseline). Cells expressing C417S displayed a cGMP response at 10 nmol/L CNP (263±22% of baseline, P<0.001 versus baseline) and reached a maximal cGMP response at 100 nmol/L CNP (638±4% of baseline, P<0.001 versus baseline). The response at all ligand concentrations was below the cGMP response in NPR-B–transfected cells. C426S-transfected cells showed the same pattern of cGMP response to CNP as did C417S-expressing cells. Increased cGMP generation was observed at 10 nmol/L CNP (285±15% of baseline, P<0.001 versus baseline), and the maximum was observed at 100 nmol/L CNP (827±99% of baseline, P<0.001 versus baseline). The response was lower than the cGMP response in NPR-B–transfected cells. Cells transfected with C53S responded only at a concentration of 1 µmol/L CNP (206±16% of baseline, P<0.01 versus baseline). However, this response was significantly blunted compared with that of NPR-B as well as with C417S and C426S mutants (P<0.001).

Guanylyl Cyclase Assay
Guanylyl cyclase assay was performed on membrane fractions from transfected cells. Ligand-independent cGMP formation was measured under different conditions. Triton/Mn2+-dependent guanylyl cyclase activities were not different in all membrane preparations, whereas basal activity was increased in membrane preparations with C417S and C426S compared with NPR-B (NPR-B, 97±16%; C417S, 174±11%, P<0.05 versus NPR-B; C426S, 168±9% of Triton/Mn2+, P<0.05 versus NPR-B). The addition of ATP, whose binding to the KHD is essential for receptor activation, resulted in an increase of cGMP formation in membranes from cells transfected with C417S and C426S mutants compared with NPR-B (NPR-B, 117±6%; C417S, 227±22%, P<0.001 versus NPR-B and C53S; C426S, 201±9% of Triton/Mn2+, P<0.01 versus NPR-B and C53S; Figure 3). Membranes from cells transfected with the C53S mutant did not show any cGMP response on ATP stimulation (C53S, 103±4% of Triton/Mn2+; Figure 3). These data indicate constitutive ligand-independent activity of the C417S and C426S mutants. In contrast, stimulation with the ligand CNP alone led to higher cGMP values in membranes with NPR-B compared with all mutants (NPR-B, 440±52%, P<0.01 vs all mutants; C53S, 158±9%; C417S, 279±26%, P<0.01 versus C53S and C426S; C426S, 243±21% of Triton/Mn2+, P<0.01 versus C53S; Figure 3).



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Figure 3. Guanylyl cyclase assay on membrane fractions was performed under baseline conditions (GTP) and after incubation with Triton/Mn2+, ATP, CNP, or ATP/CNP. Basal activities were increased in membranes from cells transfected with C1417S and C426S mutants. Addition of ATP resulted in increased cGMP formation in C417S and C426S mutants only compared with NPR-B and C53S, indicating constitutive activity of these mutants. Stimulation with the ligand CNP led to higher cGMP generation in NPR-B membranes compared with all mutants. Stimulation with ATP and CNP led to the most pronounced response in NPR-B membranes. This maximal ligand-dependent activation of membranes with C53S, C417S, and C426S was blunted. *P<0.05, **P<0.01 vs NPR-B and C53S; ##P<0.01 vs NPR-B mutants; §§P<0.01 vs Triton/Mn2+; +P<0.05, ++P<0.01 vs basal; $$P<0.01 vs ATP.

Stimulation with both CNP and ATP was expected to result in maximal cGMP activation in membranes from cells transfected with NPR-B. Indeed, consistent with CNP stimulation alone, we observed the most pronounced response in NPR-B membranes compared with C53S, C417S, and C426S (NPR-B, 842±39% of Triton/Mn2+, P<0.01 versus all mutants; C53S, 158±13%; C417S, 390±26%, P<0.01 versus C53S; C426S, 356±20%, P<0.01 versus C53S; Figure 3).


*    Discussion
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*Discussion
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The amino acid sequence within the extracellular domain of NPR-A and -B is highly conserved. Three intramolecular disulfide bridges within the extracellular domain are relevant for formation of the ligand-binding pocket and have been well characterized for NPR-A.16 This study was aimed at characterizing the cysteine residues of NPR-B at position 53, 417, and 426 regarding their influence on ligand-dependent and -independent receptor activity. We were able to demonstrate that substitution of these cysteines by serine led to formation of intermolecular disulfide linkages between 2 receptor monomers. Whereas the mutations C417S and C426S, which are located close to the cell membrane, resulted in constitutive active receptor dimers, the C53S mutation at a position distal from the cell membrane was inactive.

To analyze the ability of the NPR-B mutants to form receptor dimers, we performed SDS-PAGE on membrane fractions of transfected cells. Under reducing conditions, we detected all receptor mutants at a molecular weight of {approx}130 kDa, whereas under nonreducing conditions, all receptor mutants were found at a molecular weight of {approx}260 kDa. NPR-B was detected as an {approx}130-kDa protein under both reducing and nonreducing conditions, suggesting its presence as monomer. Thus, we conclude that introduction of either mutation led to formation of receptor dimers linked by disulfide bridges. These data are consistent with previously published results on NPR-A. Labrecque et al10 demonstrated that substitution of cysteine by serine at position 423 resulted in a single reactive cysteine, which was able to form intermolecular disulfide-bridge–generating receptor homodimers. This pattern of intramolecular disulfide bridge formation of NPR-A is highly conserved between species, and it is likely that because of homology and conservation of the critical cysteine residues between NPRs, NPR-B displays a similar secondary structure. As we demonstrate here, mutation of 1 cysteine of the proposed intramolecular disulfide bridge enabled the other cysteine to form an interchain disulfide bridge, resulting in receptor homodimers.

The influence of the inserted mutations on guanylyl cyclase activity compared with NPR-B was assessed in whole cells as well as in membrane preparations. In whole cells, C417S and C426S mutants had a significantly higher basal activity compared with NPR-B, showing constitutive activity of both mutants. Dimeric tightening of the juxtamembrane domain of NPR-B and guanylyl cyclase activity, as previously shown for NPR-A, are closely related.10 One might conclude that disulfide bridges close to the cell membrane are formed in C417S and C426S mutants, which result in tightening of 2 receptor monomers. This tightening initiates a conformational change of the receptor, with consecutive dimerization of the intracellular receptor domain and formation of the ATP-binding pocket. ATP binds to the KHD, and cGMP is generated (Figure 4). The intermolecular disulfide linkages of both mutants seem to mimic the noncovalent association of NPR-B monomers induced by ligand binding.8,11 This model is in agreement with a previously published observation that NPR-A C423S, harboring the mutation close to the cell membrane, is constitutively active.10 In contrast, cells transfected with the C53S mutant, which also induces dimerization, showed basal cGMP production equal to that of NPR-B–transfected cells. This difference between C53S and C417S/C426S might be explained by the structure of the extracellular ligand-binding domain of NPR-B. van den Akker et al17 revealed the structure of the glycosylated extracellular NPR-A–ligand complex by x-ray crystallography. It was shown that the ligand-binding domain of an NPR-A dimer appears as a V-shape molecule, with a narrowing of the 2 monomers close to the juxtamembrane region. If one assumes high structural homology between NPR-A and NPR-B, these results could explain the constitutive activity of C417S and C426S, as well as the lack of activity of C53S (Figure 4). The intermolecular disulfide bridge of C53S is located at the N-terminus of the receptor, distant from the cell membrane. The resulting A shape of the receptor dimer might exclude a close tightening of both monomers within the juxtamembrane region. One might also speculate that this A-shape configuration impairs ligand binding. The result would be a lack of cGMP response on ligand stimulation in cells transfected with C53S, which we confirmed in this study. These data are consistent with recently published results of an NPR-A C74W mutant, which displayed a covalent dimer in an A-shape configuration and a reduced cGMP response to ANP.18 The C417S and C426S mutants responded dose-dependently, but the cGMP response was blunted compared with that of NPR-B at all tested CNP concentrations. Because we found similar protein expression in all transfected cells, the reduced maximal response of the constitutive active mutants might reflect either altered ligand affinity or receptor desensitization.8,10,19



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Figure 4. Proposed model of the structure-function relation of NPR and NPR mutants C53S, C416S, and C426S. Cysteines form intramolecular disulfide bridges in NPR-B, which are important for formation of the tertiary structure of the extracellular ligand-binding domain. Replacement of either cysteine by serine leads to 1 reactive cysteine per receptor monomer, which is able to form intermolecular disulfide bridges and thereby induce dimerization in C53S, C416S, and C426S. If contact of the 2 receptor monomers is close to the cell membrane, as it is for C416S and C426S, the resulting tightening of the juxtamembrane region initiates a ligand-independent conformational change of the receptor with consecutive ATP binding and cGMP generation. Both mutants are constitutively active. The A-shape ligand-binding domain of C416S and C426S is able to bind ligand, but the CNP response is blunted compared with that of NPR-B. In contrast, if contact of the 2 monomers is distal from the cell membrane, as it is for C53S, the resulting A shape of the receptor dimer excludes close tightening of both monomers within the juxtamembrane region and impairs ligand binding. Basal cGMP production is therefore not different from that of NPR-B, but the response of C53S to CNP is markedly reduced.

Guanylyl cyclase activity was also investigated in vitro in membrane fractions from cells transfected with NPR-B and the NPR-B mutants C417S, C426S, and C53S. After prestimulation with CNP, the membranes were treated under different conditions, including GTP alone (basal), Triton/Mn2+, ATP, CNP, and ATP/CNP. Stimulation with CNP alone displayed the most pronounced cGMP response in membranes from NPR-B–transfected cells. The cGMP response in cells transfected with either mutant was lower than the cGMP response in NPR-B–transfected cells. Maximal catalytic activity of the receptor is achieved when stimulated with ATP/CNP. NPR-B–transfected cells showed the highest activity when stimulated with ATP/CNP compared with all mutants, which might be attributed to receptor desensitization or impaired ligand binding.20 However, the addition of ATP alone led to activation of the NPR-B mutants C417S and C426S. This observation confirmed the constitutive activity of both mutants.

Perspectives
Mutations C417S, C426S, and C53S of NPR-B lead to the formation of intermolecular disulfide bridges between the residual reactive cysteine of each receptor monomer. Depending on the resulting shape of the extracellular ligand-binding domain, covalent dimers of the C417S and C426S mutants display constitutive activity, whereas the C53S mutant is inactive. However, it would be of significant interest to identify the role of NPR-B in regulating blood pressure in vivo. Recently, a novel GT repeat polymorphism in intron 2 of the human NPR-B gene was found and was discovered to be associated with essential hypertension in a Japanese cohort.21 Although these data are not yet convincing to link NPR-B with hypertension in humans, one might speculate that mutations within the coding region of the extracellular domain could impair NPR-B signaling and thus, might increase the susceptibility to increased blood pressure. Because neither genetically modified animal models of NPR-B nor specific NPR-B antagonists are available to date, the NPR-B mutants presented in this study might be useful to further study the physiologic function of NPR-B in vitro and in vivo.


*    Acknowledgments
 
This project has been supported by research fellowships of the Max-Delbrueck-Center for Molecular Medicine (T.L. and I.P.) and by a grant from Verbund Klinische Phamakologie Berlin-Brandenburg (T.L.). The authors would like to thank Rita Guenzel and Jeannette Mothes for technical assistance and Abdulhameed Aziz for editorial help.


*    Footnotes
 
The first 2 authors contributed equally to this work.

T.L. and I.P. are presently at the National Heart, Lung, and Blood Institute, Bethesda, Md. R.W. is presently at St Elisabeth Hospital, Halle, Germany.

Received September 30, 2003; first decision November 4, 2003; accepted November 24, 2003.


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up arrowResults
up arrowDiscussion
*References
 
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A. M. Richards
Natriuretic Peptides: Update on Peptide Release, Bioactivity, and Clinical Use
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Proc. Natl. Acad. Sci. USAHome page
T. H. Langenickel, J. Buttgereit, I. Pagel-Langenickel, M. Lindner, J. Monti, K. Beuerlein, N. Al-Saadi, R. Plehm, E. Popova, J. Tank, et al.
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Endocr. Rev.Home page
L. R. Potter, S. Abbey-Hosch, and D. M. Dickey
Natriuretic Peptides, Their Receptors, and Cyclic Guanosine Monophosphate-Dependent Signaling Functions
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