Objective-To date, the contribution of basal atrial natriuretic peptide (ANP) levels to resting vascular function in humans is unknown. In the present study we sought to investigate the role of ANP in regulating regional vascular volume and venous tone in healthy subjects. Methods and Results-We used radionuclide plethysmography to examine the effects of ANP and the ANP-receptor antagonist A71915 on forearm vascular volume. Creating pressure/volume relations, we determined changes in vascular volume, compliance, and tone. Performing dose-ranging studies, we additionally assessed the potency and specificity of A71915 in the forearm resistance vasculature. Equilibrium blood pool scintigraphy was then used to assess the effects of systemic administration of A71915 on regional intestinal vascular volume. Infusion of ANP increased forearm vascular volume in a dose-dependent manner (maximum 20%; PϽ0.001), exerting a maximum venodilating effect at plasma levels similar to that seen in heart failure. A71915 increased venous tone, thereby decreasing vascular volume by 9.6Ϯ1.1%, PϽ0.001 (forearm), and 2.6Ϯ0.5%, Pϭ0.01 (intestinal beds). At an infusion ratio of 50:1, A71915 almost completely abolished the effects of ANP on forearm blood flow. A trial natriuretic peptide (ANP) plays an important role in cardiovascular control, being a major determinant of sodium homeostasis, plasma volume, and blood pressure (BP). Although intraarterial infusion of ANP produces vasorelaxation of resistance vessels, 1,2 this may not be the underlying mechanism of the fall in BP that accompanies systemic ANP infusion. Animal studies 3,4 have shown that the fall in BP and cardiac output are almost invariably associated with a fall in central venous pressure (CVP) and, in fact, an increase in total peripheral resistance. Indeed, Groban et al 5 demonstrated in humans that low-dose systemic infusion of ANP reduced CVP without affecting BP. It is now generally accepted that the fall in cardiac output and BP after systemic infusion of ANP is a consequence of reduced preload. 6 Possible mechanisms include volume contraction as a result of diuresis, increased capillary filtration, 7 and direct venodilation, even though no venorelaxant effects of ANP were observed in dorsal hand veins 2 and saphenous veins. 8 Given that atrial stretch is the principal stimulus for ANP release, 9 the apparent lack of a direct effect on venous tone in humans seems counterintuitive. In addition, the contribution of basal levels of ANP to human resting vascular function is unknown, but acceptance of ANP as a physiologically important vasoactive hormone in health clearly depends on its contribution being significant.
Conclusions-ANPWe hypothesized that, despite its lack of action on conduit veins, ANP may act as a venodilator on the small veins and venules that constitute most of the capacitance vasculature. To study the effect of ANP on vascular function in general and venous tone in particular, we performed 4 experiments. In experiment 1, we evaluated the effect of incre...