A trial natriuretic peptide (ANP), via its cGMP-forming guanylyl cyclase-A (GC-A) receptor, has a critical role in the regulation of arterial blood pressure and blood volume.
1The GC-A receptor is densely expressed on vascular endothelia, but the biological function is controversial.2 To elucidate whether the endothelial effects of ANP participate in the regulation of systemic blood pressure and volume, we generated mice with conditional, endothelial cell (EC)-restricted ablation of the GC-A gene (EC GC-A KO mice).3 Comparative intravital microscopy studies in these and control mice together with MRI demonstrated that ANP, via GC-A, mildly stimulates systemic transendothelial albumin transport in the microvasculature of skeletal muscle and skin. 4,5 Together with many other studies, our observations support the notion that concerted renal diuretic/natriuretic and mild systemic endothelial hyperpermeability actions of ANP are essential to adjust intravascular fluid volume. Objective-Histamine increases microvascular endothelial leakage by activation of complex calcium-dependent and -independent signaling pathways. Atrial natriuretic peptide (ANP) via its cGMP-forming guanylyl cyclase-A (GC-A) receptor counteracts this response. Here, we characterized the molecular mechanisms underlying this interaction, especially the role of cGMP-dependent protein kinase I (cGKI). Approach and Results-We combined intravital microscopy studies of the mouse cremaster microcirculation with experiments in cultured microvascular human dermal endothelial cells. In wild-type mice, ANP had no direct effect on the extravasation of fluorescent dextran from postcapillary venules, but strongly reduced the histamine-provoked vascular leakage. This anti-inflammatory effect of ANP was abolished in mice with endothelial-restricted inactivation of GC-A or cGKI. Histamine-induced increases in endothelial [Ca 2+ ] i in vitro and of vascular leakage in vivo were markedly attenuated by the Ca The online-only Data Supplement is available with this article at http://atvb.ahajournals.org/lookup/suppl