The natriuretic peptides are a family of small peptides that activates specific NP-bound guanylyl cyclase (GC) receptors and stimulates cGMP synthesis. Three main natriuretic peptides have been identified so far: atrial (ANP), B-type (BNP) and C-type natriuretic peptides (CNP). Among them, BNP having a common core structure of natriuretic peptides, which consists a 17-member disulfide ring with a highly conserved internal sequence of -FGXXXDRIGXXSGL-, plays an essential role in the maintenance of homeostasis such as natriuresis, diuresis, vasorelaxant effect and inhibits the activation of renin-angiotensin-aldosterone system under pathological conditions. 1) Expression of the three natriuretic peptide receptors (NPR-A, NPR-B, NPR-C) has been confirmed in human and rat cardiac tissue.2) Commonly, BNP exhibits its effects by preferentially binding to the NPR-A (also known as GC-A) which is coupled to cytoplasmic C-terminal GC catalytic domain and signals via formation of cGMP. 3,4) Although some studies have shown a compensatory role for BNP in heart disease, the precise contribution of BNP to the pathophysiology of heart is poorly understood.Ischemia is one of the most common pathological conditions in many cardiovascular diseases. Apoptotic cell death has been shown to be one of the major pathological events in a variety of cardiovascular ischemic conditions such as myocardial infarction.5) As the stimuli of cardiomyocyte apoptosis, a range of stress including mild hypoxic, 6) ischemic and neurohumoral stimulation 7) has been illustrated in vitro. Particularly in several studies, hypoxia is the direct trigger and well-known stimulus of apoptosis independent of the neuronhumoral factors in various physiologic and pathologic conditions.8) Some studies have indicated that ANP and CNP inhibit vascular smooth muscle growth [9][10][11] and ANP induces apoptosis in cultured vascular smooth muscle cells, 12) which infer the negative effect of natriuretic peptides on the cardiovascular system. In this regard, the role of BNP in mild hypoxia-induced cardiomyocytes apoptosis and the possible mechanism are of great interest to explore. The present study was therefore designed to examine whether BNP influenced apoptotic cardiomyocyte death under mild hypoxia which has been proved to trigger the intrinsic mitochondrial death signaling pathway, and whether cGMP was involved in the process.
MATERIALS AND METHODSPrimary Culture of Cardiomyocytes Primary culture of neonatal rat cardiomyocytes were prepared as described before.13) In brief, the ventricles of 3-d-old Sprague-Dawley rats were digested with 0.08% trypsin and 0.06% collagenase II (Sigma Chemical Co., U.S.A.). The cells in suspension were collected, washed and seeded in 24 well plates at a density of 2ϫ10 5 cells. All cells were cultured in a medium containing 85% DMEM (Invitrogen, CA, U.S.A.) and 15% fetal bovine serum. The proportion of cardiomyocytes was enriched by the preplating method. BrdU (0.1 mM, Sigma, U.S.A.) was added within the first 48 h to inhibit fibrob...