. Cardiac-specific attenuation of natriuretic peptide A receptor activity accentuates adverse cardiac remodeling and mortality in response to pressure overload. Am J Physiol Heart Circ Physiol 289: H777-H784, 2005. First published March 18, 2005 doi:10.1152/ajpheart.00117.2005.-Atrial (ANP) and brain (BNP) natriuretic peptides are hormones of myocardial cell origin. These hormones bind to the natriuretic peptide A receptor (NPRA) throughout the body, stimulating cGMP production and playing a key role in blood pressure control. Because NPRA receptors are present on cardiomyocytes, we hypothesized that natriuretic peptides may have direct autocrine or paracrine effects on cardiomyocytes or adjacent cardiac cells. Because both natriuretic peptides and NPRA gene expression are upregulated in states of pressure overload, we speculated that the effects of the natriuretic peptides on cardiac structure and function would be most apparent after pressure overload. To attenuate cardiomyocyte NPRA activity, transgenic mice with cardiac specific expression of a dominant-negative (DN-NPRA) mutation (HCAT D 893A) in the NPRA receptor were created. Cardiac structure and function were assessed (avertin anesthesia) in the absence and presence of pressure overload produced by suprarenal aortic banding. In the absence of pressure overload, basal and BNP-stimulated guanylyl cyclase activity assessed in cardiac membrane fractions was reduced. However, systolic blood pressure, myocardial cGMP, log plasma ANP levels, and ventricular structure and function were similar in wild-type (WT-NPRA) and DN-NPRA mice. In the presence of pressure overload, myocardial cGMP levels were reduced, and ventricular hypertrophy, fibrosis, filling pressures, and mortality were increased in DN-NPRA compared with WT-NPRA mice. In addition to their hormonal effects, endogenous natriuretic peptides exert physiologically relevant autocrine and paracrine effects via cardiomyocyte NPRA receptors to modulate cardiac hypertrophy and fibrosis in response to pressure overload. natriuretic peptides; diastole; hypertrophy; fibrosis ATRIAL (ANP) AND BRAIN (BNP) natriuretic peptides (NP) are of cardiomyocyte origin and stimulate production of the intracellular second messenger cGMP via binding to the natriuretic peptide A receptor (NPRA). The natriuretic peptide B receptor (NPRB) preferentially binds C-type NP of endothelial cell origin. A third receptor [natriuretic peptide C receptor (NPRC)] is not linked to guanylyl cyclase and serves as a clearance receptor that, along with digestion by ubiquitous neutral endopeptidases, clears NP from the circulation (27).Transcripts for all three NP receptors are present in cardiomyocytes and fibroblasts (20), and upregulation of cardiomyocyte NPRA mRNA with hypertrophy has been reported (3). Indeed, in vitro (14,17,30,31,34,38,40) and in vivo (16, 28, 41) studies suggest that the NP and the NP second messenger cGMP have anti-hypertrophic, anti-fibrotic, and prolusitropic effects on the heart. Unfortunately, interpretation of in ...