“…The ANP/NPRA system elicits natriuretic, diuretic, vasorelaxant, and antiproliferative responses, all of which contribute largely to the reduction of blood pressure and blood volume (40,49,64). Previous studies have suggested that NPRA signaling is involved not only in maintaining the arterial pressure but also in antagonizing the cardiac growth responses to hypertrophic stimuli (6,14,34). It has been shown that both external and internal stimuli regulate Npr1 (coding for GC-A/ NPRA) expression and receptor signaling, including angiotensin II (ANG II), all-trans retinoic acid (RA), vitamin D, and extracellular osmolality (1,8,16,21).…”