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The pathopysiological significance of the novel hypotensive peptide, Adrenomedullin (AM) and Proadrenomedullin N-terminal 20 Peptide (PAMP)

Research Project

Project/Area Number 09470171
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Circulatory organs internal medicine
Research InstitutionMiyazaki Medical College

Principal Investigator

ETO Tanenao  Miyazaki Medical College, School of Medicine, Professor, 医学部, 教授 (10038854)

Co-Investigator(Kenkyū-buntansha) KATO Johji  Miyazaki Medical College, 1st Dept. Intern Med, Research Associate, 医学部, 助手 (20274780)
KITAMURA Kazuo  Miyazaki Medical College, 1st Dept. Intern Med, Assistant Professor, 医学部, 講師 (50204912)
坂田 純一郎  宮崎医科大学, 医学部, 助手 (30253818)
Project Period (FY) 1997 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥13,300,000 (Direct Cost: ¥13,300,000)
Fiscal Year 1999: ¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 1998: ¥3,000,000 (Direct Cost: ¥3,000,000)
Fiscal Year 1997: ¥6,800,000 (Direct Cost: ¥6,800,000)
KeywordsAdrenomedullin / PAMP / PAMP-12 / Amidation / Hypotensive peptide / Hypertension / heat failure / renal failure / アドレノメデュリン / 受容体 / ラジオイムノアッセイ / 循環調節因子 / 血管作動性ペプチド / C末端アミド化 / PAMP-12 / 高血圧 / 心肥大
Research Abstract

(1)Cardiovascular effects of AM:
Chronically infused AM has a potent hypotensive effect in both WKY rats and SHR without an increase in urinary volume or Na+ excretion at a plasma AM concentration within the physiological limit. However, chronically infused PAMP had no hypotensive effect in rats.
We have demonstrated that cultured neonatal rat cardiomyocytes produce and secrete AM, and the secreted AM inhibits the protein synthesis of these cells. Thus, AM may act on cardiomyocytes as an autocrine or a paracrine factor modulating the cardiac growth.
(2) Immunoreactive AM and PAMP in human plasma:
Significantly higher concentrations of adrenomedullin (AM) and PAMP were shown in the cardiovascular and renal diseases. We have demonstrated that most of the AM immunoreactivity in human plasma represents the glycine-extended AM (iAM), intermediate from, and that the concentration of mature AM (mAM) is much lower than that of iAM. Both the mAM and iAM levels in plasma were found to be elevated in … More patients with heart failure or renal failure at almost the constant ratio. The elevation of plasma AM and PAMP were closely related to severity of the diseases, suggesting not only the role of AM and PAMP acting against further deterioration of the diseases. Further, we have clarified that the vasculature of the lower extremities and the heart produce and secrete matue form of adrenomedullin (mAM) and that the lung is a clearance site of circulating mAM.
(3) Distribution and molecular form of PAMP:
The distribution of immunoreactive (ir-) PAMP was determined in porcine tissues. High concentration of ir-PAMP were observed in the adrenal medulla. Reversed-phase high performance liquid chromatography in each porcine tissue sample revealed that two major peaks ir-PAMP existed: one emerged at a position identical to that of authentic porcine PAMP; the other unknown peak was eluted earlier. The unknown peptide was purified to homogeneity from porcine adrenal medulla, and its complete amino acid sequence was determined. This peptide was found to be PAMP[9-20] with a C-terminal amide structure, and was named PAMP-12. Intravenous injections of PAMP-12 in anesthetized rats showed a significant hypotensive effect in a dose-dependent fashion. These data indicate that PAMP-12, a major component of ir-PAMP, is processed from the AM precursor, as is PAMP-20, and may participate in cardiovascular control. Less

Report

(4 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • 1997 Annual Research Report
  • Research Products

    (42 results)

All Other

All Publications (42 results)

  • [Publications] Tsuruda, T. et al.,: "Anautocrine or a paracrine role of adrenomedullin in modulating cardiac fibroblast growth"Cardiovasc. Res.. 43. 958-967 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hirayama, N., et al.: "Molecilar forms of circulating adrenomedullin in patients with congestive heart failure"J. Endocrinol.. 160. 297-303 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Ishihara, T., et al.: Clin, Nephrol.. 52. 119-123 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kitani, M., et al.: Histopathology. 34. 134-139 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kinoshita, K., et al.: Am. J. Kid. Dis.. 34. 114-119 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Eto, T., et al.: Clin. Exp. Pharmacol. Physiol.. 26. 371-380 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 北俊弘、江藤胤尚: "高血圧の診断と治療"医書出版. 29-37 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Etoh T, Kato J, Takenaga M, Imamura T, Kitamura K, Koiwaya Y, Eto T: "Differential hormonal profiles of adrenomedullin and proadrenomedullin N-terminal 20 peptide in patients with haert failure and effect of treatment on their plasma levels"Clin Cardiol.. 22(2). 113-117 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kitani M, Asada Y, Sakata J, Kitamura K, Sumiyoshi A, Eto T: "Cell density of adrenomedullin-immunoreactive cells in the gastric endocrine cells decreases in antral atrophic gastritis"Histopathology. 34(2). 134-139 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hirayama N, Kitamura K, Imamura T, Kato J, Koiwaya Y, Tsuji T, Kangawa K, Eto T: "Molecular forms of circulating adrenomedullin in patients with congestive heart failure"J Endocrinal.. 160(2). 297-303 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Hirayama N, Kitamura K, Imamura T, Kato J, Koiwaya Y, Eto T: "Secretion and clearance of the mature form of adrenomedullin in humans"Life Sci.. 64. 2505-2509 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tsuruda T, Kato J, Kitamura K, Kawamura M, Kuwasako K, Imamura T, Koiwaya Y, Tsuji T, Kangawa K, Eto T.: "An autocrine or a paracrine role of adrenomedullin in modulating cardiac fibroblast proliferation"Cardiovasc. Res.. 43. 958-967 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Serino R, Ueta Y, Hara Y, Nomura M, Yamamoto Y, Shibuya I, Hattori Y, Kitamura K, Kangawa K, Russell J.A., Yamashita H.: "Centrally administered adrenomedullin increases plasma oxytocin level with induction of c-fos messenger ribonucleic acid in the paraventricular and supraoptic nuclei of the rat"Endcrinology. 140(5). 2334-2342 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kuwasako K, Kitamura K, Kangawa K, Ishiyama Y, Kato J, Eto T: "Increased plasma proadrenomedullin N-terminal 20 peptide in patients with essential hypertension"Ann. Clin. Biochem.. 36. 622-628 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kinoshita H, Fujimoto S, Kitamura K, Yokota N, Kawamoto M, Tokura T, Hisanaga S, Eto T: "Plasma and urine levels of adrenomedullin and proadrenomedullin N-terminal 20 peptide in chronic glomerulonephritis"Am. J. Kid. Dis.. 34(1). 114-119 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kato J, Kitamura K, Matsui E, Tanaka M, Ishizaka Y, KitaT, Kangawa K, Eto T: "Plasma adrenomedullin and natriuretic peptides in patients with essential or malingant hypertension"Hypertens. Res.. 22. 61-65 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Eto T, Kitamura K, Kato J: "Biological clinical role of adrenomedullin in circulation control and cardiovascular diseases"Clin. Exp Pharmacol and Physiol.. 26. 371-380 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Nagata N, Kato J, Kitamura K, Kawamoto M, Tanaka N, Eto T, Takasaki M: "Dissociation of adrenomedullin concentrations in plasma and cerebrospinal fluid in pregant and non-pregant women"Eur. J Endocrinol.. 39(6). 611-614 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Kita T, Kitamura K, Kuwasako K, Kawamoto M, Eto T: "Short-term modulation of the renin-angiotensin system does not alter plasma adrenomedullin concentration in humans"J Hypertens.. 16(12Pt2). 2057-2062 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Tsuruda,T.,et al.: "An autocrine or a paracrine role of adrenomedullin in modulating cardiac fibroblast growth."Cardiovasc.Res.. 43. 958-967 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Hirayama,N.,et al.: "Molecular forms of circulating adrenomedullin in patients with congestive heart failure."J.Endocrinol.. 160. 297-303 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Ishihara,T.,et al.: "Increased plasma levels of mature form of adrenomedullin in patients with chronic renal failure."Clin.Nephrol.. 52. 119-123 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kitani,M.,et al.: "Cell density of adrenomedullin-immunoreactive cells in the gastric endocrine cells decreases in antral atrophic gastritis."Histopathology. 34. 134-139 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Kinoshita,K.,et al.: "Plasma and urine levels of adrenomedullin and oroadrenomedullin N-terminal 20 peptide in chronic glomerulonephritis."Am.J.Kid.Dis.. 34. 114-119 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Eto,T.,et al.: "Biological and clinical roles of adrenomedullin in circulation control and cardiovascular diseases."Clin.Exp.Pharmacol.Physiol.. 26. 371-380 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 北俊弘、江藤胤尚: "高血圧の診断と治療"医書出版社. 29-37 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Tsuruda T,Kato J,Kitamura K,Kuwasako K,Imamura T,Koiwaya Y,Tsuji T,Kanagawa K,Eto T: "Adrenomedullin : a possible autocrine or paracrine inhibitor of hypertrophy of cardiomyocytes." Hypertension. 31(1Pt2). 505-510 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kitamura K,Kato J,Kawamoto M,Tanaka M,Chino N,Kanagawa K,Eto T: "The intermediate form of glycine-extended adrenomedullin in the major circulating molecular form in human plasma." Biochem Biophys Res Commun. 244(2). 551-555 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Saita M,Shimokawa A,Kunitake T,Kato K,Hanamori T,Kitamura K,Eto T,Kannan H: "Central actions of adrenomedullin on cardiovascular parameters and sympathetic outflow in conscious rats." Am J Physiol. 274(4Pt2). R979-984 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Hirano S,Ishiyama Y,Matsuo T,Imamura T,Sakata J,Kitamura K,Koiwaya Y,Eto T: "Decrease in circulating and urine adrenomedullin concentrations in stroke-prone spontaneously hypertensive rats." Hypertens Res. 21(1). 23-28 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Saita M,Ishizuka Y,Kato K,Kunitake T,Hanamori T,Kitamura K,Eto T,Kannan H: "Cardiovascular and sympathetic effects of proadrenomedullin NH2-terminal 20 peptide in conscious rats." Regul Pept. 77(1-3). 147-153 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kita T,Kitamura K,Kuwasako K,Kawamoto M,Eto T: "Short-term mondulation of the renin-angiotensin system does not alter plasma adrenomedullin concentration in humans." J Hypertens. 16(12Pt2). 2057-2062 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kazuo Kitamura,Kenji Kangawa,Hisayuki Matsuo,Tanenao Eto: "Adrenomedullin" IOS Press, 27-36 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kitamura K: "Aggiornament II" Uses-firenze Press, 108-113 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] Kazuo Kitamura, Johji Kato, Mari Kawamoto, Miho Tanaka, Naoyoshi Chino, Kenji Kangawa, Tanenao Eto: "Glycine-extended adrenomedullin, an intermediate form, is the major circulating molecular form in human plasma" Biochem.Biophys.Res.Commun.in press. (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] Azharul Islam Khan, Johji Kato, Kasuo Kitamura, Kenji Kangawa, Tanenao Eto: "Hypotensive effect of chronically infused adrenomedullin in conscious wister-kyoto and spontaneously hypertensive rats" Clinical and Experimental Pharmacology and Physiology. 24. 139-142 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Yuichiro Ishiyama, Kazuo Kitamura, Johji Kato, Junichiro Sakata, Kenji Kangawa, Tanenao Eto: "Changes in cardiac adrenomedullin concentration in renovascular hypertensive rats" Hypertens Res. 20(2). 113-117 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kenji Kuwasako, Kasuo Kitamura, Yuichiro Ishiyama, Hisanori Washimine, Johji Kato, Kenji Kangawa, Tanenao Eto: "Purification and characterization of PAMP-12(PAMP[9-20])in porcine adrenal medulla as a major endogenous biologically active peptide" FEBS Letters. 414. 105-110 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Toshihiro Tsuruda, Johji Kato, Kazuo Kitamura, Kenji Kuwasako, Takuroh Imamura, Yasushi Koiwaya, Tetsuo Tsuji, Kenji Kangawa, Tanenao Eto: "Adrenomedullin:A possible sutocrine or paracrine inhibitor of hypertrophy of cardiomyocytes" Hypertension. 31(1). 505-510 (1998)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kazuo Kitamura, Tanenao Eto: "Adrenomedullin-physiological regulator of the cardiovascular system or biochemical curiousity?" Current Opinion in Nephrology and Hypertension. 6(1). 80-87 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] Kazuo Kitamura, Tanenao Eto: "Current Opinion in Nephrology and Hypertension" Rapid Science Publishers, 8 (1997)

    • Related Report
      1997 Annual Research Report
  • [Publications] 北村 和雄、江藤 胤尚: "心不全" 医薬ジャーナル社, 12 (1997)

    • Related Report
      1997 Annual Research Report

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Published: 1997-04-01   Modified: 2016-04-21  

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