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ANP and the Natriuretic Peptides: How the Heart's Hormones Work

ANP (atrial natriuretic peptide) is a hormone your heart makes. It has two relatives, BNP and CNP, and together they are called the natriuretic peptides. These guides explain in plain words where each hormone comes from, which receptors it uses, how fast the body clears it, what the ASCEND-HF trial measured, and the three related medicines: carperitide, nesiritide and vosoritide.

Articles 5Updated 2026-10-16

Questions answered here

05
  1. ANP half-life: why it lasts minutes and how the body clears itANP half-life as reported in the literature: about 3 minutes in one review and 2 to 4 minutes in another. How the clearance receptor NPR-C and the enzyme neprilysin remove natriuretic peptides.Updated 2026-10-16
  2. ANP vs BNP vs CNP: the three natriuretic peptides comparedANP, BNP and CNP compared: where each natriuretic peptide is made, what releases it, which receptor each paper assigns, the cGMP step, and the clearance receptor NPR-C.Updated 2026-10-16
  3. What did the ASCEND-HF trial measure? Nesiritide in acute heart failureASCEND-HF (NCT00475852) randomised 7,141 patients with acute heart failure to nesiritide or placebo. What the two co-primary endpoints were, the significance bar the dyspnoea result did not meet, and what the trial did not show.Updated 2026-10-16
  4. Carperitide, nesiritide and vosoritide: natriuretic peptide medicines and their statusCarperitide (ANP), nesiritide (BNP) and vosoritide (a CNP analogue) as regulated medicines: indications, what the trials and meta-analyses measured, and their status in the October 2026 Poisons Standard, with the TGA, FDA and WADA records.Updated 2026-10-16
  5. What is ANP? Atrial natriuretic peptide explained from the researchWhat ANP is: a 28-amino-acid hormone made by the heart's upper chambers, what releases it, how it was found, which receptor it uses, and where the human evidence stops.Updated 2026-10-16

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