Evidence mapPaperPMID 36346821Full record

ArticleEndocrine reviews2023

A State of Natriuretic Peptide Deficiency.

Michael Nyberg, Dijana Terzic, Trine P Ludvigsen, Peter D Mark, Natasha B Michaelsen, Steen Z Abildstrøm, Mads Engelmann, A Mark Richards, Jens P Goetze

Open access · bronzeAbstract read
In one paragraph

Article in Endocrine reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.3field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Observational
  7. Body Mass Index and NT-pro-BNP in High-Risk Cardiac Patients.Deutsches Arzteblatt international · 2025
    Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Michael NybergDepartment of Vascular Biology, T2D & CVD Research, Precision Medicine, and Medical & Science, OSCD & Outcomes, Novo Nordisk, Måløv, Denmark.
Dijana TerzicDepartment of Clinical Biochemistry, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Trine P LudvigsenDepartment of Vascular Biology, T2D & CVD Research, Precision Medicine, and Medical & Science, OSCD & Outcomes, Novo Nordisk, Måløv, Denmark.
Peter D MarkDepartment of Clinical Biochemistry, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Natasha B MichaelsenDepartment of Vascular Biology, T2D & CVD Research, Precision Medicine, and Medical & Science, OSCD & Outcomes, Novo Nordisk, Måløv, Denmark.
Steen Z AbildstrømDepartment of Vascular Biology, T2D & CVD Research, Precision Medicine, and Medical & Science, OSCD & Outcomes, Novo Nordisk, Måløv, Denmark.
Mads EngelmannDepartment of Vascular Biology, T2D & CVD Research, Precision Medicine, and Medical & Science, OSCD & Outcomes, Novo Nordisk, Måløv, Denmark.
A Mark RichardsDivision of Cardiology, National University Heart Centre, National University Hospital, Singapore.
Jens P GoetzeDepartment of Clinical Biochemistry, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.ORCID 0000-0001-6356-3829
Novo Nordisk (Denmark) · DKCopenhagen University Hospital · DKNational University Heart Centre Singapore · SGUniversity of Copenhagen · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Measurement of natriuretic peptides (NPs) has proven its clinical value as biomarker, especially in the context of heart failure (HF). In contrast, a state of partial NP deficiency appears integral to several conditions in which lower NP concentrations in plasma presage overt cardiometabolic disease. Here, obesity and type 2 diabetes have attracted considerable attention. Other factors-including age, sex, race, genetics, and diurnal regulation-affect the NP "armory" and may leave some individuals more prone to development of cardiovascular disease. The molecular maturation of NPs has also proven complex, with highly variable O-glycosylation within the biosynthetic precursors. The relevance of this regulatory step in post-translational propeptide maturation has recently become recognized in biomarker measurement/interpretation and cardiovascular pathophysiology. An important proportion of people appear to have reduced effective net NP bioactivity in terms of receptor activation and physiological effects. The state of NP deficiency both entails a potential for further biomarker development and could also offer novel pharmacological possibilities. Alleviating the state of NP deficiency before development of overt cardiometabolic disease in selected patients could be a future path for improving precision medicine.

Indexed as

Cardiovascular DiseasesDiabetes Mellitus, Type 2Atrial Natriuretic FactorBiomarkersHumansNatriuretic Peptide, BrainNatriuretic PeptidesAtrial Natriuretic FactorBiomarkersNatriuretic Peptide, BrainNatriuretic PeptidesANPBNPCNPhypertensionnatriuretic peptideobesity

Identifiers

PMID36346821
PMCPMC10166265
OpenAlexW4308551219

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.