Evidence mapPaperPMID 42429916Full record

ReviewReviews in endocrine & metabolic disorders2026

Natriuretic peptide receptor C in cardiovascular-kidney-liver-metabolic syndrome: from natriuretic peptide deficiency to direct tissue signaling?

Matteo Landolfo, Francesco Spannella, Chiara Salvà, Bernhard Radlinger, Susanne Kaser, Alessandro Gezzi, Riccardo Sarzani

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In one paragraph

Review in Reviews in endocrine & metabolic disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
field-weighted citation impact
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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

7 authors.

Matteo LandolfoDepartment of Internal Medicine I, Medical University of Innsbruck, Innsbruck, 6020, Austria. m.landolfo@staff.univpm.it.ORCID http://orcid.org/0000-0002-2087-2573
Francesco SpannellaClinical and Molecular Sciences Department, University Politecnica delle Marche, Ancona, 60126, Italy.ORCID http://orcid.org/0000-0002-1846-7819
Chiara SalvàDepartment of Internal Medicine I, Medical University of Innsbruck, Innsbruck, 6020, Austria.ORCID http://orcid.org/0009-0000-3625-852X
Bernhard RadlingerDepartment of Internal Medicine I, Medical University of Innsbruck, Innsbruck, 6020, Austria.ORCID http://orcid.org/0000-0002-7034-8155
Susanne KaserDepartment of Internal Medicine I, Medical University of Innsbruck, Innsbruck, 6020, Austria.ORCID http://orcid.org/0000-0003-2524-5218
Alessandro GezziClinical and Molecular Sciences Department, University Politecnica delle Marche, Ancona, 60126, Italy.ORCID http://orcid.org/0000-0001-6179-5351
Riccardo SarzaniClinical and Molecular Sciences Department, University Politecnica delle Marche, Ancona, 60126, Italy.ORCID http://orcid.org/0000-0002-5159-0181

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The cardiovascular-renal-liver-metabolic (CKLM) syndrome integrates dysmetabolically driven heart, vascular, kidney, and liver diseases through a shared pathophysiological substrate. In obesity, upregulation of the clearance natriuretic peptide receptor C (NPR-C) in adipose tissue creates a "NP deficiency," undermining the protective cardiovascular and metabolic actions of endogenous NPs. Recent preclinical data demonstrates that NPR-C functions beyond simple peptide clearance. Through interactions with ligands like CNP, musclin, and osteocrin, NPR-C triggers context-dependent intracellular signaling. In experimental models, independent of systemic NP levels, NPR-C directly modulates cardiac remodeling, podocyte injury, hepatic steatosis, vascular inflammation, and adipocyte function. This review synthesizes NPR-C biology within the CKLM framework. While human validation remains limited, targeting tissue-specific NPR-C pathways represents a promising therapeutic frontier for restoring cardiometabolic homeostasis.

Indexed as

C-ANP4−23Cardiometabolic medicineC-type natriuretic peptideMusclinNatriuretic peptide receptor CNpr3Osteocrin

Identifiers

What Socratic holds

Textmetadata
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.