Target intelligence / Profile preview

Natriuretic peptide receptor type-A (NPR-A)

Target
NPR-A
Molecular classification
Receptor, Enzyme
01

Overview

Natriuretic peptide receptor type-A (NPR-A), also known as guanylate cyclase A (GC-A), is a primary transmembrane receptor responsible for mediating the physiological effects of atrial and B-type natriuretic peptides (ANP and BNP) [1, 2]. Upon binding these ligands, NPR-A activates its intracellular guanylyl cyclase domain to produce cyclic guanosine monophosphate (cGMP), which serves as a critical second messenger for vasodilation, natriuresis, and diuresis [6, 8]. This signaling pathway is essential for maintaining blood pressure and fluid homeostasis, while also providing direct cardioprotective effects by inhibiting pathological cardiac hypertrophy and fibrosis [11, 13]. In disease states such as heart failure and hypertension, the NPR-A system is often insufficient or dysregulated, making it a key therapeutic target [7, 10]. Drugs like nesiritide}

Other names
Guanylate cyclase AGC-AAtrial natriuretic peptide receptor 1NPR1Atrial natriuretic peptide receptor type AANPR-AParticulate guanylate cyclase A
02

Mechanism of action

Agonism of the receptor's intrinsic guanylyl cyclase activity to increase intracellular cGMP levels.

03

Biological functions

Signal transductionFluid homeostasisVasodilationNatriuresisDiuresisInhibition of cardiac hypertrophyOther
04

Disease associations

Cardiovascular diseaseInflammationOther
05

Safety considerations

HypotensionRenal impairmentElectrolyte imbalanceShort therapeutic half-life of peptide agonists
06

Interacting drugs

Nesiritide

3 more in the full profile.

07

Biomarkers

B-type natriuretic peptide (BNP)N-terminal pro-b-type natriuretic peptide (NT-proBNP)Atrial natriuretic peptide (ANP)Cyclic guanosine monophosphate (cGMP)

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