Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2019 Apr 12;20(8):1820.
doi: 10.3390/ijms20081820.

BNP and NT-proBNP as Diagnostic Biomarkers for Cardiac Dysfunction in Both Clinical and Forensic Medicine

Affiliations
Review

BNP and NT-proBNP as Diagnostic Biomarkers for Cardiac Dysfunction in Both Clinical and Forensic Medicine

Zhipeng Cao et al. Int J Mol Sci. .

Abstract

Currently, brain natriuretic peptide (BNP) and N-terminal proBNP (NT-proBNP) are widely used as diagnostic biomarkers for heart failure (HF) and cardiac dysfunction in clinical medicine. They are also used as postmortem biomarkers reflecting cardiac function of the deceased before death in forensic medicine. Several previous studies have reviewed BNP and NT-proBNP in clinical medicine, however, few articles have reviewed their application in forensic medicine. The present article reviews the biological features, the research and application status, and the future research prospects of BNP and NT-proBNP in both clinical medicine and forensic medicine, thereby providing valuable assistance for clinicians and forensic pathologists.

Keywords: BNP; NT-proBNP; cardiac dysfunction; forensic medicine; heart failure; postmortem biochemistry.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Diagrammatic sketch of mechanical stretch inducing brain natriuretic peptide (BNP) signal transduction events, structural processing, receptor binding, cleavage processing, and degradation enzymes (modified from [36,43] with permission).

References

    1. Dickstein K., Cohen-Solal A., Filippatos G., McMurray J.J., Ponikowski P., Poole-Wilson P.A., Stromberg A., van Veldhuisen D.J., Atar D., Hoes A.W., et al. ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure 2008: The Task Force for the Diagnosis and Treatment of Acute and Chronic Heart Failure 2008 of the European Society of Cardiology. Developed in collaboration with the Heart Failure Association of the ESC (HFA) and endorsed by the European Society of Intensive Care Medicine (ESICM) Eur. Heart J. 2008;29:2388–2442. doi: 10.1093/eurheartj/ehn309. - DOI - PubMed
    1. Huffman M.D., Prabhakaran D. Heart failure: epidemiology and prevention in India. Natl. Med. J. India. 2010;23:283–288. - PMC - PubMed
    1. Weiwei C., Runlin G., Lisheng L., Manlu Z., Wen W., Yongjun W., Zhaosu W., Huijun L., Zhe Z., Lixin J., et al. Outline of the report on cardiovascular diseases in China, 2014. Eur. Heart J. Suppl. 2016;18:F2–F11. doi: 10.1093/eurheartj/suw030. - DOI - PubMed
    1. Benjamin E.J., Blaha M.J., Chiuve S.E., Cushman M., Das S.R., Deo R., de Ferranti S.D., Floyd J., Fornage M., Gillespie C., et al. Heart Disease and Stroke Statistics-2017 Update: A Report From the American Heart Association. Circulation. 2017;135:e146–e603. doi: 10.1161/CIR.0000000000000485. - DOI - PMC - PubMed
    1. Bloom M.W., Greenberg B., Jaarsma T., Januzzi J.L., Lam C.S.P., Maggioni A.P., Trochu J.N., Butler J. Heart failure with reduced ejection fraction. Nat. Rev. Dis. Primers. 2017;3:17058. doi: 10.1038/nrdp.2017.58. - DOI - PubMed