Bh. Levine et al., ENDOGENOUS NATRIURETIC FACTORS-2 - CHARACTERIZATION OF NATRIURETIC AND VASOPRESSIVE SUBSTANCES FROM HUMAN UREMIC URINE, Journal of cardiovascular pharmacology, 22, 1993, pp. 190000063-190000068
It is our intention to isolate, purify, and characterize the putative
low-molecular-weight ''natriuretic hormone'' responsible for extracell
ular fluid (ECF) homeostasis. Toward this end, we are purifying from h
uman uremic urine, and identifying endogenous vasopressor and natriure
tic compounds. Bioactive components from large volumes of pooled urine
were purified by ultrafiltration (less-than-or-equal-to 3 kDa), gel f
iltration chromatography, and sequential reverse-phase and normal-phas
e high-performance liquid chromatography (HPLC). After each HPLC step,
the fractions were evaluated in vivo, were assayed for inhibition of
Na+/K+-ATPase-mediated Rb-86+ uptake, and were checked for cross-react
ivity with an anti-ouabain antibody. Fractions assayed in vivo were id
entified that induced natriuresis, altered mean arterial pressure, or
increased plasma cyclic-GMP. Also, many fractions inhibited Na+/K+-ATP
ase and/or cross-reacted with anti-ouabain antibody. None of the in vi
tro assays correlates with natriuretic or pressor effects. This pletho
ra of bioactivities, revealed only with increased sample purity, may a
ccount for much of the confusion and multiplicity of crude isolates cl
aimed to be the putative hormone. Presently we are attempting to purif
y and identify these natriuretic materials. One of these, a 3-substitu
ted indole, has been partially characterized.