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Clinical Chemistry 0: clinchem.2005.057638v1, 2005; 10.1373/clinchem.2005.057638
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Received on July 13, 2005
Accepted on October 10, 2005

Proteomics and Protein Markers

Dipeptidyl-Peptidase IV Converts Intact B-Type Natriuretic Peptide into Its des-SerPro Form

Inger Brandt 1, Anne-Marie Lambeir 1, Jean-Marie Ketelslegers 2, Marc Vanderheyden 3, Simon Scharpé 1, Ingrid De Meester 1*

1 Laboratory of Medical Biochemistry, Department of Pharmaceutical Sciences, University of Antwerp, Antwerp, Belgium
2 Diagnostic Radiology Unit, Cliniques Universitaires St-Luc, Université Catholique de Louvain, Brussels, Belgium
3 Cardiovascular Center, Onze Lieve Vrouwziekenhuis, Aalst, Belgium

* To whom correspondence should be addressed. E-mail: ingrid.demeester{at}ua.ac.be.

Background: Analysis of plasma B-type natriuretic peptide (BNP) has suggested the in vivo formation of a truncated form, BNP (3-32), also called des-SerPro-BNP. The objectives of this study were to investigate (a) whether BNP and other natriuretic peptides are truncated by dipeptidyl-peptidase IV (DPP IV/CD26; EC 3.4.14.5) and (b) whether this truncation affects the susceptibility to cleavage by neutral endopeptidase (NEP; EC 3.4.24.11).

Methods: Human BNP (1-32), A-type natriuretic peptide 1-28 (ANP 1-28), and related peptides were incubated with purified DPP IV and with human plasma. In addition, BNP (1-32), BNP (3-32), and ANP (1-28) were subjected to hydrolysis by NEP. Cleavage products were analyzed by mass spectrometry.

Results: BNP (1-32) is cleaved by purified DPP IV with a specificity constant of 0.37 x 106 L · mol-1 · s-1. The DPP IV activity in EDTA-plasma was able to truncate BNP (1-32) ex vivo. Addition of Vildagliptin, a specific DPP IV inhibitor, prevented this truncation in a concentration-dependent manner. Under in vitro circumstances in which ANP was hydrolyzed extensively, BNP (1-32) and BNP (3-32) were very resistant to NEP-mediated cleavage.

Conclusions: DPP IV cleaves BNP (1-32) with an efficiency higher than or comparable to several known in vivo substrates of the enzyme. Even after loss of the amino-terminal dipeptide, BNP remains highly resistant to cleavage by NEP.




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