Atrial Natriuretic Peptide

ATRIAL NATRIURETIC PEPTIDE

Q. 1

Which of the following inhibits aldosterone synthesis in the adrenal cortex?

 A

Adrenocorticotropin (ACTH)

 B

Atrial natriuretic peptide (ANP)

 C

Angiotensin I

 D

Angiotensin II

Q. 1

Which of the following inhibits aldosterone synthesis in the adrenal cortex?

 A

Adrenocorticotropin (ACTH)

 B

Atrial natriuretic peptide (ANP)

 C

Angiotensin I

 D

Angiotensin II

Ans. B

Explanation:

Atrial natriuretic peptide (ANP) inhibits the synthesis of aldosterone in the adrenal cortex. ANP is secreted by atrial cardiocytes and it stimulates the excretion of Na+, accompanied by an increase in water excretion. The inhibitory effect on aldosterone synthesis is partially responsible for the physiological effects of ANP, however other mechanisms (e.g. increase in glomerular filtration rate) are also important in the natriuretic action of ANP. Adrenocorticotropin (ACTH), angiotensin II, and the increase of plasma K+ level are the major physiological stimuli of aldosterone biosynthesis. Angiotensin I, the prohormone form of angiotensin II does not influence directly the aldosterone synthesis in the adrenal cortex.
 
Ref: Molina P.E. (2013). Chapter 10. Endocrine Integration of Energy and Electrolyte Balance. In P.E. Molina (Ed), Endocrine Physiology, 4e. 


Q. 2

Cyclic GMP act on :

 A

Insulin

 B

Thyroxin

 C

Atrial natriuretic peptide

 D

Growth harmone

Q. 2

Cyclic GMP act on :

 A

Insulin

 B

Thyroxin

 C

Atrial natriuretic peptide

 D

Growth harmone

Ans. C

Explanation:

C i.e. Atrial natriuretic peptide


Q. 3

ANF is mediated by (ANF: Atrial natriuretic factor):

 A

Inositol phosphate

 B

DAG

 C

CyAMP

 D

CyGMP

Q. 3

ANF is mediated by (ANF: Atrial natriuretic factor):

 A

Inositol phosphate

 B

DAG

 C

CyAMP

 D

CyGMP

Ans. D

Explanation:

D i.e. CyGMP


Q. 4

ANP acts at the:           

September 2009

 A

Proximal tubule

 B

Distal tubule

 C

Collecting tubule

 D

Henle loop

Q. 4

ANP acts at the:           

September 2009

 A

Proximal tubule

 B

Distal tubule

 C

Collecting tubule

 D

Henle loop

Ans. C

Explanation:

Ans. C: Collecting tubule

ANP act on the collecting tubule and duct to increase Na+ excretion.

It produce this effect by dilating afferent arterioles and relaxing mesangial cells. Both of these actions increase glomerular filtration. In addition, it act on the renal tubules to inhibit Na+ reabsorption. Other actions include an increase in capillary permeability, leading to extravasation of fluid and a decline in blood pressure. In addition, it relax vascular smooth muscle in arterioles and venules. These peptides also inhibit renin secretion and counteract the pressor effects of catecholamines and angiotensin II.

In the brain, ANP is present in neurons, and an ANP-containing neural pathway projects from the anteromedial part of the hypothalamus to the areas in the lower brainstem that are concerned with neural regulation of the cardiovascular system. In general, the effects of ANP in the brain are opposite to those of angiotensin II, and ANP-containing neural circuits appear to be involved in lowering blood pressure and promoting natriuresis.



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