Sacubitril/valsartan treatment in HFrEF patients rapidly increased ANP concentrations by 105.8% at the first follow-up visit, while causing inconsistent changes in BNP across different assays.
Observational (n=23)
Does sacubitril/valsartan alter the concentrations of various natriuretic peptides in patients with HFrEF?
Sacubitril/valsartan treatment in HFrEF leads to a rapid increase in ANP and variable changes in BNP depending on the assay used, highlighting the need for assay-specific interpretation.
BACKGROUND With sacubitril/valsartan treatment, B-type natriuretic peptide (BNP) concentrations increase; it remains unclear whether change in BNP concentrations is similar across all assays for its measurement. Effects of sacubitril/valsartan on atrial natriuretic peptide (ANP) concentrations in patients are unknown. Lastly, the impact of neprilysin inhibition on mid-regional pro-ANP (MR-proANP), N-terminal pro-BNP (NT-proBNP), proBNP1-108, or C-type natriuretic peptide (CNP) is not well understood. OBJECTIVES This study sought to examine the effects of sacubitril/valsartan on results from different natriuretic peptide assays. METHODS Twenty-three consecutive stable patients with heart failure and reduced ejection fraction were initiated and titrated on sacubitril/valsartan. Change in ANP, MR-proANP, BNP (using 5 assays), NT-proBNP (3 assays), proBNP1-108, and CNP were measured over 3 visits. RESULTS Average time to 3 follow-up visits was 22, 46, and 84 days. ANP rapidly and substantially increased with initiation and titration of sacubitril/valsartan, more than doubling by the first follow-up visit (+105.8%). Magnitude of ANP increase was greatest in those with concentrations above the median at baseline (+188%) compared with those with lower baseline concentrations (+44%); ANP increases were sustained. Treatment with sacubitril/valsartan led to inconsistent changes in BNP, which varied across methods assessed. Concentrations of MR-proANP, NT-proBNP, and proBNP1-108 variably declined after treatment; whereas CNP concentrations showed no consistent change. CONCLUSIONS Initiation and titration of sacubitril/valsartan led to variable changes in concentrations of multiple natriuretic peptides. These results provide important insights into the effects of sacubitril/valsartan treatment on individual patient results, and further suggest the benefit of neprilysin inhibition may be partially mediated by increased ANP concentrations.
“Part of our due diligence as a lab community is to be aware of these sorts of things. Unfortunately, there can be a sense that all assays are the same and that we can believe in the 'magic' numbers.”
Ibrahim et al. (Fri,) conducted a observational in Heart failure with reduced ejection fraction (n=23). Sacubitril/valsartan was evaluated on Change in ANP, MR-proANP, BNP, NT-proBNP, proBNP1-108, and CNP concentrations. Sacubitril/valsartan treatment in HFrEF patients rapidly increased ANP concentrations by 105.8% at the first follow-up visit, while causing inconsistent changes in BNP across different assays.