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

Int J Mol Sci. 2019 Apr 12;20(8):1820. doi: 10.3390/ijms20081820.

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.

Publication types

  • Review

MeSH terms

  • Animals
  • Biomarkers*
  • Diagnosis
  • Forensic Medicine*
  • Gene Expression Regulation
  • Heart Failure / diagnosis*
  • Heart Failure / etiology
  • Heart Failure / metabolism*
  • Heart Function Tests
  • Humans
  • Natriuretic Peptide, Brain / genetics
  • Natriuretic Peptide, Brain / metabolism*
  • Peptide Fragments / genetics
  • Peptide Fragments / metabolism*
  • Prognosis
  • Proteolysis
  • Severity of Illness Index
  • Signal Transduction
  • Translational Research, Biomedical

Substances

  • Biomarkers
  • Peptide Fragments
  • pro-brain natriuretic peptide (1-76)
  • Natriuretic Peptide, Brain