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. 2020 Sep 28;5(9):949–960. doi: 10.1016/j.jacbts.2020.05.007

Table 1.

Heart-Derived Hormones and Autocrine/Paracrine Factors

Pathophysiological Role Clinical Relevance Ref. #
Endocrine hormones
 ANP Natriuresis and vasodilation HF (67,71)
Therapeutic target (sacubitril)
 BNP Natriuresis and vasodilation HF, biomarker (70,71)
Therapeutic target (Sacubitril)
 GDF-15 Inhibiting body growth Biomarker for ACS, HF (13, 14, 15)
 Myostatin (GDF-8) Reducing skeletal muscle mass HF, AMI, cardiac cachexia (50,52,76,77)
Autocrine/paracrine factors
 Activin A Protecting cardiomyocyte MI (78)
 CNP Vasodilation HF, CH (79, 80, 81, 82, 83)
 CTRP9 Cardioprotection CH, MI, HF (84, 85, 86)
 ET-1 Promoting cardiomyocyte survival HF (87)
 FGF-2 Inhibition of excessive autophagy and increase of ubiquitinated protein clearance MI (88, 89, 90)
 FGF-9 Preserving systolic function MI (91)
 FGF-16 Preventing cardiac hypertrophy and fibrosis CH (92)
 FGF-21 Regulating cardiac metabolism; antihypertrophic AMI, CHD, HF, DCM (93,94)
 FGF-23 Promoting fibrosis and diastolic dysfunction CH, MI (95,96)
 FSTL1 Cardioprotection HF, ACS, CH (97, 98, 99, 100, 101)
 FSTL3 Antagonizing Activin A cardioprotection MI, CH (78,102)
 IL-33/sST2 Antihypertrophic and antifibrosis AMI, HF, CH (103,104)
sST2 is a biomarker
for HF and AMI
 MANF Cardioprotection MI, CH (105,106)
 miRNA-1/208a(b)/499/30a Post-transcriptional regulation AMI (107, 108, 109, 110, 111)
 PI16 Inhibiting hypertrophy HF, CH (112)
 sFRP2 Antagonist of Wnt signaling MI (113,114)
 sFRP3 Antagonist of Wnt signaling HF, MI, ACS (115,116)

AMI = acute myocardial infarction; ACS = acute coronary syndrome; ANP = atrial natriuretic peptide; BNP = brain natriuretic peptide; CH = cardiac hypertrophy; CHD = coronary heart disease; CNP = C-type natriuretic peptide; CTRP9 = C1q/tumor necrosis factor-related protein-9; DCM = diabetic cardiomyopathy; ET = endothelin; FGF = fibroblast growth factor; FSTL1 = follistatin-like 1; GDF = growth differentiation factor; HF = heart failure; IL = interleukin; MANF = mesencephalic astrocyte−derived neurotrophic factor; MI = myocardial infarction; miRNA = microRNA; PI16 = protease inhibitor 16; sFRP = secreted frizzled-related protein; sST2 = soluble suppression of tumorigenesis-2.