Adrenomedullin: A Versatile Hormone with Profound Physiological Significance
Cardiac Markers
Introduction
- Adrenomedullin (ADM) is a bioactive peptide with diverse functions in human physiology.
- Identified in 1993 in human pheochromocytoma tissue as a 52 amino acid peptide.
- Significant implications in both health and disease.
Molecular Structure and Biosynthesis
- Produced as a prohormone and undergoes translational modifications to form the active peptide.
- Encoded by the ADM gene, made by cell types like endothelial and smooth muscle cells.
- Belongs to the calcitonin gene-related peptide (CGRP) family, sharing structural similarities.
- Interaction with calcitonin receptor-like receptor (CLR) and receptor activity modifying proteins (RAMPs) via intricate signalling pathways.
Cardiovascular and Hemodynamic Regulation
- Acts as a strong vasodilator, controlling blood pressure and maintaining vascular balance.
- Causes muscle relaxation and vasodilation through nitric oxide production and cyclic AMP increase.
- Offers protection against vascular dysfunction and inflammation.
Inflammatory Response and Immune Modulation
- Regulates inflammation with both pro-inflammatory and anti-inflammatory traits.
- Reduces production of inflammatory substances while encouraging anti-inflammatory agents.
- Impacts blood cell movement, reduces oxidative stress, and regulates immune cell activation.
Pathological Implications and Future Research Directions
- Monitoring ADM levels in the bloodstream connected to severity of illnesses like heart failure and cancers.
- Future research areas:
- Creating ADM-based treatment strategies.
- Exploring ADM processes.
- Investigating ADM as a diagnostic and prognostic tool.
- Examining ADM's impact on personalized medicine strategies.
Suitable ELISA Kits
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