Page data last changed: . Chemistry registry snapshot: . Registry refreshes and identity assessments are separate from scientific content review.
The paracrine member of the natriuretic family, driving long-bone growth through NPR-B.
Also known as: CNP · CNP-22 · NPPC
Part of the Foundational & therapeutic peptides cluster
Overview
C-type natriuretic peptide (CNP) is a 22-residue peptide of the natriuretic family that acts locally rather than as a circulating natriuretic hormone. Signaling through NPR-B and cGMP, it regulates endochondral bone growth, vascular tone and neuronal function. This page is educational and not medical advice.
Source & context
Biological / chemical source: Encoded by the NPPC gene (endothelium, cartilage, brain)
Primary research or clinical context: Endochondral growth and vascular physiology research
Distinct receptor and role
Unlike ANP and BNP, CNP is a selective agonist of natriuretic peptide receptor B (NPR-B) and lacks direct natriuretic activity. It is produced by endothelium, cartilage and the nervous system and functions in an autocrine/paracrine manner near its site of release.
Growth and vascular interest
CNP-NPR-B signaling is essential for growth-plate chondrocyte proliferation, which is why CNP analogs are studied in skeletal-dysplasia research. It also modulates vascular tone, gamete maturation and neuronal integrity, giving it a broad physiological footprint.
Sequence
One-letter sequence commonly cited for C-type natriuretic peptide (educational; isoforms and modifications may differ):
GLSKGCFGLKLDRIGSMSGLGC
Residues plotted ~100° apart around an α-helix — clustering of one color reveals an amphipathic face.
Structure & chemistry
Molecular identity & reference confidence
Source-supported reference
Reference values are taken from the cited molecular record or curated profile. A database match is not independent laboratory verification; modifications, counter-ions, and formulations can change the measured mass.
- Molecular form
- C-type natriuretic peptide (source record; form not independently established)
- Species
- Not established by this molecular identity audit
- Termini (N / C)
- Not specified / Not specified
Average reference mass
Reference policy updated: 2026-10-05
- IUPHAR/BPS source snapshot · 2026-10-01
- PubChem molecular record · 2026-10-01
- Molecular formula
- C93H157N27O28S3
- Average reference mass
- ≈ 2,197.6
- PubChem CID: 16179407
- IUPHAR ligand: 4896
- CAS RN: 127869-51-6
- UNII: 3VCD78874L
Chemistry values: PubChem, IUPHAR/BPS Guide to Pharmacology · fetched 2026-10-01.
Clinical development snapshot
ClinicalTrials.gov lists 31 registered studies with “C-type natriuretic peptide” as an intervention (snapshot 2026-10-01). A registry footprint is not evidence of efficacy or approval.
| NCT | Title | Phase | Status | Updated |
|---|---|---|---|---|
| NCT07441876 | Study to Evaluate the Efficacy and Safety of BMN 333 Versus Vosoritide in Children With Achondroplasia | Phase 3 | recruiting | 2026-09-24 |
| NCT06668805 | A Study of Vosoritide in Children With Noonan Syndrome With Inadequate Growth During or After Human Growth Hor | Phase 2 | active not recruiting | 2026-09-23 |
| NCT06849752 | Early Assessment and Initiation of GuideLine-Directed Evidence-Based Management-HF | — | recruiting | 2026-05-08 |
| NCT04219007 | Vosoritide for Selected Genetic Causes of Short Stature | Phase 2 | active not recruiting | 2026-03-18 |
| NCT05492500 | A Study of Ponsegromab in People With Heart Failure | Phase 2 | terminated | 2026-03-18 |
| NCT03989947 | An Extension Study to Evaluate Safety and Efficacy of BMN 111 in Children With Achondroplasia | Phase 2 | active not recruiting | 2026-03-13 |
C-type natriuretic peptide — reconstitution calculator
Enter how much peptide is in the vial and how much diluent (e.g. bacteriostatic water) is added. The tool returns the resulting solution concentration — and, for any amount you type, the volume it corresponds to. This is educational arithmetic, not a dosing recommendation.
Reference form: C-type natriuretic peptide (source record; form not independently established)Average reference mass: 2,197.6 Da
Enter an amount to see the volume it corresponds to.
Educational concentration mathematics only. This tool does not recommend a dose, amount, or protocol, and nothing here is medical advice. Many peptides are not authorized by Health Canada for human use — see our reconstitution and bacteriostatic-water guides for context.
FAQ about C-type natriuretic peptide
What is C-type natriuretic peptide?+
C-type natriuretic peptide (CNP) is a 22-residue peptide of the natriuretic family that acts locally rather than as a circulating natriuretic hormone. Signaling through NPR-B and cGMP, it regulates endochondral bone growth, vascular tone and neuronal function. This page is educational and not medical advice.
What Canadian product status is recorded for C-type natriuretic peptide?+
Canadian product status for C-type natriuretic peptide has not been verified in this profile. No verified record here does not mean no authorization exists. Status depends on the product, formulation and use; consult Health Canada's product records.
What is the typical length of C-type natriuretic peptide?+
C-type natriuretic peptide is commonly described as approximately 22 amino acids (Peptide hormone (natriuretic peptide)).
Related peptides
References & further reading
- 1.Barr et al. (1996). C-type natriuretic peptide. Peptides
- 2.Sangaralingham et al. (2025). C-Type Natriuretic Peptide: Protecting the Aorta. Arterioscler Thromb Vasc Biol
- 3.Dickinson et al. (2024). C-type natriuretic peptide (CNP): The cardiovascular system and beyond. Pharmacol Ther
- 4.Lu et al. (2024). Modified C-type natriuretic peptide normalizes tumor vasculature, reinvigorates antitumor immunity, and improves solid tumor therapies. Sci Transl Med
- 5.Cabiati et al. (2021). C-type natriuretic peptide in childhood obesity. Peptides
- 6.Hirai et al. (2026). Collagen-binding C-type natriuretic peptide enhances chondrogenesis and osteogenesis. JCI Insight
- 7.Sangaralingham et al. (2020). C-type natriuretic peptide: the heart's guardian angel. Eur Heart J
- 8.Zheng et al. (2023). C-type natriuretic peptide (CNP) in the paraventricular nucleus-mediated renal sympatho-inhibition. Front Physiol
- 9.PMC — C-Type Natriuretic Peptide: a paracrine regulator in heart and vasculature
- 10.Wikipedia — Natriuretic peptide precursor C