September 22, 2026 · Blood · DOI: 10.1182/blood.2026035455

BNP Promotes Platelet Activation and Thrombosis via its Receptor NPRA: A Paradigm Shift from Biomarker to Effector

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The authors investigate whether B-type natriuretic peptide (BNP) directly contributes to cardiovascular disease pathogenesis, particularly in promoting thrombosis, rather than merely serving as a biomarker. Their findings reveal that BNP enhances platelet activation and thrombus formation through its receptor NPRA, suggesting a direct role in increasing thrombotic risk in cardiovascular conditions. This research shifts the understanding of BNP from a simple biomarker to an active effector in thrombotic processes.

Yan Zhang, Guoying Zhang, Jiaqian Qi, Shahnaz Qadri, Sahelosadat Hajimirzaei, Zhuodong Chai, Yuqi Zhou, Ling Yang, Fatima Z Alshbool, Yinan Wei, Fadi T Khasawneh, Zhenyu Li

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