Neprilysin inhibition does not alter dynamic of proenkephalin-A 119-159 and pro-substance P in heart failure.
Henrike ArfstenGeorg GoliaschPhilipp E BartkoSuriya PrausmüllerGeorg SpinkaAnna ChoJohannes NovakJulia MascherbauerHelmuth HaslacherGuido StrunkMartin HülsmannNoemi PavoPublished in: ESC heart failure (2021)
Although enkephalins and SP are known substrates of NEP, NEP inhibition by ARNi does not clearly affect the circulating precursors PENK and pro-SP in HFrEF.