Cohen writes "NEP expression is modulated by various factors, including interferon, interleukin (IL)-1
, tumor necrosis factor (TNF)
, IL-4 and glucocorticoids. Tobacco smoke has been reported to inactivate NEP in vitro and in an animal model, but studies in humans have not demonstrated a clear difference in NEP activity between smokers and nonsmokers. Genetic variation in NEP could account for some of the wide variation observed in humans. Mice homozygous for NEP null mutations are surprisingly normal but do exhibit decreased blood pressure, increased microvascular permeability, and increased susceptibility to endotoxin shock. The hypothesis that genetic variation in NEP expression may cause differences in susceptibility to disorders such as bronchopulmonary dysplasia, lung cancer, asthma, and sepsis, in which neuropeptides have been implicated, remains untested but attractive."American Journal of Respiratory Cell and Molecular Biology, Vol. 21, No. 1. (1999) http://www.citeulike.org/user/HEIRS/article/8027099
Science, Vol. 329, No. 5999. (24 September 2010), pp. 1647-1650. http://www.citeulike.org/user/HEIRS/article/8025793
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