Adrenomedulina: ？Más que una simple hormona?

adrenomedullin is a vasodilatory peptide found in the cardiovascular system, kidneys, lungs, adrenal glands and adipocytes. this peptide has been rising interest during the last years because increased plasma levels of it have been found in several pathological conditions such as the metabolic syndrome, type 2 diabetes mellitus, arterial hypertension and atherosclerosis, pointing to a possible physiopathologic role in these diseases and the potential use as a clinical cardiometabolic marker. in the heart, adrenomedullin has a positive inotropic action, probably mediated through cytosolic increase of calcium concentration, independent of cyclic amp; it also can reduce cardiomyocites hypertrophy. in heart failure, adrenomedullin levels are increased and show systemic and pulmonar vasodilator effect; its plasma levels are increased in patients with essential arterial hypertension and hypertensives with primary hyperaldosteronism. in the kidneys, adrenomedullin is natriuretic and diuretic, it elevates glomerular filtration rate and reduce distal tubules sodium reabsorption; in patients with renal failure, adrenomedullin levels are increased. in diabetic patients, adrenomedullin plasma levels are increased; however, its pathogenic role in this disease is not yet clear.