We extended our investigations of cGMP signalling in C6 cells to determine whether hyperammonaemia could alter CNP-stimulated cGMP efflux, as a reduction in extracellular cGMP concentrations is implicated in the cognitive dysfunction in patients with hepatic encephalopathy [27], and reduced plasticity in patients with Alzheimer’s disease and major depressive disorders [37,38,39,40]. This evidence concerns the gene CNP and Alzheimer disease.