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原发性高血压患者血清非对称性二甲基精氨酸的测定及临床意义的研究 被引量:6

Changes of Plasma Asymmetric Dimethylarginine Level in Patients with Essential Hypertension and Its Clinical Significance
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摘要 目的探讨血清非对称性二甲基精氨酸(ADMA)与原发性高血压(EH)的关系及其临床意义。方法选择62例EH患者和24例健康体检者,分别测定血清中ADMA和一氧化氮(NO)水平并进行比较。结果EH组与对照组的血清ADMA、NO水平间差异有统计学意义(P<0.01)。对照组与高血压各亚组患者的血清ADMA水平间差异均有统计学意义(P<0.01);高血压Ⅰ期组与高血压Ⅱ、Ⅲ期组的血清ADMA水平间差异有统计学意义(P<0.05);高血压Ⅱ期组与Ⅲ期组的血清ADMA水平间差异有统计学意义(P<0.01)。结论ADMA的异常增高可能与EH发病有关;EH患者血清ADMA水平随病情的加重而增加。 Objective To investigate the endogenous inhibitor of nitric oxide synthase (NOS) asymmetric dimethylarginine (ADMA) in patients with essential hypertension (EH) and its clinical significance. Methods Patients were randomly divided into two groups: EH group ( n = 62) and a normal control group ( n = 24). Levels of ADMA and NO in serum were measured. Results The level of NOS inhibitor ADMA was significantly increased in the EH group compared with that in control group ( P 〈0. 01 ); The level of NO was significantly decreased in the EH group ( P 〈 0. 01 ); The endogenous ADMA increased significantly with aggravation of essential hypertension in the EH group ( P 〈 0. 05 ). Conclusion The abnormal increase of endogenous NOS inhibitor of ADMA is correlated with the occurrence of EH. An increasing level of ADMA may be one of the risk factors that should be paid attention to.
出处 《中国全科医学》 CAS CSCD 2008年第6期468-469,共2页 Chinese General Practice
基金 湖南省自然科学基金(02jjy2053)
关键词 非对称性二甲基精氨酸 一氧化氮 原发性高血压 内皮细胞 Asymmetric dimethylarginine Nitric oxide Essential hypertension Endothelium
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参考文献9

  • 1Cooke JP. Asymmetrical dimethylarginine : The Uber marker? [ J ]. Circulation, 2004, 109 (15) : 1813 -1818.
  • 2Shepherd J, Tkalusic ZS. Endothelium -derived vasoactive factors: I Endothelium - dependent relaxation [ J ]. Hypertension, 1991, 18 (5): 11176 -11185.
  • 3Rudic RD, Shescly EG, Maeda N, et al. Direct evidence for the importance of endothelium derived nitirc oxide in vascular remodeling [ J ]. J Clin Invest, 1998, 101 (4) : 731 -736.
  • 4Boger RH. The emerging role of asymmetric dimethylarginine as a novel cardiovascular risk factor [ J]. Cardio Res, 2003, 59 (4) : 824 - 833.
  • 5Sahach VF, Baziliuk OV, Kotsiuruba AV, et al. Disorders of endothelium dependent vascular reactions and of the arginase and NO synthase pathways of L - arginine metabolism in arterial hypertemion [ J ]. Fiziol Zh, 2000, 46 (3): 3-13.
  • 6Kielstein JT, Burcu I, Solveig S, et al. Cardiovascular effects of systemic nitric oxide synthase inhibition with asymmetrical dimethylarginine in humans [J]. Circulation, 2004, 109 (2): 172-177.
  • 7Surdacki A, Nowicki M, Sandmann J, et al. Reduced urinary excretion of nitric oxide metaboihes and increase plasma levels of asymmetric dimethylarginine in men with essential hypertension [J]. J Cardiovascular Pharmacology, 1999, 33 (4) : 652 -658.
  • 8Boger RH. The emerging role of asymmetric dimethylarginine as a novel cardiovascular - risk factor [ J ]. Circ Res, 2003, 59 ( 4 ) : 824 - 833.
  • 9孙琪,符云峰.不对称二甲基精氨酸与动脉粥样硬化[J].河北医药,2003,25(3):219-220. 被引量:1

二级参考文献23

  • 1Moncada S, Higgs EA. The L-arginine-nitric oxide pathway. N Engl J Med,1993,329:2002-2012.
  • 2Nathan C, Xie Q. Regulation of biosynthesis of nitric oxide. J Biol Chem,1994,269:13725-13728.
  • 3Niu X, Smith CW, Kubes P. Intracellular oxidative stress induced by nitric oxide synthesis inhibition increases endothelial cell adhesion to neutrophils. Circ Res, 1994,74: 2683-2689.
  • 4Wolf A, Zalpoor C, Theilmeier G, et al. Dietary L-arginine supplementation normalizes platelet aggregation in hypercholesterolemic humans. J Am Cell Cardiol, 1997,29:479-483.
  • 5Boger RH, Bode-Boger SM, Kienk S, et al. Dietary L-arginine decreases myointimal cell proliferation and vascular leukocyte accumulation in cholesterolfed rabbits. Atherosclerosis, 1998,136:67-77.
  • 6Boger RH, Bode-Boger SM. Asymmetric dimethylarginine, derangements of the endothelial nitric oxide synthase pathway, and cardiovascular diseases. Sem Thromb Hemost, 2000,26 : 539-545.
  • 7Vallence P, Leone AM, Calver A, et al. Accumulation of an endogenous inhibitor of NO synthesis in chronic renal failure. Lancet, 1992,339:572-575.
  • 8Fickling SA, Leone AM, Nussey SS, et al. Synthesis of N, N-dimethylarginine by human endothelial cells. Endothelium, 1993,1:137-140.
  • 9Cooke JP. Does ADMA cause endothelial dysfunction? Arterioscler Throm Vasc Biol, 2000,20: 2032-2037.
  • 10Leiper J, Vallance P. Biological siginificance of endogenous methylarginines that inhibit nitric oxide synthases. Cardiovasc Res, 1999,15 ;43:542-548.

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