Open Access

The biological evaluation of ADMA/SDMA and eNOS in patients with ACHF

Lorenza Speranza1,*,Mirko Pesce1,Sara Franceschelli1,Tonino Bucciarelli2,Sabina Gallina3,Graziano Riccioni4,Antonia Patruno1,Mario Felaco1
Department of Medicine and Science of aging, University G. D’Annunzio, Chieti, Italy
Department of Biomedical Science, Clinical Biochemistry, G. D’Annunzio University Chieti, Italy
Cardiology Department SS Annunziata Hospital, Via dei Vestini- Chieti Italy, 4San Camillo de Lellis’ Hospital, Cardiology Unit, Italy
DOI: 10.2741/E637 Volume 5 Issue 2, pp.551-557
Published: 01 January 2013
(This article belongs to the Special Issue Biochemical markers in biological fluids)
*Corresponding Author(s):  
Lorenza Speranza

The aim of this study was to investigate the effects of acute pharmacological treatment on the plasma levels of L-arginine, asymmetrical dimethylarginine (ADMA), and symmetrical dimethylarginine (SDMA). We also investigated the related effects on endothelial nitric oxide synthase (eNOS) expression and activity and cytochrome c oxidase activity in the primary blood mononuclear cells (PBMCs) isolated from patients with acute congestive heart failure (ACHF). Compared to pretreatment values, ADMA, SDMA, and L-arginine plasma levels were significantly higher after pharmacological treatment (ADMA, 0.82 versus 0.43 µM; SDMA, 1.52 versus 1.12 µM; L-arginine, 1.78 versus 1.29 µM; p < 0.01. In addition, the levels of eNOS expression and activity were decreased after pharmacological treatment, while cytochrome c oxidase activity resulted in higher O2- production. In the PBMCs isolated from patients with acute congestive heart failure (ACHF) and impaired renal function, higher SDMA and ADMA levels were more evident after therapy, as were reduced expression and activity of eNOS. Increased O2- produced after treatment may be involved in impaired recovery of cardiac function associated with higher plasma levels of SDMA.

Key words

ADMA, SDMA, NO, eNOS, Acute Heart Failure

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Lorenza Speranza, Mirko Pesce, Sara Franceschelli, Tonino Bucciarelli, Sabina Gallina, Graziano Riccioni, Antonia Patruno, Mario Felaco. The biological evaluation of ADMA/SDMA and eNOS in patients with ACHF. Frontiers in Bioscience-Elite. 2013. 5(2); 551-557.