Asymmetric dimethylarginine (ADMA) is a novel emerging risk factor for cardiovascular disease and the development of renal injury in chronic kidney disease
Abstract
Endothelial dysfunction due to the reduced bioavailability of nitric oxide (NO) is involved in the course of atherosclerotic cardiovascular disease as well as chronic kidney disease (CKD). NO is synthesized from L-arginine via the action of NO synthase, which is blocked by endogenous L-arginine analogues such as asymmetric dimethylarginine (ADMA). ADMA is a naturally occurring amino acid found in plasma and various types of tissues. The plasma level of ADMA is reported to be associated with cardiovascular risk factors such as hypertension, diabetes, hyperlipidemia, and CKD, and is a strong predictor for cardiovascular disease and the progression of CKD. In this review, we discuss the biology of ADMA, the molecular mechanisms of the elevation of ADMA levels in CKD, and the pathological role of ADMA in patients with CKD.
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eNOS uncoupling due to uremic toxins including asymmetric dimethyl-arginine contributes to oxidative stress and ROS-derived kidney damage.
“As already discussed, eNOS uncoupling, due to the various uremic toxins, including asymmetric dimethyl-arginine, is a ROS contributor to oxidative stress and ROS-derived damage in the kidney (Ueda et al. 2007).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Ueda et al. 2007
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Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging
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The Central Role of Endothelial Dysfunction in Cardiorenal Syndrome
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Oxidative stress in chronic kidney disease
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Non-Invasive Vascular Function Tests:
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Nitric oxide, a janus-faced therapeutic target for diabetic microangiopathy—Friend or foe?
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Nakamura, T., Sato, E., Fujiwara, N., Kawagoe, Y., Ueda, Y., Suzuki, T., Yamada, S., Takeuchi, M., Fukami, K., Ueda, S., et al. (2009) · Metabolism · doi:10.1016/j.metabol.2009.05.018 · Cited by 53 · see citing works
Self-citationIntroduction to Cardiovascular Physiology
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Nakamura, T., Sato, E., Fujiwara, N., Kawagoe, Y., Ueda, Y., Suzuki, T., Ueda, S., Adachi, H., Okuda, S., & Yamagishi, S. (2009) · Pharmacological Research · doi:10.1016/j.phrs.2009.04.011 · Cited by 46 · see citing works
Self-citationBiological Functional Relevance of Asymmetric Dimethylarginine (ADMA) in Cardiovascular Disease
Franceschelli, S., Ferrone, A., Pesce, M., Riccioni, G., & Speranza, L. (2013) · International Journal of Molecular Sciences · doi:10.3390/ijms141224412 · Cited by 44 · see citing works
Suzuki, T., Toyohara, T., Akiyama, Y., Takeuchi, Y., Mishima, E., Suzuki, C., Ito, S., Soga, T., & Abe, T. (2011) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.22641 · Cited by 42 · see citing works
Cardiovascular Risk in Chronic Kidney Disease: Role of the Sympathetic Nervous System
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Crystal Structure of the Plant Epigenetic Protein Arginine Methyltransferase 10
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Wu, M., Lin, P., Lin, L., Chen, D., Yang, X., Xu, L., Zhou, B., Wang, C., Zhang, Y., Luo, C., et al. (2019) · The FASEB Journal · doi:10.1096/fj.201802585rr · Cited by 36 · see citing works
Ueda, S., Yamagishi, S., Matsumoto, Y., Kaida, Y., Fujimi-Hayashida, A., Koike, K., Tanaka, H., Fukami, K., & Okuda, S. (2009) · Life Sciences · doi:10.1016/j.lfs.2009.03.018 · Cited by 36 · see citing works
Self-citationADMA, cardiovascular disease and diabetes
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The effect of nebivolol on asymmetric dimethylarginine system in spontaneously hypertension rats
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Asymmetric dimethylarginine, a biomarker of cardiovascular complications in diabetes mellitus
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Shastri, S., Katz, R., Shlipak, M., Kestenbaum, B., Peralta, C., Kramer, H., Jacobs, D., de Boer, I. D., Cushman, M., Siscovick, D., et al. (2011) · American Journal of Kidney Diseases · doi:10.1053/j.ajkd.2010.11.021 · Cited by 28 · see citing works
Wang, J., Lin, Y., & Hsu, B. (2025) · Tzu Chi Medical Journal · doi:10.4103/tcmj.tcmj_284_24 · Cited by 28 · see citing works
Nakamura, T., Sato, E., Fujiwara, N., Kawagoe, Y., Ueda, Y., Sugaya, T., Yamagishi, S., Yamada, S., & Koide, H. (2010) · The American Journal of the Medical Sciences · doi:10.1097/maj.0b013e3181c643df · Cited by 26 · see citing works
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Mansour, H. H. (2013) · EXCLI journal · doi:10.17877/de290r-7361 · Cited by 22 · see citing works
Nemeth, Z., Cziráki, A., Szabados, S., Biri, B., Kéki, S., & Koller, Á. (2015) · PLoS ONE · doi:10.1371/journal.pone.0135498 · Cited by 17 · see citing works
Renovascular Protective Effects of Erythropoietin in Patients with Chronic Kidney Disease
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Prognostic impact of serum bilirubin level on long-term renal survival in IgA nephropathy
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Tahara, N., Yamagishi, S., Mizoguchi, M., Tahara, A., & Imaizumi, T. (2013) · Rejuvenation Research · doi:10.1089/rej.2013.1434 · Cited by 13 · see citing works
Self-citationWu, Y., Zhang, J.-J., Li, T., Liu, W., Li, L., Luo, X., Jiang, J., Ma, Q., Yang, Z., & Peng, J. (2016) · Journal of Cardiovascular Pharmacology and Therapeutics · doi:10.1177/1074248416634465 · Cited by 12 · see citing works
Ashokachakkaravarthy, K., Rajappa, M., Parameswaran, S., Satheesh, S., Priyadarshini, G., Mohanraj, P. S., Revathy, G., & Priyadarssini, M. (2020) · International Urology and Nephrology · doi:10.1007/s11255-020-02484-0 · Cited by 11 · see citing works
Cvetković, T., STEFANOVIĆ, N. Z., Veličković‐Radovanović, R., Paunović, G. J., Djordjevic, V. M., Stojanović, D. R., Stojanović, I. R., & Pavlovic, D. D. (2013) · International Urology and Nephrology · doi:10.1007/s11255-013-0577-x · Cited by 11 · see citing works
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Ezetimibe and Vascular Endothelial Function
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Increased Intraplatelet ADMA Level May Promote Platelet Activation in Diabetes Mellitus
Gawryś, J., Wiśniewski, J. Ł., Szahidewicz-Krupska, E., Gajecki, D., Leśniewska, J., Majda, F., Gawryś, K., Fortuna, P., Młynarz, P., Doroszko, A., et al. (2020) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2020/6938629 · Cited by 7 · see citing works
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Role of Asymmetric Dimethylarginine in Cardiovascular Disease and Diabetes
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Panax Ginseng extract modulates cerebral damage caused by gamma irradiation in male albino rats
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- Authors
- Ueda, S., Yamagishi, S.-I., Matsumoto, Y., Fukami, K., & Okuda, S.
- Affiliations
- Kurume University (JP)
- Corresponding author
- Okuda, Seiya
- Venue
- Clinical and Experimental Nephrology
- Published
- 2007-06
- Volume
- 11
- Issue
- 2
- Pages
- 115-121
- ISSN
- 1342-1751 (ISSN-L)
- 1437-7799
- OpenAlex
- W2028295746
- Cited by
- 65
- References
- 94
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 3 · 2013: 4 · 2012: 3
- FWCI
- 0.57
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Clinical and Experimental Nephrology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cancer-related gene regulation
- Health Sciences › Medicine › Nephrology › Chronic Kidney Disease and Diabetes
- Keywords
- asymmetric dimethylarginine, endothelial dysfunction, nitric oxide bioavailability, chronic kidney disease, cardiovascular risk factors, kidney injury, atherosclerotic cardiovascular disease, L-arginine analogues, NO synthase inhibition, hypertension, diabetes mellitus, hyperlipidemia
- MeSH terms
- Arginine, Cardiovascular Diseases, Chronic Disease, Endothelium, Vascular, Humans, Kidney Diseases, Nitric Oxide, Nitric Oxide Synthase
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