Cited by 2,107Nitric Oxide and Endothelin EffectsCancer-related gene regulationDialysis and Renal Disease Management

Accumulation of an endogenous inhibitor of nitric oxide synthesis in chronic renal failure

Leone, A., Moncada, S., Vallance, P., Calver, A., Collier, J.·1992·The Lancet

Abstract

Nitric oxide (NO), synthesised from L-arginine, contributes to the regulation of blood pressure and to host defence. We describe in-vitro and in-vivo evidence that NO synthesis can be inhibited by an endogenous compound, NG,NG-dimethylarginine (asymmetrical dimethylarginine, ADMA). In man, this inhibitor is found in plasma and more than 10 mg is excreted in urine over 24 h. However, in patients with end-stage chronic renal failure, who have little or no urine output, elimination is blocked and circulating concentrations of the inhibitor rise sufficiently to inhibit NO synthesis. Accumulation of endogenous ADMA, leading to impaired NO synthesis, might contribute to the hypertension and immune dysfunction associated with chronic renal failure.

Integrity signals

Registry

Crossref · 10.1016/0140-6736(92)90865-z

Cites

27 of 27 references verified0 citation errors · 0 not checkable

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  • ADMA was recognized as an important marker for cardiovascular disease progression soon after its discovery in cells and tissue.

    “Soon after its discovery in cells and tissue, ADMA was recognized as an important marker for cardiovascular disease progression (656, 829, 961, 1011, 1053, 1068).”

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Authors
Leone, A., Moncada, S., Vallance, P., Calver, A., & Collier, J.
Affiliations
  • Wellcome Trust (GB)
  • St George's, University of London (GB)
Venue
The Lancet
Publisher
Elsevier BV
Published
1992-03
Volume
339
Issue
8793
Pages
572-575
ISSN
  • 0099-5355 (ISSN-L)
  • 0140-6736
OpenAlex
W2058385357
Cited by
2,107
References
27
Citations by year
2026: 14 · 2025: 26 · 2024: 22 · 2023: 35 · 2022: 46 · 2021: 46 · 2020: 40 · 2019: 51 · 2018: 50 · 2017: 64 · 2016: 63 · 2015: 69 · 2014: 74 · 2013: 71 · 2012: 114
FWCI
22.29
Type
journal article
Language
en
Open access
closed
Locations
  • The Lancet (publishedVersion)
  • PubMed (publishedVersion)
Funders
Wellcome Trust
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 › Dialysis and Renal Disease Management
Keywords
asymmetric dimethylarginine, nitric oxide synthesis inhibition, chronic kidney disease, end-stage renal disease, L-arginine, hypertension, immune dysfunction, urinary excretion, plasma accumulation
MeSH terms
Adult, Animals, Aorta, Arginine, Blood Pressure, Cells, Cultured, Chromatography, High Pressure Liquid, Dose-Response Relationship, Drug, Endothelium, Vascular, Female, Forearm, Guinea Pigs, Humans, Kidney Failure, Chronic, Male, Middle Aged, Nitric Oxide, Reference Values, Regional Blood Flow, omega-N-Methylarginine, Rats

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