Relations between plasma asymmetric dimethylarginine (ADMA) and risk factors for coronary disease
Abstract
Background Elevated plasma levels of asymmetric dimethylarginine (ADMA), an endogenous inhibitor of nitric oxide production, are reported to be associated with coronary artery disease (CAD). Methods We measured plasma levels of ADMA and related compounds, nitrate+nitrite (NO(x)), total homocysteine (tHCY) and assessed renal function and lipid profiles in 145 patients--75 with triple vessel coronary disease and 70 with no detectable coronary disease. Results Levels of ADMA, l-arginine, l-arginine/ADMA and plasma NO(x) were not different in the two groups but smokers with triple vessel disease had higher ADMA and lower NO(x) levels than the non-smokers, relationships also present for all smokers and non-smokers in the two groups combined. In all 145 patients ADMA, symmetric dimethylarginine (SDMA) and tHCY levels were significantly higher in patients with glomerular filtration rate (GFR) <81 mL/min/1.73 m(2) than in patients with GFR> or =81 mL/min/1.73 m(2). There was a modest positive correlation between tHCY and ADMA and both were strongly correlated with SDMA which is excreted by the kidney. ADMA, SDMA and tHCY were negatively correlated with GFR. Conclusions We suggest that the reported ADMA increases in CAD patients are due to an associated reduction in renal function and to smoking habit.
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Individuals with atherosclerosis, chronic heart failure, hypertension, hypercholesterolemia, and diabetes mellitus, as well as women with PCOS, exhibit elevated levels of ADMA.
“Studies have demonstrated that individuals with atherosclerosis, chronic heart failure [16, 17], hypertension [18], hypercholesterolemia [19], and diabetes mellitus [20], as well as women with PCOS [21], exhibit elevated levels of ADMA [22].”
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- Authors
- Wang, J., Sim, A. S., Wang, X. L., Salonikas, C., Naidoo, D., & Wilcken, D. E. L.
- Affiliations
- UNSW Sydney (AU)
- Baylor College of Medicine (US)
- Corresponding author
- Wilcken, David E.L.
- ORCID
- Wang, Jun
- Venue
- Atherosclerosis
- Publisher
- Elsevier BV
- Published
- 2006-02
- Volume
- 184
- Issue
- 2
- Pages
- 383-388
- ISSN
- 0021-9150 (ISSN-L)
- OpenAlex
- W2081828156
- Cited by
- 96
- References
- 21
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 3 · 2019: 2 · 2018: 2 · 2017: 2 · 2016: 2 · 2015: 7 · 2014: 5 · 2013: 6 · 2012: 10
- FWCI
- 4.37
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Atherosclerosis (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 › Rheumatology › Folate and B Vitamins Research
- Keywords
- asymmetric dimethylarginine, coronary artery disease, nitric oxide, symmetric dimethylarginine, homocysteine, renal function, glomerular filtration rate, smoking, nitrite/nitrate, L-arginine, risk factors
- MeSH terms
- Adult, Aged, Arginine, Chromatography, High Pressure Liquid, Coronary Disease, Female, Follow-Up Studies, Glomerular Filtration Rate, Homocysteine, Humans, Male, Middle Aged, Prognosis, Retrospective Studies, Risk Factors, Smoking, Biomarkers, Coronary Angiography, Disease Progression, Nitric Oxide Synthase
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