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Ethnicity-specific differences in L-arginine status in South African men

Abstract

The aetiology for an increasing incidence of hypertensive cardiovascular disease amongst Africans in southern Africa is unclear. Hypertension may be induced by inadequate release of L-arginine-derived nitric oxide impairing vascular tone regulation. In addition, asymmetric dimethylarginine (ADMA) is associated with cardiovascular disease. We compared profiles of L-arginine in African and Caucasian men of similar age with cardiovascular risk factors. We studied 163 Caucasian and 132 African men, respectively, (20 to 70 years) measuring serum L-arginine, ADMA, creatinine, urea, symmetric dimethylarginine (SDMA) and blood pressure. L-arginine levels were significantly lower, whereas blood pressure and pulse wave velocity were significantly higher in African men. Simple linear regression showed ADMA more strongly associated with L-arginine in Caucasians (r=0.59 vs 0.19), whereas association of SDMA with L-arginine was significant only in Caucasians (r=0.43 vs 0.001). The stronger association of L-arginine with ADMA in Caucasian men was confirmed by multiple regression analysis (β=0.46 vs 0.25).

Our findings show that the relationship of cardiovascular risk factors with serum L-arginine and some of its catabolites is different in African and Caucasian men and that this may be associated with a relatively higher prevalence of hypertension in African men.

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References

  1. Ignarro L, Cirino G, Casini A, Napoli C . Nitic oxide as a signaling molecule in the vascular system: an overview. J Cardiovasc Pharmacol 1999; 6: 879–886.

    Article  Google Scholar 

  2. Signorello MG, Pascale R, Leoncini G . Transport of L-arginine and nitric oxide formation in human platelets. Eur J Biochem 2003; 270 (9): 2005–2012.

    Article  CAS  PubMed  Google Scholar 

  3. Yanagisawa M, Kurihara H, Kimura S, Tomobe Y, Kobayashi M, Mitsui Y et al. A novel potent vasoconstrictor peptide produced by vascular endothelial cells. Nature 1988; 332: 411–415.

    Article  CAS  PubMed  Google Scholar 

  4. Wu G, Morris M . Arginine metabolism : nitric oxide and beyond. Biochem J 1998; 336: 1–17.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Cylwik D, Mogielnicki A, Buczko W . L-arginine and cardiovascular system. Pharmacol Rep 2005; 57 (1): 14–22.

    CAS  PubMed  Google Scholar 

  6. McKnight J, Satterfield M, Jobgen W, Smith S, Spencer T, Meininger C et al. Beneficial effects of L-arginine on reducing obesity: potential mechanisms and important implications for human health. Amino Acids 2010; 39 (2): 349–357.

    Article  CAS  PubMed  Google Scholar 

  7. Michel T, Vanhoutte P . Cellular signaling and NO production. Pflugers Arch 2010; 459: 807–816.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  8. Vallance P, Chan N . Endothelial function and nitric oxide: clinical relevance. Heart 2001; 85: 342–350.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  9. Taddei S, Virdis A, Mattei P, Ghiadoni L, Sudano I, Salvetti A . Defective L-arginine-nitric oxide pathway in offspring of essential hypertensive patients. Circulation 1996; 94 (6): 1298–1303.

    Article  CAS  PubMed  Google Scholar 

  10. Böger RH . The pharmacodynamics of L-arginine. J Nutr 2007; 137 (6 Suppl 2): 1650S–1655S.

    Article  PubMed  Google Scholar 

  11. Böger RH . Asymmetric dimethylarginine (ADMA): a novel risk marker in cardiovascular medicine and beyond. Ann Med 2006; 38 (2): 126–136.

    Article  PubMed  Google Scholar 

  12. Closs E, Basha F, Habermeier A, Forstermann U . Interference of L-arginine analogues with L-arginine transport mediated by the y carrier hCAT-2B. Nitric Oxide 1997; 1: 65–73.

    Article  CAS  PubMed  Google Scholar 

  13. Kielstein JT, Bode-Boger SM, Frolich JC, Ritz E, Haller H, Fliser D . Asymmetric dimethylarginine, blood pressure, and renal perfusion in elderly subjects. Circulation 2003; 107: 1891–1895.

    Article  PubMed  Google Scholar 

  14. Miyazaki H, Matsuoka H, Cooke JP, Usui M, Ueda S, Okuda S et al. Endogenous nitric oxide synthase inhibitor. A novel marker of atherosclerosis. Circulation 1999; 99: 1141–1146.

    Article  CAS  PubMed  Google Scholar 

  15. Boger RH, Bode-Boger S, Szuba A, Tsao PS, Chan JR, Tangphao O et al. Asymmetric dimethylarginine (ADMA): a novel risk factor for endothelial dysfunction: its role in hypercholesterolemia. Circulation 1998; 98: 1842–1847.

    Article  CAS  PubMed  Google Scholar 

  16. Boger RH, Lentz SR, Bode-Boger SM, Knapp HR, Haynes WG . Elevation of asymmetrical dimethylarginine may mediate endothelial dysfunction during experimental hyperhomocysteinemia in humans. Clin Sci 2001; 100: 161–167.

    Article  CAS  Google Scholar 

  17. Stuhlinger MC, Oka RK, Graf EE, Schmolzer I, Upson BM, Kapoor O et al. Endothelial dysfunction induced by hyperhomocyst (e)inemia: Role of asymmetric dimethylarginine. Circulation 2003; 108: 933–938.

    Article  PubMed  Google Scholar 

  18. Stuhlinger MC, Abbasi F, Chu JW, Lamendola C, McLaughlin TL, Cooke JP et al. Relationship between insulin resistance and an endogenous nitric oxide synthase inhibitor. JAMA 2002; 287: 1420–1426.

    Article  PubMed  Google Scholar 

  19. Kiechl S, Lee T, Santer P, Thompson G, Tsimikas S, Egger G et al. Asymmetric and symmetric dimethylarginines are of similar predictive value for cardiovascular risk in the general population. Atherosclerosis 2009; 205: 261–265.

    Article  CAS  PubMed  Google Scholar 

  20. Rector T, Bank A, Mullen K, Tschumperlin L, Sih R, Pillai K et al. Randomized, double-blind, placebo-controlled study of supplemental oral L-arginine in patients with heart failure. Circulation 1996; 93 (12): 2135–2141.

    Article  CAS  PubMed  Google Scholar 

  21. Adams M, McCredie R, Jessup W, Robinson J, Sullivan D, Celermajer DS . Oral L-arginine improves endothelium-dependent dilatation and reduces monocyte adhesion to endothelial cells in young men with coronary artery disease. Atherosclerosis 1997; 129 (2): 261–269.

    Article  CAS  PubMed  Google Scholar 

  22. Maxwell AJ, Cooke JP . Cardiovascular effects of L-arginine. Curr Opin Nephrol Hypertens 1998; 7 (1): 63–70.

    Article  CAS  PubMed  Google Scholar 

  23. Agulló L, García-Dorado D, Inserte J, Paniagua A, Pyrhonen P, Llevadot J et al. L-arginine limits myocardial cell death secondary to hypoxia-reoxygenation by a cGMP-dependent mechanism. Am J Physiol 1999; 276 (5 Pt 2): H1574–H1580.

    PubMed  Google Scholar 

  24. Susic D, Francischetti A, Frohlich E . Prolonged L-arginine on cardiovascular mass and myocardial haemodynamics and collagen in aged spontaneously hypertensive rats and normal rats. Hypertension 1999; 33 (1 Pt 2): 451–455.

    Article  CAS  PubMed  Google Scholar 

  25. Harrison D . Cellular and molecular mechanisms of endothelial cell dysfunction. J Clin Invest 1997; 100: 2153–2157.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  26. Opie L, Seedat Y . Hypertension in sub-Saharan African populations. Circulation 2005; 112: 3562–3568.

    Article  PubMed  Google Scholar 

  27. Seedat Y . Hypertension in black South Africans. J Hum Hypertens 1999; 13: 96–103.

    CAS  PubMed  Google Scholar 

  28. Steyn K, Kazenellenbogen J, Lombard C, Bourne LT . Urbanization and the risk for chronic diseases of lifestyle in the black population of the Cape Peninsula, South Africa. J Cardiovasc Risk 1997; 4: 135–142.

    Article  CAS  PubMed  Google Scholar 

  29. van Rooyen J, Kruger H, Huisman H, Wissing M, Margetts B, Venter C et al. An epidemiological study of hypertension and its determinants in a population in transition: the THUSA study. J Hum Hypertens 2000; 14: 779–787.

    Article  CAS  PubMed  Google Scholar 

  30. Thorogood M, Connor M, Tollman S, Hundt GL, Fowkes G, Marsh J . A cross-sectional study of vascular risk factors in a rural South African population: data from the South African Stroke Prevention Initiative (SASPI). BMC Public Health 2007; 7: 326–335.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Sliwa K, Wilkinson D, Hansen C, Ntyintyane L, Tibazarwa K, Becker A et al. Spectrum of heart disease and risk factors in a black urban population in South Africa (the Heart of Soweto Study): a cohort study. Lancet 2008; 371: 915–922.

    Article  PubMed  Google Scholar 

  32. Ix J, Allison M, Denenberg J, Cushman M, Criqui M . Novel cardiovascular risk factors do not completely explain the higher prevalence of peripheral arterial disease among African Americans. The San Diego Population Study. J Am Coll Cardiol 2008; 51: 2347–2354.

    Article  PubMed  Google Scholar 

  33. Melikian N, Wheatcroft S, Ogah O, Murphy C, Chowienczyk P, Wierzbicki A et al. Asymmetric dimethylarginine and reduced nitric oxide bioavailability in young Black African men. Hypertension 2007; 49: 873–877.

    Article  CAS  PubMed  Google Scholar 

  34. Steyn K, Sliwa K, Hawken S, Commerford P, Onen C, Damasceno A et al. Risk factors associated with myocardial infarction in Africa: the INTERHEART Africa study. Circulation 2005; 112: 3554–3561.

    Article  PubMed  Google Scholar 

  35. Lemogoum D, Van Bortel L, Leeman M, Degaute J, van de Borne P . Ethnic differences in arterial stiffness and wave reflections after cigarette smoking. J Hypertens 2006; 24: 683–689.

    Article  CAS  PubMed  Google Scholar 

  36. Heffernan K, Jae S, Fernhall B . Racial differences in arterial stiffness after exercise in young men. Am J Hypertens 2007; 20: 840–845.

    Article  PubMed  Google Scholar 

  37. Siekmeier R, Grammer T, März W . Roles of oxidants, nitric oxide, and asymmetric dimethylarginine in endothelial function. J Cardiovasc Pharmacol Ther 2008; 13: 279–297.

    Article  CAS  PubMed  Google Scholar 

  38. Cockroft D, Gault M . Prediction of creatinine clearance from serum creatinine. Nephron 1976; 16: 31–41.

    Article  Google Scholar 

  39. Schwedhelm E, Tan-Andresen J, Maas R, Riederer U, Schulze F . Boger RH Liquid chromatography-tandem mass spectrometry method for the analysis of asymmetric dimethylarginine in human plasma. Clin Chem 2005; 51: 1268–1271.

    Article  CAS  PubMed  Google Scholar 

  40. Schwedhelm E, Maas R, Tan-Andresen J, Schulze F, Riederer U, Boger RH . High-throughput liquid chromatographic-tandem mass spectrometric determination of arginine and dimethylated arginine derivatives in human and mouse plasma. J Chromatogr B Analyt Technol Biomed Life Sci 2007; 851: 211–219.

    Article  CAS  PubMed  Google Scholar 

  41. Hayashi IY, Imai K, Nakamura M, Nakachi K, Hayashi T . High-throughput spectrophotometric assay of reactive oxygen species in serum. Mut Res 2007; 631: 55–61.

    Article  CAS  Google Scholar 

  42. Marfell-Jones M, Olds T, Stewart A, Carter L (eds) International Standards for Anthropometric Assessment. International society for the Advancement of Kinanthropometry: Potchefstroom, South Africa, 2006.

    Google Scholar 

  43. Barỳs N, Erdogan M, Sezer E, Saygili F, Ozgonul A, Turgan N et al. Alterations in L-arginine and inflammatory markers in type 2 diabetic patients with and without microalbuminuria. Acta Diabetol 2009; 46: 309–316.

    Article  Google Scholar 

  44. Perticone F, Sciacqua A, Maio R, Perticone M, Maas R, Boger R et al. Asymmetric dimethylarginine, L-arginine, and endothelial dysfunction in essential hypertension. J Am Coll Cardiol 2005; 46: 518–523.

    Article  CAS  PubMed  Google Scholar 

  45. McLaughlin T, Stuhlinger S, Lamendola C, Abbasi F, Bialek J, Reaven G et al. Plasma asymmetric dimethylarginine concentrations are elevated in obese insulin-resistant women and fall with weight loss. JCEM 2006; 91 (5): 1896–1900.

    CAS  PubMed  Google Scholar 

  46. Stamler J, Loh E, Roddy M, Currie K, Creager M . Nitic oxide regulates basal and pulmonary vascular resistance in healthy humans. Circulation 1994; 89: 2035–2040.

    Article  CAS  PubMed  Google Scholar 

  47. Sugawara J, Maeda S, Otsuki T, Tanabe T, Ajisaka R, Matsuda M . Effects of nitric oxide synthase inhibitor on decrease in peripheral arterial stiffness with acute low-intensity aerobic exercise. AJP–Heart 2004; 287: 2666–2669.

    Google Scholar 

  48. Baylis C . Nitric oxide deficiency in chronic kidney disease. Am J Physiol Renal Physiol 2008; 294: F1–F9.

    Article  CAS  PubMed  Google Scholar 

  49. Xu W, Kaneko F, Zheng S, Comhair S, Janocha A, Goggans T et al. Increased arginase II and decreased NO synthesis in endothelial cells of patients with pulmonary arterial hypertension. FASEB J 2004; 18 (14): 1746–1748.

    Article  CAS  PubMed  Google Scholar 

  50. Morris C, Poljakovic M, Lavrisha L, Machado L, Kuypers F, Morris S . Decreased arginine bioavailability and increased serum arginase activity in asthma. Am J Respir Crit Care Med 2004; 170: 148–153.

    Article  PubMed  Google Scholar 

  51. Chandra S, Romero M, Shatanawi A, Alkany A, Caldwell R, Caldwell R . Oxidative species increase arginase activity in endothelial cells through RhoA/Rho kinase pathway. Br J Pharmacol (e-pub ahead of print 8 July 2011; doi: 10.1111/j.1476-5381.2011.01584).

  52. Xiao S, Wagner L, Mahaney J, Baylis C . Uremic levels of urea inhibit L-arginine transport in cultured endothelial cells. Am J Physiol 2001; 280 (6): F989–F995.

    CAS  Google Scholar 

  53. Martens C, Edwards D . Peripheral vascular dysfunction in chronic kidney disease. Cardiol Res Pract 2011 (e-pub ahead of print 24 May 2011; doi:10.4061/2011/267257).

    Article  Google Scholar 

  54. Mori M, Gotoh T . Arginine metabolic enzymes, nitric oxide and infection. J Nutr 2004; 134: 2820S–2825S.

    Article  CAS  PubMed  Google Scholar 

  55. Curis E, Nicolis I, Moinard C, Osowska S, Zerrouk N, Bénazeth S et al. Almost all about citrulline in mammals. Amino Acids 2005; 29: 177–205.

    Article  CAS  PubMed  Google Scholar 

  56. Romero MJ, Platt DH, Caldwell RB, Caldwell RW . Therapeutic use of citrulline in cardiovascular disease. Cardiovasc Drug Rev 2006; 24: 275–290.

    Article  CAS  PubMed  Google Scholar 

  57. Labadarios D, Steyn N, Maunder E, MacIntryre U, Gericke G, Swart R et al. The national food consumption survey (NFCS): South Africa, 1999. Public Health Nutr 2005; 8 (5): 533–543.

    Article  CAS  PubMed  Google Scholar 

  58. Sydow K, Fortmann S, Fair J, Varady A, Hlatky M, Go A et al. Distribution of asymmetric dimethylarginine among 980 healthy, older adults of different ethnicities. Clin Chem 2010; 56: 1111–1120.

    Article  Google Scholar 

  59. Schutte A, Schutte R, Huisman H, van Rooyen J, Fourie C, Malan L et al. Dimethylarginines: their vascular and metabolic roles in Africans and Caucasians. Eur J Endocrinol 2010; 162: 525–533.

    Article  CAS  PubMed  Google Scholar 

  60. Luft FC, Miller JZ, Grim CE, Fineberg NS, Christian JC, Daugherty SA et al. Salt sensitivity and resistance of blood pressure. Age and race as factors in physiological responses. Hypertension 1991; 17: I102–I108.

    Article  CAS  PubMed  Google Scholar 

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Glyn, M., Anderssohn, M., Lüneburg, N. et al. Ethnicity-specific differences in L-arginine status in South African men. J Hum Hypertens 26, 737–743 (2012). https://doi.org/10.1038/jhh.2011.103

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