Oral l-arginine improves endothelium-dependent dilatation and reduces monocyte adhesion to endothelial cells in young men with coronary artery disease

l-Arginine is the physiological substrate for nitric oxide synthesis by the vascular endothelium. In hypercholesterolaemic rabbits, oral l-arginine reduces atheroma, improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion. The effect of oral l-arginine on endothelial...

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Veröffentlicht in:Atherosclerosis 1997-03, Vol.129 (2), p.261-269
Hauptverfasser: Adams, Mark R, McCredie, Robyn, Jessup, Wendy, Robinson, Jacqui, Sullivan, David, Celermajer, David S
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container_end_page 269
container_issue 2
container_start_page 261
container_title Atherosclerosis
container_volume 129
creator Adams, Mark R
McCredie, Robyn
Jessup, Wendy
Robinson, Jacqui
Sullivan, David
Celermajer, David S
description l-Arginine is the physiological substrate for nitric oxide synthesis by the vascular endothelium. In hypercholesterolaemic rabbits, oral l-arginine reduces atheroma, improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion. The effect of oral l-arginine on endothelial physiology is unknown, however, in humans with established atherosclerosis. In a prospective, double-blind, randomised crossover trial, ten men aged 41±2 years with angiographically proven coronary atherosclerosis took l-arginine (7 g three times per day) or placebo for 3 days each, with a washout period of 10 days. After l-arginine, compared to placebo, plasma levels of arginine were increased (318±18 vs. 124±9 μmol/l, P
doi_str_mv 10.1016/S0021-9150(96)06044-3
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In hypercholesterolaemic rabbits, oral l-arginine reduces atheroma, improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion. The effect of oral l-arginine on endothelial physiology is unknown, however, in humans with established atherosclerosis. In a prospective, double-blind, randomised crossover trial, ten men aged 41±2 years with angiographically proven coronary atherosclerosis took l-arginine (7 g three times per day) or placebo for 3 days each, with a washout period of 10 days. After l-arginine, compared to placebo, plasma levels of arginine were increased (318±18 vs. 124±9 μmol/l, P&lt;0.01) and endothelium-dependent dilatation of the brachial artery (measured as the change in diameter in resonse to reactive hyperaemia, using external vascular ultrasound) was improved (4.7±1.1 vs. 1.8±0.7%, P&lt;0.04). No changes were seen in endothelium-independent dilatation of the brachial artery (measured as the change in diameter in response to sublingual nitroglycerine), blood pressure, heart rate or fasting lipid levels. Serum from six of the ten subjects after l-arginine and placebo was then added to confluent monolayers of human umbilical vein endothelial cells for 24 h, before human monocytes obtained by countercurrent centrifiguation elutriation were added and cell adhesion assessed by light microscopy. Adhesion was reduced following l-arginine compared to placebo (42±2 vs. 50±1%, P&lt;0.01). In young men with coronary artery disease, oral l-arginine improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion.</description><identifier>ISSN: 0021-9150</identifier><identifier>EISSN: 1879-1484</identifier><identifier>DOI: 10.1016/S0021-9150(96)06044-3</identifier><identifier>PMID: 9105569</identifier><language>eng</language><publisher>Amsterdam: Elsevier Ireland Ltd</publisher><subject>Administration, Oral ; Adult ; Arginine - administration &amp; dosage ; Arginine - pharmacokinetics ; Arginine - pharmacology ; Arginine - therapeutic use ; Atherosclerosis ; Biological and medical sciences ; Blood Proteins - chemistry ; Brachial Artery - drug effects ; Cell Adhesion - drug effects ; Cells, Cultured ; Coronary Artery Disease - blood ; Coronary Artery Disease - drug therapy ; Coronary Artery Disease - pathology ; Cross-Over Studies ; dietary supplements ; Double-Blind Method ; Endothelium, Vascular - drug effects ; Endothelium, Vascular - metabolism ; Endothelium, Vascular - physiology ; General and cellular metabolism. Vitamins ; Hemodynamics - drug effects ; Humans ; Leukocytes ; Lipids - blood ; Male ; Medical sciences ; Monocytes - cytology ; Monocytes - drug effects ; Nitric oxide ; Nitric Oxide - biosynthesis ; Pharmacology. 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In hypercholesterolaemic rabbits, oral l-arginine reduces atheroma, improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion. The effect of oral l-arginine on endothelial physiology is unknown, however, in humans with established atherosclerosis. In a prospective, double-blind, randomised crossover trial, ten men aged 41±2 years with angiographically proven coronary atherosclerosis took l-arginine (7 g three times per day) or placebo for 3 days each, with a washout period of 10 days. After l-arginine, compared to placebo, plasma levels of arginine were increased (318±18 vs. 124±9 μmol/l, P&lt;0.01) and endothelium-dependent dilatation of the brachial artery (measured as the change in diameter in resonse to reactive hyperaemia, using external vascular ultrasound) was improved (4.7±1.1 vs. 1.8±0.7%, P&lt;0.04). No changes were seen in endothelium-independent dilatation of the brachial artery (measured as the change in diameter in response to sublingual nitroglycerine), blood pressure, heart rate or fasting lipid levels. Serum from six of the ten subjects after l-arginine and placebo was then added to confluent monolayers of human umbilical vein endothelial cells for 24 h, before human monocytes obtained by countercurrent centrifiguation elutriation were added and cell adhesion assessed by light microscopy. Adhesion was reduced following l-arginine compared to placebo (42±2 vs. 50±1%, P&lt;0.01). In young men with coronary artery disease, oral l-arginine improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion.</description><subject>Administration, Oral</subject><subject>Adult</subject><subject>Arginine - administration &amp; dosage</subject><subject>Arginine - pharmacokinetics</subject><subject>Arginine - pharmacology</subject><subject>Arginine - therapeutic use</subject><subject>Atherosclerosis</subject><subject>Biological and medical sciences</subject><subject>Blood Proteins - chemistry</subject><subject>Brachial Artery - drug effects</subject><subject>Cell Adhesion - drug effects</subject><subject>Cells, Cultured</subject><subject>Coronary Artery Disease - blood</subject><subject>Coronary Artery Disease - drug therapy</subject><subject>Coronary Artery Disease - pathology</subject><subject>Cross-Over Studies</subject><subject>dietary supplements</subject><subject>Double-Blind Method</subject><subject>Endothelium, Vascular - drug effects</subject><subject>Endothelium, Vascular - metabolism</subject><subject>Endothelium, Vascular - physiology</subject><subject>General and cellular metabolism. Vitamins</subject><subject>Hemodynamics - drug effects</subject><subject>Humans</subject><subject>Leukocytes</subject><subject>Lipids - blood</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Monocytes - cytology</subject><subject>Monocytes - drug effects</subject><subject>Nitric oxide</subject><subject>Nitric Oxide - biosynthesis</subject><subject>Pharmacology. Drug treatments</subject><subject>Prospective Studies</subject><subject>Umbilical Veins</subject><subject>Vasodilation - drug effects</subject><issn>0021-9150</issn><issn>1879-1484</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkc9u1DAQxi0EKkvhESp8QKgcArZje-NTharyR6rUQ-nZcuzJrlFiL7ZTtC_C8-J0V8uR08j6fjPzeT6ELij5SAmVn-4JYbRRVJBLJT8QSThv2mdoRbu1aijv-HO0OiEv0aucfxJC-Jp2Z-hMUSKEVCv05y6ZEY-NSRsffADsp12Kj5AxBBfLFkY_T42DXX1CKNj50RRTfAzYBIcTuNlWeIoh2n0BbNwW8qKW-G9C3WBhHDP2Ae_jHDZ4goB_-7LFNqYYTNpjkwrU4nwGk-E1ejGYMcObYz1HD19uflx_a27vvn6__nzbWC5FaVpuHe1oZ4UYjGx7J53tQcn1QJ3qJFWGUUEd6WHg1Ei2hr63SjCmqGPAZXuO3h_m1k__miEXPfm8eDUB4pz1ulOSt-0CigNoU8w5waB3yU_VuKZEL3nopzz0cmytpH7KQ7e17-K4YO4ncKeuYwBVf3fUTbZmHJIJ1ucTxmRLOrasf3vABhO12aSKPNwzQlvCOskEYZW4OhBQz_XoIelsPQQLziewRbvo_2P1L0hAtAg</recordid><startdate>19970321</startdate><enddate>19970321</enddate><creator>Adams, Mark R</creator><creator>McCredie, Robyn</creator><creator>Jessup, Wendy</creator><creator>Robinson, Jacqui</creator><creator>Sullivan, David</creator><creator>Celermajer, David S</creator><general>Elsevier Ireland Ltd</general><general>Elsevier</general><scope>FBQ</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19970321</creationdate><title>Oral l-arginine improves endothelium-dependent dilatation and reduces monocyte adhesion to endothelial cells in young men with coronary artery disease</title><author>Adams, Mark R ; McCredie, Robyn ; Jessup, Wendy ; Robinson, Jacqui ; Sullivan, David ; Celermajer, David S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c465t-34cd1818c55fa63bd6dcbe967f1d98619a2151d0bef41a627ebbc952291d2e463</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Administration, Oral</topic><topic>Adult</topic><topic>Arginine - administration &amp; dosage</topic><topic>Arginine - pharmacokinetics</topic><topic>Arginine - pharmacology</topic><topic>Arginine - therapeutic use</topic><topic>Atherosclerosis</topic><topic>Biological and medical sciences</topic><topic>Blood Proteins - chemistry</topic><topic>Brachial Artery - drug effects</topic><topic>Cell Adhesion - drug effects</topic><topic>Cells, Cultured</topic><topic>Coronary Artery Disease - blood</topic><topic>Coronary Artery Disease - drug therapy</topic><topic>Coronary Artery Disease - pathology</topic><topic>Cross-Over Studies</topic><topic>dietary supplements</topic><topic>Double-Blind Method</topic><topic>Endothelium, Vascular - drug effects</topic><topic>Endothelium, Vascular - metabolism</topic><topic>Endothelium, Vascular - physiology</topic><topic>General and cellular metabolism. Vitamins</topic><topic>Hemodynamics - drug effects</topic><topic>Humans</topic><topic>Leukocytes</topic><topic>Lipids - blood</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Monocytes - cytology</topic><topic>Monocytes - drug effects</topic><topic>Nitric oxide</topic><topic>Nitric Oxide - biosynthesis</topic><topic>Pharmacology. Drug treatments</topic><topic>Prospective Studies</topic><topic>Umbilical Veins</topic><topic>Vasodilation - drug effects</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Adams, Mark R</creatorcontrib><creatorcontrib>McCredie, Robyn</creatorcontrib><creatorcontrib>Jessup, Wendy</creatorcontrib><creatorcontrib>Robinson, Jacqui</creatorcontrib><creatorcontrib>Sullivan, David</creatorcontrib><creatorcontrib>Celermajer, David S</creatorcontrib><collection>AGRIS</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Atherosclerosis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Adams, Mark R</au><au>McCredie, Robyn</au><au>Jessup, Wendy</au><au>Robinson, Jacqui</au><au>Sullivan, David</au><au>Celermajer, David S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Oral l-arginine improves endothelium-dependent dilatation and reduces monocyte adhesion to endothelial cells in young men with coronary artery disease</atitle><jtitle>Atherosclerosis</jtitle><addtitle>Atherosclerosis</addtitle><date>1997-03-21</date><risdate>1997</risdate><volume>129</volume><issue>2</issue><spage>261</spage><epage>269</epage><pages>261-269</pages><issn>0021-9150</issn><eissn>1879-1484</eissn><abstract>l-Arginine is the physiological substrate for nitric oxide synthesis by the vascular endothelium. In hypercholesterolaemic rabbits, oral l-arginine reduces atheroma, improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion. The effect of oral l-arginine on endothelial physiology is unknown, however, in humans with established atherosclerosis. In a prospective, double-blind, randomised crossover trial, ten men aged 41±2 years with angiographically proven coronary atherosclerosis took l-arginine (7 g three times per day) or placebo for 3 days each, with a washout period of 10 days. After l-arginine, compared to placebo, plasma levels of arginine were increased (318±18 vs. 124±9 μmol/l, P&lt;0.01) and endothelium-dependent dilatation of the brachial artery (measured as the change in diameter in resonse to reactive hyperaemia, using external vascular ultrasound) was improved (4.7±1.1 vs. 1.8±0.7%, P&lt;0.04). No changes were seen in endothelium-independent dilatation of the brachial artery (measured as the change in diameter in response to sublingual nitroglycerine), blood pressure, heart rate or fasting lipid levels. Serum from six of the ten subjects after l-arginine and placebo was then added to confluent monolayers of human umbilical vein endothelial cells for 24 h, before human monocytes obtained by countercurrent centrifiguation elutriation were added and cell adhesion assessed by light microscopy. Adhesion was reduced following l-arginine compared to placebo (42±2 vs. 50±1%, P&lt;0.01). In young men with coronary artery disease, oral l-arginine improves endothelium-dependent dilatation and reduces monocyte/endothelial cell adhesion.</abstract><cop>Amsterdam</cop><pub>Elsevier Ireland Ltd</pub><pmid>9105569</pmid><doi>10.1016/S0021-9150(96)06044-3</doi><tpages>9</tpages></addata></record>
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subjects Administration, Oral
Adult
Arginine - administration & dosage
Arginine - pharmacokinetics
Arginine - pharmacology
Arginine - therapeutic use
Atherosclerosis
Biological and medical sciences
Blood Proteins - chemistry
Brachial Artery - drug effects
Cell Adhesion - drug effects
Cells, Cultured
Coronary Artery Disease - blood
Coronary Artery Disease - drug therapy
Coronary Artery Disease - pathology
Cross-Over Studies
dietary supplements
Double-Blind Method
Endothelium, Vascular - drug effects
Endothelium, Vascular - metabolism
Endothelium, Vascular - physiology
General and cellular metabolism. Vitamins
Hemodynamics - drug effects
Humans
Leukocytes
Lipids - blood
Male
Medical sciences
Monocytes - cytology
Monocytes - drug effects
Nitric oxide
Nitric Oxide - biosynthesis
Pharmacology. Drug treatments
Prospective Studies
Umbilical Veins
Vasodilation - drug effects
title Oral l-arginine improves endothelium-dependent dilatation and reduces monocyte adhesion to endothelial cells in young men with coronary artery disease
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