Department of Internal Medicine, Division of Nephrology and Hypertension, Medical School Hannover, Hannover, Germany.
Nephrol Dial Transplant. 2013 Jun;28(6):1434-9. doi: 10.1093/ndt/gfs554. Epub 2013 Jan 4.
Symmetrical dimethylarginine (SDMA), the structural isomer of the nitric oxide synthase inhibitor asymmetrical dimethylarginine, has long been regarded as an inert substance. Recent epidemiological and preclinical data suggest that it might be involved in the pathophysiology of renal and cardiovascular diseases. Therefore, we aimed to investigate the effect of chronic SDMA infusion on renal and cardiac function in mice.
Eight-week-old male C57Bl/6 mice received vehicle-controlled infusion of SDMA (250 µmol/kg/days) for 28 days using osmotic minipumps (n = 24/group). The following parameters were monitored: glomerular filtration rate (GFR; fluoresceinyl thiocarbamoyl-inulin excretion kinetic), cardiac function (echocardiography) and blood pressure (tail cuff). Blood samples for SDMA determination were obtained at baseline, 2 and 4 weeks. Mice were euthanized at 4 weeks to obtain tissue for renal histology.
Chronic SDMA infusion led to a significant increase of SDMA levels from 0.26 ± 0.10 to 3.49 ± 1.66 µmol/L (P < 0.001) at 4 weeks. Despite this SDMA increase, the GFR did not change (1224 ± 351 versus 1017 ± 345 mL/min/g body weight, n.s.) at 4 weeks, when compared with baseline. We did not find any histological changes, particularly no effect on fibrosis or endothelias nitric oxide synthase expression. There was neither an effect of SDMA on systolic blood pressure (106 ± 12 versus 111 ± 18 mmHg, n.s.) nor on ejection fraction (54.2 ± 1.7 versus 58.4 ± 1.9%, n.s.).
Based on our experiments, it seems unlikely that chronically elevated SDMA alone has an effect on renal and cardiac function in otherwise healthy mice. Future studies have to clarify the potential pathophysiological role of SDMA in cardiovascular disease.
对称二甲基精氨酸(SDMA)是一氧化氮合酶抑制剂不对称二甲基精氨酸的结构异构体,长期以来一直被认为是一种惰性物质。最近的流行病学和临床前数据表明,它可能参与肾脏和心血管疾病的病理生理学。因此,我们旨在研究慢性 SDMA 输注对小鼠肾脏和心脏功能的影响。
8 周龄雄性 C57Bl/6 小鼠使用渗透微型泵(n = 24/组)接受对照载体输注 SDMA(250 µmol/kg/days)28 天。监测以下参数:肾小球滤过率(GFR;荧光素硫代羰酰-胰岛素排泄动力学)、心功能(超声心动图)和血压(尾套)。在基线、2 周和 4 周时采集 SDMA 测定的血样。在 4 周时处死小鼠以获取组织进行肾脏组织学检查。
慢性 SDMA 输注导致 SDMA 水平从 0.26 ± 0.10 增加到 4 周时的 3.49 ± 1.66 µmol/L(P < 0.001)。尽管 SDMA 增加,但 GFR 在 4 周时与基线相比没有变化(1224 ± 351 与 1017 ± 345 mL/min/g 体重,n.s.)。我们没有发现任何组织学变化,特别是对纤维化或内皮一氧化氮合酶表达没有影响。SDMA 对收缩压(106 ± 12 与 111 ± 18 mmHg,n.s.)或射血分数(54.2 ± 1.7 与 58.4 ± 1.9%,n.s.)也没有影响。
根据我们的实验,慢性升高的 SDMA 似乎不太可能单独对其他健康小鼠的肾脏和心脏功能产生影响。未来的研究需要阐明 SDMA 在心血管疾病中的潜在病理生理学作用。