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Effect of rosuvastatin on fasting and postprandial endothelial biomarker levels and microvascular reactivity in patients with type 2 diabetes and dyslipidemia: a preliminary report.瑞舒伐他汀对 2 型糖尿病伴血脂异常患者空腹和餐后内皮生物标志物水平及微血管反应性的影响:初步报告。
Cardiovasc Diabetol. 2017 Nov 9;16(1):146. doi: 10.1186/s12933-017-0629-0.
2
Symmetric dimethylarginine (SDMA) outperforms asymmetric dimethylarginine (ADMA) and other methylarginines as predictor of renal and cardiovascular outcome in non-dialysis chronic kidney disease.对称二甲基精氨酸(SDMA)在预测非透析慢性肾脏病的肾脏和心血管结局方面优于不对称二甲基精氨酸(ADMA)和其他甲基精氨酸。
Clin Res Cardiol. 2018 Mar;107(3):201-213. doi: 10.1007/s00392-017-1172-4. Epub 2017 Nov 3.
3
Impact of renal function on the underlying pathophysiology of coronary plaque composition in patients with type 2 diabetes mellitus.肾功能对 2 型糖尿病患者冠状动脉斑块成分潜在病理生理学的影响。
Cardiovasc Diabetol. 2017 Oct 12;16(1):131. doi: 10.1186/s12933-017-0618-3.
4
Metabolism and distribution of pharmacological homoarginine in plasma and main organs of the anesthetized rat.麻醉大鼠血浆和主要器官中药理学同型精氨酸的代谢和分布。
Amino Acids. 2017 Dec;49(12):2033-2044. doi: 10.1007/s00726-017-2465-7. Epub 2017 Jul 14.
5
Symmetric and asymmetric dimethylarginine as risk markers of cardiovascular disease, all-cause mortality and deterioration in kidney function in persons with type 2 diabetes and microalbuminuria.对称性和非对称性二甲基精氨酸作为 2 型糖尿病合并微量白蛋白尿患者心血管疾病、全因死亡率和肾功能恶化的风险标志物。
Cardiovasc Diabetol. 2017 Jul 11;16(1):88. doi: 10.1186/s12933-017-0569-8.
6
Asymmetric and Symmetric Dimethylarginine as Risk Markers for Total Mortality and Cardiovascular Outcomes: A Systematic Review and Meta-Analysis of Prospective Studies.不对称和对称二甲基精氨酸作为全因死亡率和心血管结局的风险标志物:前瞻性研究的系统评价和荟萃分析
PLoS One. 2016 Nov 3;11(11):e0165811. doi: 10.1371/journal.pone.0165811. eCollection 2016.
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Augmentation of phosphate-induced osteo-/chondrogenic transformation of vascular smooth muscle cells by homoarginine.同型精氨酸增强磷酸盐诱导的血管平滑肌细胞的成骨/成软骨转化。
Cardiovasc Res. 2016 Jun 1;110(3):408-18. doi: 10.1093/cvr/cvw062. Epub 2016 Mar 21.
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Role of symmetric dimethylarginine in vascular damage by increasing ROS via store-operated calcium influx in monocytes.对称二甲基精氨酸通过单核细胞中储存式钙内流增加活性氧在血管损伤中的作用。
Nephrol Dial Transplant. 2009 May;24(5):1429-35. doi: 10.1093/ndt/gfn670. Epub 2008 Dec 4.
9
Protein arginine methylation regulates insulin signaling in L6 skeletal muscle cells.蛋白质精氨酸甲基化调节L6骨骼肌细胞中的胰岛素信号传导。
Biochem Biophys Res Commun. 2007 Dec 28;364(4):1015-21. doi: 10.1016/j.bbrc.2007.10.113. Epub 2007 Oct 29.
10
Chronic angiotensin II receptor blockade reduces (intra)renal vascular resistance in patients with type 2 diabetes.慢性血管紧张素 II 受体阻断可降低 2 型糖尿病患者的肾内血管阻力。
J Am Soc Nephrol. 2005 Apr;16(4):1135-40. doi: 10.1681/ASN.2004100852. Epub 2005 Feb 16.

不对称二甲基精氨酸(ADMA)、对称二甲基精氨酸(SDMA)和同型精氨酸(hArg):ADMA、SDMA 和 hArg 的悖论。

Asymmetric dimethylarginine (ADMA), symmetric dimethylarginine (SDMA) and homoarginine (hArg): the ADMA, SDMA and hArg paradoxes.

机构信息

Institute of Toxicology, Core Unit Proteomics, Hannover Medical School, 30623, Hannover, Germany.

Institute of Toxicology, Core Unit Proteomics, Hannover Medical School, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany.

出版信息

Cardiovasc Diabetol. 2018 Jan 4;17(1):1. doi: 10.1186/s12933-017-0656-x.

DOI:10.1186/s12933-017-0656-x
PMID:29301528
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5753492/
Abstract

N-Methylation of L-arginine (Arg) residues in certain proteins by protein arginine methyltransferases and subsequent proteolysis yields N-monomethyl-L-arginine (MMA), N,N-dimethyl-L-arginine (asymmetric dimethylarginine, ADMA) and N,N'-dimethyl-L-arginine (symmetric dimethylarginine, SDMA). Biological MMA, ADMA and SDMA occur as free acids in the nM-range and as residues of proteins of largely unknown quantity. Arginine:glycine amidinotransferase (AGAT) catalyzes the synthesis of L-homoarginine (hArg) from free Arg and L-lysine. Biological hArg is considered to occur exclusively as free acid in the lower µM-range. Nitric oxide synthase (NOS) catalyzes the conversion of Arg (high affinity) and hArg (low affinity) to nitric oxide (NO) which is a pleiotropic signaling molecule. MMA, ADMA and SDMA are inhibitors (MMA > ADMA ≫ SDMA) of NOS activity. Slightly elevated ADMA and SDMA concentrations and slightly reduced hArg concentrations in the circulation are associated with many diseases including diabetes mellitus. Yet, this is paradox: (1) free ADMA and SDMA are weak inhibitors of endothelial NOS (eNOS) which is primarily responsible for NO-related effects in the cardiovascular system, with free hArg being a poor substrate for eNOS; (2) free ADMA, SDMA and hArg are not associated with oxidative stress which is considered to induce NO-related endothelial dysfunction. This ADMA/SDMA/hArg paradox may be solved by the assumption that not the free acids but their precursor proteins exert biological effects in the vasculature, with hArg antagonizing the effects of N-methylated proteins.

摘要

精氨酸(Arg)残基的 N-甲基化由蛋白质精氨酸甲基转移酶(protein arginine methyltransferases)完成,随后经蛋白水解得到 N-单甲基-L-精氨酸(N-monomethyl-L-arginine,MMA)、N,N-二甲基-L-精氨酸(不对称二甲基精氨酸,asymmetric dimethylarginine,ADMA)和 N,N'-二甲基-L-精氨酸(对称二甲基精氨酸,symmetric dimethylarginine,SDMA)。生物体内的 MMA、ADMA 和 SDMA 以纳摩尔级别的游离酸形式和大量未知数量的蛋白质残基形式存在。精氨酸:甘氨酸酰胺转移酶(arginine:glycine amidinotransferase,AGAT)催化游离 Arg 和 L-赖氨酸合成 L-同型精氨酸(hArg)。生物体内的 hArg 被认为仅以纳摩尔级别的游离酸形式存在。一氧化氮合酶(nitric oxide synthase,NOS)催化 Arg(高亲和力)和 hArg(低亲和力)转化为一氧化氮(NO),NO 是一种多功能信号分子。MMA、ADMA 和 SDMA 是 NOS 活性的抑制剂(MMA>ADMA≫SDMA)。在循环中,ADMA 和 SDMA 浓度略有升高,hArg 浓度略有降低,与多种疾病相关,包括糖尿病。然而,这存在矛盾:(1)游离 ADMA 和 SDMA 是内皮型一氧化氮合酶(endothelial nitric oxide synthase,eNOS)的弱抑制剂,eNOS 主要负责心血管系统中与 NO 相关的效应,而游离 hArg 是 eNOS 的不良底物;(2)游离 ADMA、SDMA 和 hArg 与氧化应激无关,氧化应激被认为会诱导与 NO 相关的内皮功能障碍。ADMA/SDMA/hArg 矛盾可以通过以下假设解决:不是游离酸,而是它们的前体蛋白在血管系统中发挥生物学效应,hArg 拮抗 N-甲基化蛋白的作用。