PMID- 22484094 OWN - NLM STAT- MEDLINE DCOM- 20120920 LR - 20161125 IS - 1879-1484 (Electronic) IS - 0021-9150 (Linking) VI - 222 IP - 2 DP - 2012 Jun TI - Asymmetric dimethylarginine in adults with cystathionine beta-synthase deficiency. PG - 509-11 LID - 10.1016/j.atherosclerosis.2012.03.009 [doi] AB - In hyperhomocysteinemia (HHcy), an independent risk factor for cardiovascular diseases, endothelial dysfunction due to reduced bioavailability of nitric oxide is a consistent finding. However, the underlying mechanisms remain unknown. Increased levels of the nitric oxide synthase inhibitor asymmetric dimethylarginine (ADMA) have been associated with HHcy, and may contribute, at least in part, for the homocysteine-induced endothelial dysfunction, but whether cystathionine beta-synthase (CBS) deficiency is associated with increased ADMA has hardly been investigated. To address this question, we measured total homocysteine (tHcy), ADMA and symmetric dimethylarginine (SDMA) in plasma of 22 adult CBS deficient patients, using established HPLC techniques. Results showed that in CBS deficient patients with elevated levels of tHcy (median (total range): 33 (14-237) mumol/L), both ADMA and SDMA levels were normal. Moreover, tHcy and ADMA concentrations were not correlated (r(s)=0.017, p=0.94). Our results favor the hypothesis that the negative vascular effects of HHcy have an ADMA-independent etiology. CI - Copyright (c) 2012 Elsevier Ireland Ltd. All rights reserved. FAU - Rocha, Monica S AU - Rocha MS AD - Department of Clinical Chemistry, Metabolic Unit, Institute for Cardiovascular Research (ICAR-VU), VU University Medical Center, Amsterdam, The Netherlands. FAU - Teerlink, Tom AU - Teerlink T FAU - Janssen, Mirian C H AU - Janssen MC FAU - Kluijtmans, Leo A J AU - Kluijtmans LA FAU - Smulders, Yvo AU - Smulders Y FAU - Jakobs, Cornelis AU - Jakobs C FAU - Tavares de Almeida, Isabel AU - Tavares de Almeida I FAU - Rivera, Isabel AU - Rivera I FAU - Castro, Rita AU - Castro R FAU - Blom, Henk J AU - Blom HJ LA - eng PT - Journal Article DEP - 20120324 PL - Ireland TA - Atherosclerosis JT - Atherosclerosis JID - 0242543 RN - 0 (Biomarkers) RN - 0LVT1QZ0BA (Homocysteine) RN - 49787G1ULV (symmetric dimethylarginine) RN - 63CV1GEK3Y (N,N-dimethylarginine) RN - 94ZLA3W45F (Arginine) SB - IM MH - Adult MH - Arginine/*analogs & derivatives/blood MH - Biomarkers/blood MH - Chromatography, High Pressure Liquid MH - Endothelium, Vascular/metabolism/physiopathology MH - Homocysteine/blood MH - Homocystinuria/*blood/physiopathology MH - Humans EDAT- 2012/04/10 06:00 MHDA- 2012/09/21 06:00 CRDT- 2012/04/10 06:00 PHST- 2012/02/07 00:00 [received] PHST- 2012/03/05 00:00 [revised] PHST- 2012/03/08 00:00 [accepted] PHST- 2012/04/10 06:00 [entrez] PHST- 2012/04/10 06:00 [pubmed] PHST- 2012/09/21 06:00 [medline] AID - S0021-9150(12)00193-1 [pii] AID - 10.1016/j.atherosclerosis.2012.03.009 [doi] PST - ppublish SO - Atherosclerosis. 2012 Jun;222(2):509-11. doi: 10.1016/j.atherosclerosis.2012.03.009. Epub 2012 Mar 24.