PMID- 27092494 OWN - NLM STAT- MEDLINE DCOM- 20161216 LR - 20181202 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 17 IP - 4 DP - 2016 Apr 15 TI - Asymmetric Dimethylarginine versus Proton Pump Inhibitors Usage in Patients with Stable Coronary Artery Disease: A Cross-Sectional Study. PG - 454 LID - 10.3390/ijms17040454 [doi] LID - 454 AB - A recent experimental study suggested that proton pump inhibitors (PPI), widely used to prevent gastroduodenal complications of dual antiplatelet therapy, may increase the accumulation of the endogenous nitric oxide synthesis antagonist asymmetric dimethylarginine (ADMA), an adverse outcome predictor. Our aim was to assess the effect of PPI usage on circulating ADMA in coronary artery disease (CAD). Plasma ADMA levels were compared according to PPI use for >/=1 month prior to admission in 128 previously described non-diabetic men with stable CAD who were free of heart failure or other coexistent diseases. Patients on PPI tended to be older and with insignificantly lower estimated glomerular filtration rate (GFR). PPI use was not associated with any effect on plasma ADMA (0.51 +/- 0.11 (SD) vs. 0.50 +/- 0.10 micromol/L for those with PPI (n = 53) and without PPI (n = 75), respectively; p = 0.7). Additionally, plasma ADMA did not differ between PPI users and non-users stratified by a history of current smoking, CAD severity or extent. The adjustment for patients' age and GFR did not substantially change the results. Thus, PPI usage does not appear to affect circulating ADMA in non-diabetic men with stable CAD. Whether novel mechanisms of adverse PPI effects on the vasculature can be translated into clinical conditions, requires further studies. FAU - Kruszelnicka, Olga AU - Kruszelnicka O AD - Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College and John Paul II Hospital, 80 Pradnicka, 31-202 Cracow, Poland. olga.kruszelnicka@onet.pl. FAU - Swierszcz, Jolanta AU - Swierszcz J AD - Second Department of Cardiology, Jagiellonian University Medical College and University Hospital, 17 Kopernika, 31-501 Cracow, Poland. grasshoppers@interia.eu. FAU - Bednarek, Jacek AU - Bednarek J AD - Department of Electrocardiology, John Paul II Hospital, 80 Pradnicka, 31-202 Cracow, Poland. bednareks@op.pl. FAU - Chyrchel, Bernadeta AU - Chyrchel B AD - Second Department of Cardiology, Jagiellonian University Medical College and University Hospital, 17 Kopernika, 31-501 Cracow, Poland. chyrchelb@gmail.com. FAU - Surdacki, Andrzej AU - Surdacki A AD - Second Department of Cardiology, Jagiellonian University Medical College and University Hospital, 17 Kopernika, 31-501 Cracow, Poland. surdacki.andreas@gmx.net. FAU - Nessler, Jadwiga AU - Nessler J AD - Department of Coronary Artery Disease and Heart Failure, Jagiellonian University Medical College and John Paul II Hospital, 80 Pradnicka, 31-202 Cracow, Poland. jnessler@interia.pl. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20160415 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Proton Pump Inhibitors) RN - 63CV1GEK3Y (N,N-dimethylarginine) RN - 94ZLA3W45F (Arginine) RN - D8TST4O562 (Pantoprazole) RN - KG60484QX9 (Omeprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles/administration & dosage/adverse effects MH - Aged MH - Arginine/*analogs & derivatives/blood MH - Coronary Artery Disease/*blood/complications MH - Cross-Sectional Studies MH - Dose-Response Relationship, Drug MH - Glomerular Filtration Rate/drug effects MH - Humans MH - Male MH - Middle Aged MH - Omeprazole/administration & dosage/adverse effects MH - Pantoprazole MH - Peptic Ulcer/*prevention & control MH - Proton Pump Inhibitors/*administration & dosage/adverse effects MH - Treatment Outcome PMC - PMC4848910 OTO - NOTNLM OT - asymmetric dimethylarginine OT - coronary artery disease OT - proton pump inhibitors EDAT- 2016/04/20 06:00 MHDA- 2016/12/17 06:00 PMCR- 2016/04/01 CRDT- 2016/04/20 06:00 PHST- 2016/01/30 00:00 [received] PHST- 2016/03/07 00:00 [revised] PHST- 2016/03/22 00:00 [accepted] PHST- 2016/04/20 06:00 [entrez] PHST- 2016/04/20 06:00 [pubmed] PHST- 2016/12/17 06:00 [medline] PHST- 2016/04/01 00:00 [pmc-release] AID - ijms17040454 [pii] AID - ijms-17-00454 [pii] AID - 10.3390/ijms17040454 [doi] PST - epublish SO - Int J Mol Sci. 2016 Apr 15;17(4):454. doi: 10.3390/ijms17040454.