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2016 | 70 | 40–45
Article title

Age-related alterations in arginase-NO-synthase system in patients with coronary heart disease associated with hypertension

Title variants
Związane z wiekiem zmiany w układzie arginazy-NO-syntazy w grupie pacjentów z chorobą wieńcową współistniejącą z nadciśnieniem tętniczym
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INTRODUCTION: Coronary heart disease (CHD) is the most common heart diseases in Europe. The aim of this study was to determine the intensity of L-arginine metabolism by two alternative pathways (oxidative by NOS and nonoxid-ative by arginase) in the blood plasma of patients with CHD associated with hypertension (HT) of different age groups. MATERIALS AND METHODS: 50 patients with isolated CHD and 42 patients with CHD associated with HT were enrolled in this study. NOS activity was determined by nitrite anion formed in the reaction. Arginase activity was tested by the formation of urea. RESULTS: In middle-aged patients with isolated CHD, the total NOS activity statistically significantly increased by 2.2 fold in comparison with healthy subjects of the same age group. In patients with CHD associated with HT, the total NOS activity statistically significantly increased in both middle-aged and older persons 2.3-fold than in healthy subjects of the same age groups. In patients with isolated CHD, the arginase activity increases 1.5-fold in middle-aged patients and 1.7-fold in older patients compared with the healthy participants. In the middle-aged and older patients with CHD associated with HT, the arginase activity statistically significantly increased 1.7- and 1.8-fold than in the healthy subjects of the same age groups. CONCLUSIONS: In patients with isolated CHD and patients with CHD associated with HT, an increased total NO-synthase and arginase activity in comparison with healthy individuals was found. It was shown that the increase in NO-synthase and arginase activity is more expressed in older patients than middle-aged patients.
WSTĘP: Choroba wieńcowa jest najpowszechniejszą z chorób serca występujących na terenie Europy. Celem pracy było zbadanie intensywności metabolizmu L-argininy dwoma alternatywnymi sposobami (utleniającym przez NOS i nieutleniającym poprzez arginazę) w osoczu krwi pacjentów cierpiących na chorobę wieńcową (ChW) serca, współistniejącą z nadciśnieniem tętniczym (NT), w grupie pacjentów w różnym wieku. MATERIAŁ I METODY: Do badania włączono 50 pacjentów z izolowaną postacią ChW i 42 z ChW współistniejącą z NT. Aktywność NOS została wyznaczona przez anion azotynowy utworzony w reakcji. Aktywność arginazy sprawdzono przez formowanie mocznika. WYNIKI: Pacjenci w średnim wieku, z izolowaną postacią ChW wykazywali 2,2 razy wyższą całkowitą aktywność NOS w porównaniu ze zdrowymi badanymi w tej samej grupie wiekowej. W przypadku pacjentów z ChW współistniejącą z NT całkowita aktywność NOS była znacząco (2,3 razy) zwiększona w obu grupach wiekowych (w średnim oraz starszym wieku) w porównaniu z osobami zdrowymi w tym samym wieku. U pacjentów z izolowaną postacią ChW aktywność arginazy była 1,5 razy podwyższona u osób w średnim wieku oraz 1,7 razy u starszych niż u osób zdrowych. W wieku średnim i starszym pacjenci ze współistniejącą postacią ChW wraz z NT wykazywali statystycznie znacznie podwyższoną aktywność arginazy – odpowiednio 1,7 oraz 1,8 razy większą niż u zdrowych w tym samym wieku. WNIOSKI: Wykazano, że w grupie pacjentów z izolowaną postacią ChW oraz w przypadku współistnienienia ChW i NT aktywność NO-syntazy i arginazy jest wyższa niż u osób zdrowych. Zwiększona aktywność NO-syntazy i arginazy jest bardziej znacząca u pacjentów starszych.
Physical description
  • PhD MD Anna Besedina, Department of family medicine FPGE, Lviv National Medical University of Ukraine, 79059, Liviv Emergency Hospital (KMK LSHMD), Mykolaychuka 9, Liviv, Ukraine
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