L-Arginine attenuates oxidative stress condition during cardiomyopathy

摘要

Increased production of oxygen free radicals and decreased oxidant capacity occur in coronary artery diseases (CAD). This pro-oxidant shift in intracellular redox state may induce cell death by either direct cell membrane damage by lipid peroxidation or apoptosis through activation of transcription factors. These changes occur not only in cardiomyocytes, but also in cardiac sympathetic nerves, which are very sensitive to oxidative damage. Patients with heart failure encounter reduced peripheralsup?/supblood flow at rest, during exercise and in response to endothelium-dependentsup?/supvasodilators. Current treatments of cardiomyopathy, a degenerative condition of the myocardium frequently associated with heart failure have done little to enhance patient survival. Decreased myocardial contractility and altered regulation of peripheral circulation along with oxidative conditions are important contributors to the symptoms and prognosis of the disease process. Nitric oxide formed from?L-arginine (2-amino-5 guanidinovaleric acid) metabolism insup?/supendothelial cells contributes to regulation of blood flow undersup?/supthese conditions. L-Arginine is the precursor of nitric oxide, an endogenous messenger molecule involved in a variety of endothelium-mediated physiological effects in the vascular system. In the present study, we investigated the effect of oral administration of L-arginine (3 g/day) on the intracellular redox status of the patients of ischemic cardiomyopathy aged 45-60 yrs. The enzymatic span style="mso-bidi-font-size:9.0pt" lang="EN-GB"and non-enzymatic antioxidant parameters like superoxide dismutase, catalase, total thiols span style="mso-bidi-font-size:9.0pt" lang="EN-GB"(TSH) and ascorbic acid along with pro-oxidant parameters, such as xanthine oxidase, span style="mso-bidi-font-size:9.0pt" lang="EN-GB"as well as index of oxidative stress as protein carbonyl content and malondialdehyde (a marker of lipid peroxidation) were investigated in the plasma and RBC lysate. L-Arginine (3 g/day) administration was found to improve the levels of these parameters in the patients and regulate the blood flow, as evident by the improved blood pressure of the patients. Thus, it is inferred that L-arginine attenuates the oxidative stress conditions along with maintaining the blood pressure rate of patients suffering from cardiomyopathy. /span/span/span" xml:lang="en_US