Arginine therapy: a novel strategy to induce nitric oxide production in sickle cell disease.

Abstract:

:To determine the effects of L-arginine (L-Arg) supplementation on nitric oxide metabolite (NOx) production, oral L-Arg was given to normal controls, sickle cell disease (SCD) patients at steady state and SCD patients hospitalized with a vaso-occlusive crisis (VOC). L-Arg (0.1 g/kg) increased NOx formation by 18.8 +/- 68% in normal controls, whereas steady-state SCD patients demonstrated a paradoxical decrease in NOx of -16.7 +/- 4% (P = 0.004). In contrast, patients with VOC demonstrated a dramatic increase in NOx production by +77.7 +/- 103%, a response that was dose dependent. L-Arg appears to be the rate-limiting step in NOx production during VOC. Oral arginine may therefore benefit SCD patients by inducing an increase in NO production during VOC.

journal_name

Br J Haematol

authors

Morris CR,Kuypers FA,Larkin S,Sweeters N,Simon J,Vichinsky EP,Styles LA

doi

10.1046/j.1365-2141.2000.02403.x

subject

Has Abstract

pub_date

2000-11-01 00:00:00

pages

498-500

issue

2

eissn

0007-1048

issn

1365-2141

pii

bjh2403

journal_volume

111

pub_type

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