Low plasma arginine concentrations in children with cerebral malaria and decreased nitric oxide production

Low plasma arginine concentrations in children with cerebral malaria and decreased nitric oxide production
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DOI:
10.1016/s0140-6736(03)12564-0
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发表时间:
2003-02-22
期刊:
影响因子:
168.9
通讯作者:
Granger, DL
Granger, DL
中科院分区:
医学1区
文献类型:
--
作者:
Lopansri, BK;Anstey, NM;Granger, DL

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一氧化氮(NO)的生产和单核细胞NO合酶2(NOS 2)的表达在健康的坦桑尼亚儿童中很高,但在那些脑型疟疾低。下调NOS 2的因子也减少了参与细胞摄取和L-精氨酸生物合成的因子,L-精氨酸是NO合成的底物。因此,我们推测,L-精氨酸浓度将是低的个人与脑型疟疾。我们测量了坦桑尼亚患有和没有疟疾的儿童的冷冻保存血浆样本中L-精氨酸的浓度。脑型疟疾患者的L-精氨酸浓度较低(平均46 mumol/L,SD 14),无并发症疟疾患者的L-精氨酸浓度居中(70 mumol/L,20),健康对照组的L-精氨酸浓度在正常范围内(122 mumol/L,22; p
Nitric oxide (NO) production and mononuclear cell NO synthase 2 (NOS2) expression are high in healthy Tanzanian children but low in those with cerebral malaria. Factors that downregulate NOS2 also diminish factors involved in cellular uptake and biosynthesis of L-arginine, the substrate for NO synthesis. We therefore postulated that L-arginine concentrations would be low in individuals with cerebral malaria. We measured concentrations of L-arginine in cryopreserved plasma samples from Tanzanian children with and without malaria. L-arginine concentrations were low in individuals with cerebral malaria (mean 46 mumol/L, SD 14), intermediate in those with uncomplicated malaria (70 mumol/L, 20), and within the normal range in healthy controls (122 mumol/L, 22; p