The impaired erythrocyte L-arginine/NO pathway in patients with type 2 diabetes

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CHINESE JOURNAL OF DIABETES
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Volume 9, Issue 05, 2001
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Abstract: Objective To investigate the changes in L Arginine Nitric oxide (L Arg NO) pathway of erythrocyte in patients with type 2 diabetes (DM). Methods Erythrocytes were isolated from venous blood taken from 19 patients with DM at admission and 10 normal controls. 3H L Arg transport was measured by radionuclide labeling. The content and activity of NO synthase (NOS) were measured after NOS had been isolated and purified, and the concentration of serum nitrate and nitrite (NO X) was measured.Results (1)The capacity of total L Arg transport in the DM group was lower than those in the control group maximum transport velocity (Vmax) decreased by 21%(P<0 01) and Michaelis constant (Km) increased by 18% (P<0 01). Compared with the control group, Vmax of system Y + L Arg transport decreased by 28% (P<0 01), and Km of the system Y +L L Arg transport increased by 10%(P<0 01) in the DM group. No significant difference was found with regard to Km of system Y + and Vmax of system Y +L in the two groups. (2)The content and activity of NOS in the DM group were lower than those in the control group (decreased by 15% and 34% respectively). (3)The concentration of serum NO X in the DM group was also found lower than that in the control group (decreased by 17%).Conclusion Multiple abnormal sites of L Arg NO pathway of erythrocytes were found in the patients with DM. The abnormality was able to decrease the production of NO, which may impair NO dependent vasodilation, increase the activity of platelets, accelerate the adhesion and aggregation of platelets, and promote the generation and development of diabetic angiopathy.

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