Brunini, TMC, Moss, MB, Siqueira, MAS, Meirelles, LR, Rozentul, AL, Mann, GE, Ellory, JC, Soares de Moura, R, and Mendes-Ribeiro, AC
1. Nitric oxide (NO) produced by human platelets plays an important role in all stages of platelet activation.l-Arginine, the precursor for NO synthesis, modulates NO production by platelets. Thel-arginine analogues asymmetric dimethylarginine (ADMA) andNG-monomethyl-l-arginine (l-NMMA) are endogenous inhibitors of nitric oxide synthase (NOS), involved in the physiopathology of arterial hypertension. The aim of the present study was to investigate the inhibitory effects of endogenous and exogenousl-arginine analogues onl-arginine influx in platelets from healthy controls and hypertensive patients.2. Twelve patients with uncomplicated essential hypertension (stage I) and 15 age-matched normotensive controls participated in the present study. Platelets were isolated and incubated withl-[3H]-arginine and increasing concentrations ofl-arginine analogues (5–2000 µmol/L).3. The influx ofl-arginine was inhibited in a concentration-dependent manner byl-NMMA in platelets from controls (Ki = 42 ± 6 µmol/L) and this inhibitory effect was markedly higher in hypertensive platelets (Ki = 23 ± 4 µmol/L).4. Similarly, the Ki for ADMA inhibition ofl-arginine transport was significantly more pronounced in platelets from hypertensive patients (Ki = 16 ± 1 µmol/L) compared with controls (Ki = 27 ± 2 µmol/L).5. In contrast,NG-nitro-l-arginine methyl ester (l-NAME) was found to be a weak inhibitor ofl-arginine influx in platelets from controls (Ki = 1917 ± 319 µmol/L) and hypertensive patients (Ki = 2279 ± 578 µmol/L). Aminoguanidine, a selective inhibitor of inducible NOS, failed to inhibitl-arginine transport.6. Our findings provide the first evidence that ADMA andl-NMMA markedly inhibitl-arginine transport in human platelets, an effect that is more pronounced in hypertensive patients. It is possible that endogenousl-arginine analogues, by inhibiting NO synthesis, are involved in the platelet activation present in hypertension. [ABSTRACT FROM AUTHOR]