title: Decrease in asymmetrical dimethylarginine, an endogenous nitric oxide synthase inhibitor, in cerebrospinal fluid during elderly aging and in patients with sporadic form of amyotrophic lateral sclerosis.
abstract: BACKGROUND
  Oxidative stress has been implicated in nervous system aging and the pathogenesis of amyotrophic lateral sclerosis (ALS) and other neurodegenerative disorders. However, the effect of asymmetrical dimethylarginine (ADMA) was previously unknown.
  
  
  OBJECTIVE
  We aimed to investigate the significance of nitric oxide (NO)-mediated neuronal death during elderly aging and in ALS. To do so, the concentration of ADMA, an endogenous NO synthase inhibitor in the cerebrospinal fluid (CSF), was determined in neurologically normal controls and in patients with ALS.
  
  
  METHODS
  There were 20 untreated patients with ALS (M/F, 12/8) and 20 age-matched controls (M/F, 9/11), with a mean age (±SD) of 66.9 ± 9.2 years for patients and 65.1 ± 13.9 years for controls. The concentrations of ADMA and L-arginine (Arg) in the CSF of ALS patients were measured by high-performance liquid chromatography using an electrochemical detector. Control subjects were neurologically normal patients who underwent lumbar spinal anesthesia for minor surgery.
  
  
  RESULTS
  The ADMA concentration significantly decreased with age, whereas the Arg concentration was unaltered. In patients with ALS, the ADMA concentration was significantly decreased compared with controls of a similar age (-52%, p = 0.0001). It significantly decreased with decreasing global functions of ALS (r(s) = -0.74, p < 0.005), whereas the Arg concentration did not change.
  
  
  CONCLUSIONS
  These findings suggest that ADMA may play an important role in regulating NO synthesis in the nervous systems of the elderly during aging and in ALS.
authors.affiliation: Department of Neurology, Chitose Daiichi Hospital, Chitose, Japan. chiso@apost.plala.or.jp
authors.forename: Chiaki
authors.initials: C
authors.lastname: Isobe
authors.forename: Takashi
authors.initials: T
authors.lastname: Abe
authors.forename: Yasuo
authors.initials: Y
authors.lastname: Terayama
mesh_terms: D000368:Aged; D000375:Aging / Q000134:cerebrospinal fluid*; D000690:Amyotrophic Lateral Sclerosis / Q000134:cerebrospinal fluid*; D000704:Analysis of Variance; D000873:Anthracenes; D001120:Arginine / Q000031:analogs & derivatives* / Q000134:cerebrospinal fluid; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011407:Propane / Q000031:analogs & derivatives / Q000134:cerebrospinal fluid; D018709:Statistics, Nonparametric
chemical_list: D000873:Anthracenes; C487735:dimethylarginine; D001120:Arginine; D011407:Propane