Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine Levels

Introduction. Microbial pathogens, one of them is Helicobacter pylori (H. pylori), have frequently been implicated in the atherogenesis. Endothelium-derived nitric oxide (NO) is synthesized from L-arginine by nitric oxide synthase (NOS) and plays a pivotal role in the regulation of vascular tone. As...

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Main Authors: Selim Aydemir, Hacı Eren, Ishak Ozel Tekin, Ferda Akbay Harmandar, Nejat Demircan, Mehmet Cabuk
Format: Article
Language:English
Published: Wiley 2010-01-01
Series:Mediators of Inflammation
Online Access:http://dx.doi.org/10.1155/2010/685903
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author Selim Aydemir
Hacı Eren
Ishak Ozel Tekin
Ferda Akbay Harmandar
Nejat Demircan
Mehmet Cabuk
author_facet Selim Aydemir
Hacı Eren
Ishak Ozel Tekin
Ferda Akbay Harmandar
Nejat Demircan
Mehmet Cabuk
author_sort Selim Aydemir
collection DOAJ
description Introduction. Microbial pathogens, one of them is Helicobacter pylori (H. pylori), have frequently been implicated in the atherogenesis. Endothelium-derived nitric oxide (NO) is synthesized from L-arginine by nitric oxide synthase (NOS) and plays a pivotal role in the regulation of vascular tone. Asymmetric dimethylarginine (ADMA) is the most potent endogenous NOS inhibitor. Elevated levels of ADMA have been reported in many circumstances associated with a high cardiovascular risk. The aim of the present study was to investigate whether the eradication of H. pylori infection affects serum ADMA levels. Materials and Methods. Forty-two H. pylori-positive patients were enrolled in the study. Triple therapy for 14 days were given to all patients. Serum ADMA levels were measured at baseline and 2 months after therapy. Results. Eradication was achieved in 34 (81%) patients. The mean serum ADMA levels before and after therapy were 1,77±0,30 and 1,67±0,29 ng/mL in the group with H. pylori eradicated and 1,63±0,28 and 1,56±0,32 ng/mL in the noneradicated, respectively. We detected statistically significant decreased serum ADMA levels after therapy in H. pylori eradicated group. Conclusion. These findings have indicated that eradication of H. pylori infection may decrease the risk of atherosclerosis and cardiovascular events.
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issn 0962-9351
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publishDate 2010-01-01
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spelling doaj-art-565aca2705914ef2b54a7bf2bbd0e8a42025-08-20T03:20:19ZengWileyMediators of Inflammation0962-93511466-18612010-01-01201010.1155/2010/685903685903Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine LevelsSelim Aydemir0Hacı Eren1Ishak Ozel Tekin2Ferda Akbay Harmandar3Nejat Demircan4Mehmet Cabuk5Department of Gastroenterology, Faculty of Medicine, Zonguldak Karaelmas University, 67800 Zonguldak, TurkeyDepartment of Internal Medicine, Faculty of Medicine, Zonguldak Karaelmas University, 67800 Zonguldak, TurkeyDepartment of Immunology, Faculty of Medicine, Zonguldak Karaelmas University, 67800 Zonguldak, TurkeyDepartment of Gastroenterology, Faculty of Medicine, Zonguldak Karaelmas University, 67800 Zonguldak, TurkeyDepartment of Family Medicine, Faculty of Medicine, Zonguldak Karaelmas University, 67800 Zonguldak, TurkeyDepartment of Nuclear Medicine, Faculty of Medicine, Zonguldak Karaelmas University, 67800 Zonguldak, TurkeyIntroduction. Microbial pathogens, one of them is Helicobacter pylori (H. pylori), have frequently been implicated in the atherogenesis. Endothelium-derived nitric oxide (NO) is synthesized from L-arginine by nitric oxide synthase (NOS) and plays a pivotal role in the regulation of vascular tone. Asymmetric dimethylarginine (ADMA) is the most potent endogenous NOS inhibitor. Elevated levels of ADMA have been reported in many circumstances associated with a high cardiovascular risk. The aim of the present study was to investigate whether the eradication of H. pylori infection affects serum ADMA levels. Materials and Methods. Forty-two H. pylori-positive patients were enrolled in the study. Triple therapy for 14 days were given to all patients. Serum ADMA levels were measured at baseline and 2 months after therapy. Results. Eradication was achieved in 34 (81%) patients. The mean serum ADMA levels before and after therapy were 1,77±0,30 and 1,67±0,29 ng/mL in the group with H. pylori eradicated and 1,63±0,28 and 1,56±0,32 ng/mL in the noneradicated, respectively. We detected statistically significant decreased serum ADMA levels after therapy in H. pylori eradicated group. Conclusion. These findings have indicated that eradication of H. pylori infection may decrease the risk of atherosclerosis and cardiovascular events.http://dx.doi.org/10.1155/2010/685903
spellingShingle Selim Aydemir
Hacı Eren
Ishak Ozel Tekin
Ferda Akbay Harmandar
Nejat Demircan
Mehmet Cabuk
Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine Levels
Mediators of Inflammation
title Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine Levels
title_full Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine Levels
title_fullStr Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine Levels
title_full_unstemmed Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine Levels
title_short Helicobacter pylori Eradication Lowers Serum Asymmetric Dimethylarginine Levels
title_sort helicobacter pylori eradication lowers serum asymmetric dimethylarginine levels
url http://dx.doi.org/10.1155/2010/685903
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AT hacıeren helicobacterpylorieradicationlowersserumasymmetricdimethylargininelevels
AT ishakozeltekin helicobacterpylorieradicationlowersserumasymmetricdimethylargininelevels
AT ferdaakbayharmandar helicobacterpylorieradicationlowersserumasymmetricdimethylargininelevels
AT nejatdemircan helicobacterpylorieradicationlowersserumasymmetricdimethylargininelevels
AT mehmetcabuk helicobacterpylorieradicationlowersserumasymmetricdimethylargininelevels