From the Department of Clinical Pharmacology, St Bartholomew's and
The Royal School of Medicine and Dentistry, London (P.F., A.J., N.B.); the
Department of Clinical Pharmacology, UMDS, St Thomas' Hospital, London
(B.J.K., P.J.C., J.M.R.); and the Rowett Research Institute, Aberdeen (E.M.),
UK.
Correspondence to Professor Nigel Benjamin, Department of Clinical Pharmacology, St Bartholomew's and The Royal School of Medicine and Dentistry, Charterhouse Square, London, EC1 M 6BQ, UK. E-mail n.benjamin{at}mds.qmw.ac.uk
AbstractThere is indirect
evidence for a gender difference in nitric oxide (NO) synthesis from
vascular endothelium. The aim of the present study
was to determine NO production more directly in healthy women
and men by the measurement of 15N nitrate excreted in urine
after the intravenous administration of
L-[15N]2-guanidino arginine.
Twenty-four healthy volunteers (13 men aged 22 to 40 years and 11 women
aged 23 to 42 years) participated in this study. No subjects were
receiving any medication. Women were studied between the 7th and 14th
days of their menstrual cycles. Arterial blood pressure was
measured oscillometrically, and 1.13 µmol
L-[15N]2 arginine was
administered intravenously after an overnight fast. Urine
was collected for the next 36 hours in separate 12-hour periods.
Urinary 15N/14N nitrate ratio was assessed by
dry combustion in an isotope ratio mass spectrometer. Mean 36-hour
urinary 15N nitrate excretion was greater in women than in
men (2111±139 versus 1682±87
© 1998 American Heart Association, Inc.
Scientific Contributions
Evidence for a Difference in Nitric Oxide Biosynthesis Between Healthy Women and Men
mol; P<0.05).
Furthermore, total urinary 15N nitrate excretion was
associated inversely with the mean arterial blood pressure
in the whole group of subjects (coefficient of correlation, 0.47;
P=0.022). The present data show that whole-body
production of NO is greater in healthy premenopausal women than
in men under ambulatory conditions. The cellular origin of NO measured
in this study is unknown, but differences in
endothelial production could underlie
differences in vascular function between men and women.
Key Words: endothelium-derived relaxing factor arginine nitrates gender adults
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