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Diabetes, Vol 42, Issue 2 221-232, Copyright © 1993 by American Diabetes Association
Prevention of diabetic vascular dysfunction by guanidines. Inhibition of nitric oxide synthase versus advanced glycation end-product formation
RG Tilton, K Chang, KS Hasan, SR Smith, JM Petrash, TP Misko, WM Moore, MG Currie, JA Corbett, ML McDaniel and al. et
Department of Ophthalmology, Washington University School of Medicine, St. Louis, MO 63110.
This study was undertaken to compare the ability of two guanidine compounds
(aminoguanidine and methylguanidine), with different in vitro effects on NO
synthase activity and AGE formation, to inhibit diabetic vascular
dysfunction developing early after the onset of diabetes. In rats with
STZ-induced diabetes of 5-wk duration, regional vascular [125I]albumin
permeation was increased about two- to threefold in ocular tissues, sciatic
nerve, and aorta; in general, both guanidine compounds normalized albumin
permeation in diabetic rats without affecting it in controls.
Methylguanidine was only approximately 7% as effective as aminoguanidine as
an inhibitor of AGE formation from L-lysine and G6P; both compounds were
poor inhibitors of AR. Methylguanidine was approximately 1-5% as potent as
aminoguanidine and L-NMMA as an inhibitor of the cytokine- and
endotoxin-inducible isoform of NO synthase. In contrast, the potency of
methylguanidine as an inhibitor of the constitutive isoform of NO synthase
was comparable to that of aminoguanidine, and both guanidine compounds were
much less effective than L-NMMA. These observations suggest a role for a
relative or absolute increase in NO production in the pathogenesis of early
diabetic vascular dysfunction and raise the possibility that inhibition of
diabetic vascular functional changes by aminoguanidine may reflect
inhibition of NO synthase activity rather than, or in addition to,
prevention of AGE formation.

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Copyright © 1993 by the American Diabetes Association.
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