Increasing dimethylarginine levels are associated with adverse clinical outcome in severe alcoholic hepatitis
Rajeshwar P. Mookerjee, Mohammed Malaki, Nathan A. Davies, Stephen J. Hodges, R. Neil Dalton, Charles Turner, Sambit Sen, Roger Williams, James Leiper, Patrick Vallance, Rajiv Jalan – 22 December 2006 – Previous studies suggest reduced hepatic endothelial nitric oxide synthase activity contributes to increased intrahepatic resistance. Asymmetric dimethylarginine (ADMA), an endogenous nitric oxide synthase inhibitor, undergoes hepatic metabolism via dimethylarginine‐dimethylamino‐hydrolase, and is derived by the action of protein‐arginine‐methyltransferases.