L-arginine
metaboliteL-arginine availability limits nitric oxide production, and its depletion associates with endothelial dysfunction and ACS severity.
Pathway placement
Cascade stepEndothelial activation & erosion
Confidencemedium
RationaleNOS substrate required for NO synthesis; low levels reflect endothelial dysfunction.
Druggability
Not assessed (no mapped human gene target).
Assay & specimen
Class-level default (no specific cleared assay)— generic method inferred from analyte class; confirm against a specific product insert before use.
Specimen
Serum, plasma or urine
Collection tube
Serum separator (gold/red-top, SST) · Lithium heparin (green-top) · Sterile urine container
Method / principle
LC-MS/MS (targeted metabolomics) or enzymatic colorimetric where available
Reagent / substrate
Stable-isotope-labeled internal standard (MS); or enzyme-coupled Trinder reagent
Platform
LC-MS/MS; some automated chemistry
Turnaround · availability
Send-out / research · Specialized / research
Literature evidence(2)
- The effect of melatonin on endothelial dysfunction in patients after acute coronary syndrome: The MEFACS randomized clinical trial.Journal of pineal research · 2019 · PMID 31355944 · doi
- Methylated arginines in stable and acute patients with coronary artery disease before and after percutaneous revascularization.International journal of cardiology · 2007 · PMID 17689741 · doi