Halimi JM, Ribstein J, DuCailar G, Mimran A
Vitamin C induced recovery of the renal vasodilatory response to l-arginine in essential hypertension
16th Scientific Meeting of the International Society of Hypertension
ISH Abstract Book (Jun) 16: 1996

In essential hypertensives (EH), the renal vasodilatory response to LA is markedly blunted, together with a lack of increase in urinary cGMP and despite a rise in urinary excretion of NO2-NO3. Ascorbic acid, a compound with antioxidant properties, is decreased in the serum of EH. The response of effective renal plasma flow (ERPF, urinary clearance of orthoiodohippuran) and urinary cGMP to L-Arginine (30 g within 1 h) was assessed in age- and sex-matched normotensive subjects (NT) and EH patients with or without coadministration of ascorbic acid (2 g IV).

Ascorbic acid restored the cGMP increase induced by L-arg and partially corrected the blunted renal vasodilatory response to L-Arg observed in EH. Since in previous studies, the abnormality found in EH was associated with changes in cGMP and urinary NO2-NO3 suggestive of excessive degradation of NO, it is possible that ascorbic acid exerts a protective effect against this degradation through its antioxidant properties (Carmine Zoccali, M.D, Reggio Calabria, Italy).

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16th Scientific Meeting of the International Society of Hypertension
H: Pathophysiology : Kidney in hypertension
H: Pathophysiology : Endothelium, Nitric Oxide