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. 2022 Feb 17;9:835481. doi: 10.3389/fmed.2022.835481

Table 2.

Experimental models linking derangement of the ADMA/DDAH pathway with pulmonary hypoxia and pulmonary vascular dysfunction.

Experimental condition Study design Functional consequence References
1 week of HX in rats Exposure of adult male rats to 1 week of HX (10% O2) 1.9-fold ↑ in eNOS protein and 37% ↓ in DDAH1 protein in lungs of HX rats; pulmonary ADMA ↑ by 2.3-fold, DDAH activity ↓ by 37% and NO ↓ by 22%, respectively (132)
Newborn piglets during normal postnatal development and in PPHN Analysis of DDAH1 and DDAH2 protein and of DDAH activity in lungs DDAH1 protein remained unchanged, whilst DDAH2 protein was ↑ after birth; in PPHN DDAH2 protein and DDAH activity were ↓ but DDAH1 protein unchanged (133)
CH in mice 3 weeks of hypoxia (10% O2) In CH: PRMT2 ↑ in alveolar type II cells; ADMA ↑ and ADMA/L-arginine ratio ↑ (134)
HX exposure with and without hypoxic conditioning in mice Acute HX exposure after hypoxic (HC) or sham conditioning (SC), with or without i.p. injection of ADMA ADMA increased HX survival time in HC and in SC mice; the effect was mediated by regulation of eNOS activity (135)
DDAH-1+/− mice DDAH-1 expression, DDAH-2 expression, ADMA Hypertension, endothelial dysfunction, right ventricular pressure (136)
Allergically inflamed mouse lungs Ovalbumin sensitization, ovalbumin + L-arginine treatment, control mice PRMT2 ↑ and DDAH2 ↓ in ovalbumin-treated mice, along with ↑ ADMA and ↑ nitrotyrosine; Reversal with oral L-arginine treatment (137)
Acute and chronic hypoxia in DDAH1-transgenic and WT mice Acute (10 min) and sustained HX (3 h) in isolated perfused mouse lungs; chronic HX (4 weeks); No change in acute HPV in DDAH1 transgenic mice vs. WT; decreased sustained HPV in DDAH1 transgenic mice vs. WT; no difference in CH-induced PAH (138)
Peritoneal macrophages from macrophage-specific DDAH2 k.o. and WT mice Exposure of macrophages to HX (3% O2) followed by reoxygenation NOx production increased in WT monocytes after HX; DDAH2 protein increased by 4.5-fold and ADMA decreased by 24% after HX; DDAH2 k.o. abolished the HX-induced changes in NOx and ADMA (139)
Chronic intermittent normobaric hypoxia Diabetic and non-diabetic mice subjected to chronic intermittent normobaric hypoxia or control for 8 weeks ↓ endothelium-dependent vasodilation and ↑ ADMA in hypoxic mice vs. controls (140)
CIH in rats Exposure of Wistar rats to CIH, CH, or NX for 30 days ↑ RVH in CIH and CH vs. NX; lung eNOS mRNA ↑ in HX groups, but NOS activity unchanged, ADMA ↑.
DDAH activity ↓ only in CH
(141)
CH in DDAH1-transgenic and WT mice Exposure of WT and DDAH1-transgenic mice to HX (10% O2) for 2 weeks ↑ RVSP and ↑ RVH as well as ↑
DDAH1 protein in lungs of hypoxic mice; attenuation of ↑ RVSP and ↑ RVH in DDAH1-transgenic mice
(142)
CH in DDAH1 k.o. and WT mice Exposure of DDAH1 k.o. and WT mice to 3 weeks of CH ADMA ↑ in WT lungs during HX; DDAH1 mRNA and protein ↓ in WT lungs; DDAH2 protein ↑ in DDAH1 k.o. lungs during HX; no difference in RVH and RVSP between genotypes (143)

ADMA, asymmetric dimethylarginine; CH, chronic hypoxia; CIH, chronic intermittent hypoxia; DDAH, dimethylarginine dimethylaminohydrolase; eNOS, endothelial nitric oxide synthase; HC, hypoxic conditioning; HPV, hypoxic pulmonary vasoconstriction; HX, hypoxia; i.p., intraperitoneal; NX, normoxia; PRMT, protein arginine N-methyltransferase; RVH, right ventricular hypertrophy; RVSP, right ventricular systolic pressure; SC, sham conditioning; WT, wild-type.