“…ADMA is excreted via the kidneys following metabolism by the enzyme dimethylarginine dimethylamino hydrolase (DDAH), which is sensitive to oxidative stress (Mittermayer et al, 2010). DDAH is expressed in different tissues such as kidneys, pancreas, brain, liver, lungs, endothelium, and myocardial cells (Kimoto et al, 1993; Nijveldt et al, 2003a,b). ADMA causes endothelial dysfunction in forearm resistance arteries (Calver et al, 1993) and increases the systemic vascular resistance and arterial blood pressure while decreasing cardiac output (Achan et al, 2003).…”