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Pre-eclampsia is a significant health issue in pregnancy, complicating between 2-8% of pregnancies. L-arginine is an important mediator of vasodilation with a potential preventative role in pregnancy related hypertensive diseases. We aimed to systematically review randomised trials in the literature assessing the role of L-arginine in prevention and treatment of pre-eclampsia. We searched the Cochrane Controlled Trials Register, PUBMED, and the Australian and International Clinical Trials Registry, to identify randomised trials involving pregnant women where L-arginine was administered for pre-eclampsia to improve maternal and infant health outcomes. We identified eight randomised trials, seven of which were included. The methodological quality was fair, with a combined sample size of 884 women. For women at risk of pre-eclampsia, L-arginine was associated with a reduction in pre-eclampsia (RR: 0.34, 95% CI: 0.21-0.55), when compared with placebo and a reduction in risk of preterm birth (RR: 0.48 and 95% CI: 0.28 to 0.81). For women with established hypertensive disease, L-arginine was associated with a reduction in pre-eclampsia (RR: 0.21; 95% CI: 0.05-0.98). L-arginine may have a role in the prevention and/or treatment of pre-eclampsia. Further well-designed and adequately powered trials are warranted, both in women at risk of pre-eclampsia and in women with established disease.
L-arginine is classified as a conditionally essential amino acid, meaning the body needs it in greater amounts in specific circumstances. For example, the body needs more L-arginine during infancy, pregnancy, and during critical illness (4).
L-arginine supplements have also been shown to be helpful for those with certain medical conditions like high blood pressure and erectile dysfunction (ED) and may be beneficial for boosting athletic performance (5, 6, 7).
Most people do not need to supplement with L-arginine. This is because the body can meet L-arginine demands through dietary consumption of protein sources like fish and nuts, body protein breakdown, and endogenous L-arginine production by the kidneys (8).
Research suggests that L-arginine supplements are generally safe for most people, even when taken in high doses for long periods. However, some people may experience side effects like stomach pain and diarrhea when taking more than 9 grams per day (1, 9).
These supplements contain only L-arginine and are best for people who may need to supplement in instances where L-arginine is in higher demand by the body, such as during pregnancy, injury, or illness.
Klaire Labs L-arginine-HCL is free from common allergens including milk/casein, eggs, fish, shellfish, tree nuts, peanuts, wheat, gluten, and soybeans. Additionally, it does not contain artificial colors, flavors, or preservatives.
This vegetarian and gluten-free L-arginine supplement provides 700 mg of L-arginine per capsule, plus 10 mg of vitamin C to support artery health. Vitamin C plays many important roles in the body, including protecting cells against oxidative damage (12).
NOW L-arginine powder is Informed Sport certified. This means that the product is independently tested for substances banned in sport by LGC, a globally recognized sports doping control and supplement testing lab.
For example, a 2019 study found that supplementing with a combination of 1.2 grams of L-arginine and 1.2 grams of L-citrulline for 6 days improved cycling performance and the perception of physical exertion in college-age male athletes compared with a placebo (13).
A 2020 study that included 120 older adults with ED found that those who were treated with a combination of 5 grams of L-arginine and 5 mg of tadalafil for 6 weeks experienced the greatest improvement in Sexual Health Inventory for Men (SHIM) questionnaire scores and the highest levels of testosterone when compared with groups that received L-arginine or tadalafil alone (16).
Research suggests that L-arginine supplements are generally safe for most people, even when taken in high doses of up to 30 grams per day for long periods of time. Most supplements contain only around 1-5 grams of L-arginine, so it would be difficult to take too much.
Some research suggests that L-arginine may help improve symptoms of ED when taken in specific doses. For example, a 2022 study in 98 men with ED found that a daily dose of 6 gram of L-arginine for 3 months significantly improved penile erectile function in patients with mild-moderate ED (17).
Arginaid Extra is an arginine-based ready to drink oral supplement with supplementary Vitamin C, E and Zinc designed to support the unique nutritional needs of people with chronic wounds (e.g pressure injury).
AAKG is an acronym for the compound arginine-alpha-ketoglutarate. AAKG is a natural substance that plays several essential roles in the body, including the creation of creatine, the formation of signalling molecules, and of most importance in sports nutrition, is an essential part of the nitric oxide cycle. AAKG is effectively a nitrate supplement. AAKG can increase energy levels and improve blood flow providing that great pump feeling.
Glutamic acid excitotoxicity model; poly-arginine peptide treatment before or during glutamic acid exposure. (A) Peptides present in neuronal cultures for 10 minutes only before glutamic acid exposure. (B) Peptides present in neuronal cultures only during the 5-minute glutamic acid exposure. (C) Peptides present in neuronal cultures for 10 minutes only at 1 to 5 hours before glutamic acid exposure. Neuronal viability measured 20 to 24 hours after glutamic acid exposure. Concentration of peptide in μmol/L. MTS data were expressed as percentage neuronal viability with no insult control taken as 100% viability (means.d.; n=4; *P
Our findings that the neuroprotective efficacy of arginine-rich peptides is attenuated by heparin is consistent with heparan sulfate receptor-mediated endocytic uptake being essential for neuroprotection. In support of this hypothesis, a non-arginine, non-endocytic CPP (kFGF) alone or when fused to the JNKI-1 peptide was shown to be ineffective at reducing neuronal intracellular calcium levels and neuronal cell death after glutamic acid exposure. Taken together, although other mechanisms cannot be ruled out, our findings indicate that peptide suppression of excitotoxic calcium influx is at least one mechanism underlying neuroprotection, which we have hypothesized occurs as a consequence of peptide-induced endocytic internalization of calcium ion channels and transporters. To this end, the neuroprotective peptide TAT-CBD3 has been shown to induce internalization of the NMDA NR2B subunit and the sodium calcium exchanger (NCX) proteins,17, 18 and the TAT-Src peptide internalization of NR2B.19 Although TAT-CBD3 blocks collapsing response mediator protein 2 (CRMP2) binding to the N-type voltage-gated calcium channel protein (CaV2.2), and TAT-Scr inhibits Src tyrosine protein kinase phosphorylating NR2B, it is also likely that the reduced surface expression of NR2B and NCX has occurred as a result of endocytosis during neuronal uptake of these TAT-fused peptides.
It is also probable that cationic charge provided by lysine residues within arginine-rich peptides contributes to endosomal-mediated peptide transduction and neuroprotective efficacy. Evidence suggests that cationic peptide charge provided by arginine and lysine residues facilitates electrostatic attraction with negatively charged cell surface heparan sulfate proteoglycans.22, 23, 24 Consequent peptide hydrophobic interactions with proteoglycans mediated predominantly by arginine residues facilitates heparan sulfate clustering and endocytosis.22, 23, 24 Other amino acids or the sequence of amino acids may decrease or increase peptide neuroprotective efficacy as demonstrated for peptides fused to TAT as shown in our earlier studies. For example TAT as opposed to PYC71-TAT, and PYC36-TATD as opposed to PYC36scrambled-TATD, decreased peptide efficacy,3 whereas TATD in contrast to AM8-TATD increased peptide efficacy.2 Interestingly, alanine (A) which is commonly used as an amino acid substitute to generate negative control peptides in neuroprotection studies, has been shown to significantly impede peptide-proteoglycan binding,24 whereas tryptophan (W) residues within basic peptides can also promote proteoglycan binding and endocytosis.25, 26
There is a growing body of evidence that arginine-rich peptides (R6;27 R4W2;28 TAT-NR2Bct;16 TAT-Src;19 TAT-CBD3;17, 18, 29 TAT-3.2-III-IV30) can interfere with cell surface ion channels and transporters (NMDAR;16, 17, 18, 19, 27 VR1;28 CaV2.2;17, 18, 29 NCX;17 CaV3.330), and most likely other plasma membrane receptors. We have hypothesized that this occurs during peptide endocytosis resulting in the internalization of cell surface structures. In this regard, TAT-Src19 and TAT-CBD318 peptide-induced internalization of NR2B, and TAT-CBD317-induced internalization of NCX have been directly demonstrated. Similarly, TAT, penetratin, and R9 have been shown to induce endocytosis of TNF receptors and/or the EGF receptor in HeLa cells.31 Furthermore, and as mentioned above, the TAT-NR2Bct peptide has been shown to attenuate neuronal intracellular calcium influx after NMDA exposure.16 In the setting of ischemia, reduced levels of cell surface ion channels would reduce the excitotoxic influx of calcium and other ions, and the associated downstream pathologic pathways (e.g., activation of calpain, JNK and nitric oxide synthase). In addition, peptide-induced endocytic internalization of non-ion channel receptors such as FasR, TNFR and AQP4 on neuronal and non-neuronal plasma membranes may also be beneficial after brain ischemia. Conversely, reduced levels of potentially neuroprotective receptors and transporters (e.g., Trk and EAAT) or prolonged suppression of ion channels (e.g., NMDA) may be detrimental. Importantly, about the later point, it appears that based on the in vitro neuroprotective findings, the effects of arginine-rich peptides can be relatively brief, indicating restoration of cell surface receptor activity. 59ce067264
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