What is ADMA/SDMA Ratio?
The ADMA/SDMA ratio reflects the balance between nitric oxide synthase inhibition (ADMA) and renal clearance capacity (SDMA). Because both dimethylarginines are produced via similar methylation and proteolysis pathways but cleared by different routes — ADMA mainly enzymatic, SDMA mainly renal — a rising ratio may signal disproportionate ADMA accumulation relative to renal function, suggesting enzymatic dysregulation or oxidative stress.