What is the eNOS (Endothelial Nitric Oxide Synthase) gene T786C mutation
When someone has a mutation in their eNOS gene it means that their body doesn’t produce an amino acid called L-Arginine (also refered to as Arginaid). Arginine is important because it leads to the formation of Nitric Oxide in the body.
Nitric Oxide widens blood vessels and increases blood flow within the body.
If you have the eNOS mutation your body doesn’t manufacture enough Arginine, therefore, it doesn’t produce Nitric Oxide which leads to vascular problems, i.e. clotting.
Considering that Osteonecrosis (Avascular Necrosis) is caused by a lack of blood supply to the bone, it is imperative that ON (AVN) sufferers be tested for the eNOS T786C gene mutation.
Most people with the T786C mutation are instructed to take Arginine, in powder form, under the guidance of a medical professional.
More in-depth explanation of the eNOS mutation
Nitric Oxide is a free radical gas made in the endothelial cells from the amino acid, L-Arginine, by Nitric Oxide Synthase (eNOS). Nitric Oxide Synthases are a family of enzymes; biological molecules that make chemical reactions happen.
Nitric Oxide plays a major role in vasodilatation. Nitric Oxide widens the blood vessels, and maintains vascular tone in the body.
If there is the presence of the T786C mutation in the eNOS gene there is decreased synthesization of Nitric Oxide. This decreased synthesization leads to vascular problems including: coronary spasm and thrombophilia.
The human body usually manufactures Arginine, in the case of people with the eNOS mutation their bodies do not sufficiently produce enough Arginine, therefore, their bodies cannot support Nitric Oxide Synthesization
How to get tested for the eNOS mutation
The eNOS blood test can not be performed at a LabCorp, LabOne or Quest Diagnostics and is not covered by insurance. The test costs $230. If you want to have your blood tested for the eNOS mutation you need to send your blood to Molecular Diagnostics Laboratory. The directions below might seem complicated and overwhelming, but it really isn’t any trouble to do if you can afford to have the test performed.
My doctor’s office was very happy to take my blood for me and let me leave their offices with a vial of my blood. I know it sounds strange, but here are the directions:
- Have you GP’s office draw a EDTA (purple top) tube with a minimum volume of 2 mls of your blood.
- Along with this form eNOS Test Request Form overnight your blood via UPS, DHL, Federal Express, so it arrives at the Molecular Diagnostics Laboratory by 10am the next morning.
- Mail the blood along with the completed Test Request Form to:
632 Russell Street
Covington KY 41011
- If you have any questions regarding the specimen collection
call Molecular Diagnostics Laboratory at 513.437.3000 Extension 306