2021
DOI: 10.3389/fphar.2021.627503
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Arginine Therapy for Lung Diseases

Abstract: Nitric oxide (NO) is produced by a family of isoenzymes, nitric oxide synthases (NOSs), which all utilize L-arginine as substrate. The production of NO in the lung and airways can play a number of roles during lung development, regulates airway and vascular smooth muscle tone, and is involved in inflammatory processes and host defense. Altered L-arginine/NO homeostasis, due to the accumulation of endogenous NOS inhibitors and competition for substrate with the arginase enzymes, has been found to play a role in… Show more

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Cited by 43 publications
(28 citation statements)
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References 94 publications
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“…In an animal model, arginase inhibition shifted the ornithine-citrulline ratio toward citrulline and prevented neutrophilia, mucus hypersecretion, airway fibrosis, and pulmonary hypertension. Increasing the availability of substrate for NOS by arginase inhibition or supplementation with L-arginine, L-citrulline or a combination thereof can also be applied to human COPD [71].…”
Section: Citrulline-arginine and Arginine-ornithine Pathwaysmentioning
confidence: 99%
“…In an animal model, arginase inhibition shifted the ornithine-citrulline ratio toward citrulline and prevented neutrophilia, mucus hypersecretion, airway fibrosis, and pulmonary hypertension. Increasing the availability of substrate for NOS by arginase inhibition or supplementation with L-arginine, L-citrulline or a combination thereof can also be applied to human COPD [71].…”
Section: Citrulline-arginine and Arginine-ornithine Pathwaysmentioning
confidence: 99%
“…Supplemental citrulline may aid NO synthesis, which work in various ways to oppose pathogenic mechanisms in asthma [18]. Observational studies also noted that the biosynthesis of endogenous L-arginine from L-citrulline is disturbed in asthma patients [19]. Although there is emerging evidence about the protective functions of L-citrulline during asthma, few clinical studies have evaluated the comprehensive metabolic profile and associated pathways in young chronic persistent asthma adults.…”
Section: Discussionmentioning
confidence: 99%
“…The particularly significant role of L-arginine in bronchial asthma lies in its involvement in biosynthesis of polyamines and NO [20], which is produced by a family of isoenzymes and all utilize L-arginine as substrate [19]. Thus, decreased level of L-citrulline and L-arginine may lead to airway hyper responsiveness, inflammation, and airway remodeling in the development of asthma.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…Previous studies provided clues that L-citrulline metabolism contributed to pathogenesis of asthma in children [16]. Observational studies also noted that the biosynthesis of endogenous L-arginine from Lcitrulline is disturbed in asthma patients [17]. Although there is emerging evidence about the protective functions of L-citrulline during asthma, few clinical studies have evaluated the comprehensive metabolic pro le and associated pathways in young chronic persistent asthma adults.…”
Section: Discussionmentioning
confidence: 99%