Hallemeesch, Marcella M., Peter B. Soeters, and Nicolaas E. P. Deutz. Renal arginine and protein synthesis are increased during early endotoxemia in mice. Am J Physiol Renal Physiol 282: F316-F323, 2002. First published August 21, 2001 10.1152/ajprenal.00039.2001The kidney has an important function in arginine metabolism, because the kidney is the main endogenous source for de novo arginine production from circulating citrulline. In conditions such as sepsis, nitric oxide (NO) production is increased and is dependent on extracellular arginine availability. To elucidate the adaptive role of renal de novo arginine synthesis in a condition of increased NO production, we studied renal arginine metabolism in a mouse model of endotoxemia. Because arginine flux is largely dependent on protein flux, we also measured protein metabolism in mice. Female mice were injected intraperitoneally with lipopolysaccharide; control mice received 0.9% NaCl. Six hours later, renal blood flow was measured with the use of para-aminohippuric acid. Arginine and protein metabolism were studied using organbalance, stable-isotope techniques. Systemic NO production was increased in the endotoxin-treated mice. In addition, renal protein synthesis and de novo arginine production from citrulline were increased. However, no effect on renal NO production was observed. In conclusion, increased renal de novo arginine production may serve to sustain systemic NO production. To our knowledge, it was shown for the first time that renal protein synthesis is enhanced in the early response to endotoxemia. citrulline; kidney; lipopolysaccharide; nitric oxide THE AMINO ACID ARGININE HAS an important role in cellular regeneration, immune function, and protein breakdown and synthesis (7,39). Arginine also is the precursor of urea, agmatine, and nitric oxide (NO). In past years, many studies have been undertaken that aimed at increasing or decreasing NO production, either by supplementation of arginine or NO donors (6,25,26) or by the administration of nitric oxide synthase (NOS) inhibitors or arginase (5, 15,33). In general, the effects of these treatments were conflicting and confusing. More detailed information on local arginine metabolism and NO production may be helpful for an understanding of the effects of arginine supplementation or NOS inhibition.The kidney has an important function in arginine metabolism, because the kidney is the main endogenous source for de novo arginine production (37). Arginine production involves collaboration between the gut and the kidney. Citrulline is produced from glutamine and arginine in the gut and then released into the circulation. The liver does not consume citrulline, which leaves it available for the kidney. In the kidney, citrulline is used for the production of arginine, which, in turn, is released into the circulation (37). The importance of this pathway is illustrated by the fact that arginine becomes an essential amino acid when intestinal citrulline synthesis is inhibited (34).During sepsis and experimental ...