Nitric oxide (NO) production may depend on the uptake of L-arginine (L-arg), the substrate for NO synthase in inflammatory lung diseases. The cellular transport of L-arg occurs via the cationic amino acid transporters (CAT), and L-lysine (L-lys) competitively inhibits CAT. Neonatal pigs were treated with lipopolysaccharide (LPS) or vehicle for 4 h. LPS increased exhaled NO (exNO; 0.026 Ϯ 0.003 to 0.046 Ϯ 0.003 nmol · kg
Ϫ1
· minϪ1 ; p Ͻ 0.005) and decreased mean systemic arterial blood pressure (89 Ϯ 4 to 67 Ϯ 4 mm Hg; p Ͻ 0.05), whereas vehicle did not affect exNO or mean systemic arterial blood pressure. The lungs were then isolated and perfused; exNO was greater in lungs from LPS-treated animals (0.08 Ϯ 0.01 nmol/kg/min) than in lungs from vehicle-treated animals (0.05 Ϯ 0.01 nmol · kg Increased nitric oxide (NO) production is associated with diseases characterized by an inflammatory response, for example, acute respiratory distress syndrome and septic shock (1-4). Activation of inflammatory cells during infection causes the release of cytokines such as tumor necrosis factor-␣ (TNF-␣), IL-1, and interferon-␥, and these cytokines have been found to increase NO synthase (NOS) expression, resulting in increased NO production (5-7). The inflammation-induced increase in NO production potentiates vascular complications and participates in the pathogenesis of lung injury (1, 2, 4).NO is produced by the oxidation of L-arginine (L-arg) to L-citrulline and NO, which is catalyzed by NOS. There are three well-characterized isoforms of NOS: endothelial NOS (eNOS), neuronal NOS (nNOS), and inducible NOS (iNOS). eNOS and nNOS are for the most part constitutively expressed, and iNOS expression is largely induced by various stimuli, Received October 8, 2003; accepted February 5, 2004