The aberrant production of nitric oxide (NO) contributes to the pathogenesis of diseases as diverse as cancer and arthritis. Sustained NO production via the inducible enzyme, nitric-oxide synthase 2 (NOS2), requires extracellular arginine uptake. Three closely related cationic amino acid transporter genes (Cat1-3) encode the transporters that mediate most arginine uptake in mammalian cells. Because CAT2 is induced coordinately with NOS2 in numerous cell types, we investigated a possible role for CAT2-mediated arginine transport in regulating NO production. The complexity of arginine transport systems and their biochemically similar transport properties called for a genetic approach to determine the role of CAT2. CAT2-deficient mice were generated and found to be healthy and fertile in contrast to Cat1
animals. Analysis of cytokine-activated macrophages from Cat2؊/؊ mice revealed a 92% reduction in NO production and a 95% reduction in L-Arg uptake. The reduction in NO production was not due to differences in NOS2 protein expression, NOS2 activity, or intracellular L-arginine content. In conclusion, our results show that sustained abundant NO synthesis by macrophages requires arginine transport via the CAT2 transporter.The production and release of nitric oxide (NO) 1 are involved in numerous cellular processes. Overproduction of NO by inflammatory cells is implicated in the pathogenesis of diseases as diverse as cancer, endotoxic shock, atherosclerosis, and arthritis (1-7). NO is synthesized from arginine by three related enzymes. Two of these enzymes, the Ca 2ϩ -dependent neuronal nitric-oxide synthase and endothelial NOS, generate small amounts of NO over short periods of time (7). The Ca 2ϩ -independent inducible NOS (NOS2) produces large amounts of NO over sustained periods of time (1, 2). Activated macrophages produce copious quantities of NO via NOS2 over extended periods of time that contribute to tissue injury (2). Extracellular L-arginine is not required for endothelial NO synthasemediated NO production in human endothelial cells (8). In contrast, extracellular arginine is required for sustained NO production via NOS2 in macrophages (8,9). In addition, increased arginine transport is known to accompany NO production via NOS2 (1, 2, 9, 10).Among the several transport systems that mediate L-arginine uptake (y ϩ , B 0ϩ