“…This phenomenon, which is crucially involved in the deregulation of innate immune responses, was described as the "L-arginine paradox." It refers to the dependence of cellular NO production on extracellular L-arginine concentration, despite the theoretical saturation of NOS enzymes with intracellular L-arginine, which can be endogenously synthesized in macrophages (Boger et al, 2004;Lee et al, 2003;Nicholson et al, 2001;Pekarova et al, 2011;Pekarova et al, 2013b;Wu and Brosnan, 1992). It was demonstrated that L-arginine deficiency transiently reduces not only the production of NO by iNOS due to the lack of substrate for the enzyme but also the synthesis and, to a lesser degree, the stability of iNOS in macrophages and other cell types (El-Gayar et al, 2003;Jousee et al, 2004;Kagemann et al, 2007, Lee et al, 2003.…”