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Review
. 2020 Aug 6;8(8):277.
doi: 10.3390/biomedicines8080277.

Arginine and Endothelial Function

Affiliations
Review

Arginine and Endothelial Function

Jessica Gambardella et al. Biomedicines. .

Abstract

Arginine (L-arginine), is an amino acid involved in a number of biological processes, including the biosynthesis of proteins, host immune response, urea cycle, and nitric oxide production. In this systematic review, we focus on the functional role of arginine in the regulation of endothelial function and vascular tone. Both clinical and preclinical studies are examined, analyzing the effects of arginine supplementation in hypertension, ischemic heart disease, aging, peripheral artery disease, and diabetes mellitus.

Keywords: ADMA; BH4; COVID-19; L-arginine; NADPH; arginine; arginine paradox; blood pressure; dietary supplements; eNOS uncoupling; endothelial dysfunction; endothelium; heart failure; hypertension; myocardial infarction; nitric oxide; oxidative stress; peripheral artery disease.

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Conflict of interest statement

The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the paper.

Figures

Figure 1
Figure 1
Functional role of arginine in the synthesis of nitric oxide (NO). NADPH: nicotinamide adenine dinucleotide phosphate; eNOS: endothelial NO synthase.
Figure 2
Figure 2
Functional role of arginine in endothelial (dys)function. ADMA: asymmetric dimethylarginine; Arg: arginine; BH2: 7,8-dihydrobiopterin; BH4: tetrahydrobiopterin; CAT: cationic amino acid transporter; Citr: citrulline; NADPH: nicotinamide adenine dinucleotide phosphate; NO: nitric oxide; NOS: NO synthase.

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