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1 Internal Medicine, University of South Dakota, Sioux Falls, United States
2 UCSD School of Medicine, Division of Nephrology and Hypertension, San Diego, California, United States; Veterans Medical Research Foundation, San Diego, California, United States; Veterans Administration Healthcare System, San Diego, California, United States
* To whom correspondence should be addressed. E-mail: mlortie{at}ucsd.edu.
We have previously shown in rats that lippopolysaccharide (LPS) causes both decreased renal perfusion and kidney arginine production prior to nitric oxide (NO) synthesis, resulting in a >30% reduction in plasma arginine. To clarify the early phase effects of LPS we asked two questions 1- Is the rapid change in renal arginine production following LPS simply the result of decreased substrate (i.e. citrulline) delivery to the kidney or due to impaired uptake and conversion? and 2- Is the systemic production of NO limited by plasma arginine availability following LPS? Arterial and renal vein plasma was sampled at 30 min intervals from anesthetized rats +/- citrulline or arginine (2 µmol/min/kg, i.v.), a dose with no effect on MAP, renal function or NO production. Exogenous citrulline was quickly converted to arginine by the kidney resulting in plasma levels similar to equimolar arginine infusion. Also, the increase in citrulline uptake resulted primarily from increased filtered load and reabsorption. In a separate series, citrulline was infused after LPS administration, verifying that citrulline uptake and conversion persists during impaired kidney function. Lastly, in rats given LPS, the elevation of plasma arginine had no discernable impact on MAP, kidney function or systemic NO production. This work demonstrates how arginine synthesis is normally "substrate limited" and explains how impaired kidney perfusion quickly results in decreased plasma arginine. However, contrary to in vitro studies, the significant reduction in extracellular arginine during the early phase response to LPS in vivo is not functionally rate limiting for NO production.
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