The anabolic effect of arginine on proteins in skin wound and muscle is independent of nitric oxide production

Background & aims: L-Arginine may play a role in regulation of protein metabolism. The aim of the present study was to investigate the effect of L-arginine supplementation on protein metabolism in skin wound and muscle in anesthetized rabbits. Methods: L-[ring-C-13(6)]Phenylalanine was infused as a tracer on day 7 after ear injury, and the scalded ear and uninjured hindlimb were used as arteriovenous units to reflect protein kinetics in these two tissues. In study 1, an amino acid mixture (10% Travasol) was infused either atone at 1.5 ml/kg per h or at 0.75 ml/kg per h with supplemental L-arginine to deliver comparable amount of amino acid nitrogen. In study 2, N-omega-nitro-L-arginine methyl ester was infused to inhibit nitric oxide synthase during the stable isotope infusion. Results: In study 1, arginine supplementation increased (p < 0.05) net protein balance in skin wound and muscle from -6.7 +/- 6.2 to -0.8 +/- 3.8 and from -4.4 +/- 2.4 to -1.9 +/- 1.5 mu mol phenylalanine/100 g per h, respectively, indicating an anabolic effect. In study 2, the N-omega-nitro-L-arginine methyl ester infusion markedly reduced the blood flow rate in the scalded ear and increased (p < 0.05) net protein balance in skin wound and in muscle from -8.6 +/- 3.4 to -1.0 +/- 5.7 and from -3.9 +/- 1.3 to -2.2 +/- 0.5 mu mol phenylalanine/100 g per h, respectively. Conclusions: Arginine supplementation increased net protein balance in skin wound and muscle by a mechanism which was independent of nitric oxide production. (C) 2008 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.