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Endogenous nitric oxide synthase (eNOS) inhibitor asymmetric dimethylarginine (ADMA) is a cardiovascular risk factor. We tested the hypothesis that L-citrulline may ameliorate the endothelial function altered by ADMA in porcine coronary artery (PCA). Myograph study for vasorelaxation, electrochemical measurement for NO, RT-PCR, and Western blot analysis for expression of eNOS, argininosuccinate synthetase (ASS), and p-eNOS ser1177  were performed. cGMP was determined by enzyme immunoassay. Superoxide anion (O 2 . − ) production was detected by the lucigenin-enhanced chemiluminescence method. Compare with controls (96.03%  ±  6.2%), the maximal relaxation induced by bradykinin was significantly attenuated (61.55%  ±  4.8%,  p   <  0.01), and significantly restored by L-citrulline (82.67  ±  6.4%,  p   <  0.05) after 24 hours of ADMA exposure. Expression of eNOS, p-eNOS ser1177 , and ASS in PCA significantly increased after L-citrulline incubation. L-citrulline also markedly restored the NO production, and cGMP level which was reduced by ADMA. The increased O 2 . −  production by ADMA was also inhibited by L-citrulline. L-citrulline restores the endothelial function in preparations treated with ADMA by preservation of NO production and suppression of O 2 . −  generation. Preservation of NO is attributed to the upregulation of eNOS expression along with activation of p-eNOS ser1177 . L-citrulline improves endothelium-dependent vasodilation through NO/ cGMP pathway.

L-citrulline for protection of endothelial function from ADMA–induced injury in porcine coronary artery