Arginase: A Multifaceted Enzyme Important in Health and Disease
Open accessAbstract
The arginase enzyme developed in early life forms and was maintained during evolution. As the last step in the urea cycle, arginase cleaves l-arginine to form urea and l-ornithine. The urea cycle provides protection against excess ammonia, while l-ornithine is needed for cell proliferation, collagen formation, and other physiological functions. In mammals, increases in arginase activity have been linked to dysfunction and pathologies of the cardiovascular system, kidney, and central nervous system and also to dysfunction of the immune system and cancer. Two important aspects of the excessive activity of arginase may be involved in diseases. First, overly active arginase can reduce the supply of l-arginine needed for the production of nitric oxide (NO) by NO synthase. Second, too much l-ornithine can lead to structural problems in the vasculature, neuronal toxicity, and abnormal growth of tumor cells. Seminal studies have demonstrated that increased formation of reactive oxygen species and key inflammatory mediators promote this pathological elevation of arginase activity. Here, we review the involvement of arginase in diseases affecting the cardiovascular, renal, and central nervous system and cancer and discuss the value of therapies targeting the elevated activity of arginase.
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Exacerbated arginase activity can decrease l-arginine levels and cause eNOS uncoupling.
“Exacerbated arginase activity can decrease l-arginine levels and cause eNOS uncoupling (91, 144, 667, 804, 1039).”
From Sources of Vascular Nitric Oxide and Reactive Oxygen Species and Their Regulation (2019) · cites this paper as [144]
Arginases play an important role in the regulation of l-arginine levels.
“Finally, it must be noted that arginases play an important role in the regulation of l-arginine levels (144, 259, 734, 804).”
From Sources of Vascular Nitric Oxide and Reactive Oxygen Species and Their Regulation (2019) · cites this paper as [144]
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- Authors
- Caldwell, R. W., Rodriguez, P. C., Toque, H. A., Narayanan, S. P., & Caldwell, R. B.
- Affiliations
- Augusta University (US)
- Department of Pharmacology & Toxicology, Vision Discovery Institute, Department of Medicine–Hematology and Oncology, Department of Occupational Therapy, School of Allied Health Sciences, and Vascular Biology Center, Medical College of Georgia, Augusta University, Augusta, Georgia; and VA Medical Center, Augusta, Georgia
- Venue
- Physiological Reviews
- Publisher
- American Physiological Society
- Published
- 2018-04-01
- Volume
- 98
- Issue
- 2
- Pages
- 641-665
- ISSN
- 0031-9333 (ISSN-L)
- 1522-1210
- PMC
- PMC5966718
- OpenAlex
- W2785791389
- Cited by
- 495
- References
- 257
- Citations by year
- 2026: 67 · 2025: 62 · 2024: 92 · 2023: 80 · 2022: 64 · 2021: 56 · 2020: 43 · 2019: 23 · 2018: 8
- FWCI
- 3.19
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Physiological Reviews (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- HHS | NIH | National Heart, Lung, and Blood Institute (NHBLI) (RO1HL070215 rwc)
- HHS | NIH | National Eye Institute (NEI) (RO1EY011766 MPI RBC & RWC)
- American Heart Association (AHA) (13SDG174100007, 11SDG7440088)
- HHS | NIH | National Cancer Institute (NCI) (RO1CA18485)
- U.S. Department of Veterans Affairs (VA) (I01BX003221)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Amino Acid Enzymes and Metabolism
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Polyamine Metabolism and Applications
- Keywords
- arginase, urea cycle, L-arginine, L-ornithine, nitric oxide, nitric oxide synthase, reactive oxygen species, inflammation, cardiovascular disease, kidney disease, central nervous system disorders, cancer, arginase inhibitors, ammonia detoxification
- MeSH terms
- Animals, Arginase, Arginine, Endothelium, Vascular, Humans, Nitric Oxide, Urea, Reactive Oxygen Species
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