Biochemical responses of healthy subjects during dietary supplementation with L-arginine

J Nutr Biochem. 2004 Sep;15(9):534-9. doi: 10.1016/j.jnutbio.2004.03.005.

Abstract

Dietary supplements of L-arginine, a substrate for nitric oxide synthases, may promote formation of nitric oxide and thus may be of clinical benefit. However, the optimal level of L-arginine supplementation is unclear. The objective of this study was to evaluate the response of healthy individuals to increasing doses of L-arginine (as free acid). Twelve healthy subjects were recruited and instructed to take L-arginine for 1-week periods at daily doses of 3, 9, 21, and 30 g. At baseline and at the end of each week, 24-hour urine and fasting blood samples were collected, and weight, diastolic blood pressure, and systolic blood pressure were recorded. Samples were analyzed for L-arginine, L-citrulline, glycine, L-lysine, L-ornithine, asymmetric dimethy L-arginine, symmetric dimethy L-arginine, glucose, insulin (serum), creatinine, cGMP (urine), and total nitrates (serum and urine). Ten subjects reported adverse side effects at initial L-arginine doses of 21 g/day (five subjects) or 30 g/day (five subjects), respectively. Blood pressure and weight did not change during the supplementation period. Of the individual biochemical measures, only L-arginine, glycine, and L-ornithine concentrations changed significantly. The mean concentration of L-arginine reached a peak during supplementation at 9 g/d; however, individuals differed markedly in their response. Availability of L-arginine, relative to that of asymmetric dimethy L-arginine, increased significantly at both 9 g/day and 21 g/day. Mean values indicate that supplementation with 9 g/day of L-arginine, a dose associated with minimal adverse side effects, is sufficient to increase circulating L-arginine concentrations. However, subjects varied widely in their responses, indicating that L-arginine supplementation needs to be tailored to individuals.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Arginine / adverse effects
  • Arginine / analogs & derivatives*
  • Arginine / blood
  • Arginine / pharmacology*
  • Biological Availability
  • Blood / drug effects
  • Blood / metabolism*
  • Blood Glucose / analysis
  • Citrulline / blood
  • Cyclic GMP / blood
  • Dietary Supplements*
  • Dose-Response Relationship, Drug
  • Female
  • Glycine / blood
  • Humans
  • Insulin / blood
  • Lysine / blood
  • Male
  • Ornithine / blood

Substances

  • Blood Glucose
  • Insulin
  • dimethylarginine
  • Citrulline
  • Arginine
  • Ornithine
  • Cyclic GMP
  • Lysine
  • Glycine