L-Arginine is the physiological substrate of nitric oxide, a vasodilat
or that controls blood pressure and renal hemodynamics in the basal st
ate. In the present studies, we produced chronic nitric oxide blockade
by oral administration of the L-arginine analogue N-G-ni tro-L-argini
ne methyl ester, which produced sustained hypertension and increased r
enal vascular resistance in conscious rats. Acute excess L-arginine ha
d little effect on blood pressure but completely normalized renal vasc
ular resistance and increased renal plasma flow in chronically nitric
oxide-blocked hypertensive rats. In contrast to L-arginine, D-arginine
had no renal hemodynamic effects in either normal or chronically nitr
ic oxide-blocked rats. Acutely administered glycine was ineffective in
vasodilating the chronically nitric oxide-blocked rat kidney, in a do
se that produced renal vasodilation in normal rats. These findings ind
icate the following: (1) Hypertension induced by chronic nitric oxide
blockade due to substituted L-arginine analogue cannot be acutely reve
rsed with excess L-arginine, suggesting that the maintenance of the hy
pertension is not solely caused by competitive inhibition of nitric ox
ide production; (2) in contrast, the kidney remains responsive to L-ar
ginine whereas the renal vasodilator response to glycine is abolished
in this model of hypertension.