Recent work has suggested a possible role for nitric oxide (NO) in the
development of hepatic encephalopathy (HE). In this study, we examine
d the effect of ammonia and manganese, factors implicated in the patho
genesis of HE, on the transport of arginine (a precursor of NO) into p
rimary cultures of astrocytes. Treatment with 5 mM ammonia for 1-4 day
s produced a maximal (53%) increase in L-arginine uptake at 3 days whe
n compared to untreated cells. Kinetic analysis following 4-day treatm
ent with 5 mM ammonia revealed an 82% increase in the V-max and a 61%
increase in the K-m value. similar analysis with 100 mu M manganese sh
owed a 101% increase in V-max and a 131% increase in the K-m value. Th
ese results suggest that both manganese and ammonia alter L-arginine u
ptake by modifying the transporter for arginine. A decrease of 32% in
the non-saturable component of L-arginine transport was also observed
following treatment with ammonia. When cultures were treated separatel
y with 5 mM ammonia and 100 mu M manganese for 2 days, the uptake of L
-arginine increased by 41% and 57%, respectively. Combined exposure le
d to no further increase in uptake. Our results suggest that ammonia a
nd manganese may contribute to the pathogenesis of HE by influencing a
rginine transport and thus possibly NO synthesis in astrocytes.