The crystal structure of the complex between the binuclear manganese metall
oenzyme arginase and the boronic acid analog of L-arginine, 2(S)-amino-6-bo
ronohexanoic acid (ABH), has been determined at 1.7 Angstrom resolution fro
m a crystal perfectly twinned by hemihedry, ABH binds as the tetrahedral bo
ronate anion, with one hydroxyl oxygen symmetrically bridging the binuclear
manganese duster and a second hydroxyl oxygen coordinating to Mn-A(2+). Th
is binding mode mimics the transition state of a metal-activated hydroxide
mechanism. This transition state structure differs from that occurring in N
O biosynthesis, thereby explaining why ABH does not inhibit NO synthase. We
also show that arginase activity is present in the penis. Accordingly, the
tight binding and specificity of ABH allows us to probe the physiological
role of arginase in modulating the NO-dependent smooth muscle relaxation re
quired for erection, Strikingly, ABH causes significant enhancement of nona
drenergic, noncholinergic nerve-mediated relaxation of penile corpus cavern
osum smooth muscle, suggesting that arginase inhibition sustains L-arginine
concentrations for NO synthase activity. Therefore, human penile arginase
is a potential target for therapeutic intervention in the treatment of erec
tile dysfunction.