As it can be synthesized endogenously from L-citrulline, L-arginine is classified as a non-essential amino acid in adults. However, in children and in conditions of accelerated growth as seen following trauma or infection, L-arginine synthesis may become inadequate. Thus, L-arginine may be considered “semi-essential” in certain situations. In addition to occurring in the liver, much of the endogenous synthesis of L-arginine from L-citrulline takes place in the proximal tubule of the kidney during the formation of urea. L-Arginine, which constitutes approximately 5% of the amino acid content of the typical adult diet, is absorbed in the lower 2/3 of the small intestine along with other basic amino acids. Absorption involves uptake by the gastrointestinal enterocytes, where about 60% of the L-arginine is metabolized, and only 40% reaches the systemic circulation intact. Although some protein-containing foods may have slightly higher L-arginine contents than others, nutritionally there is little difference between most proteins with respect to this amino acid. Thus, as described in this article, the only way to effectively deliver more L-arginine to the individual would be to supplement with the amino acid itself. |