- Research article
- Open Access
Inhibition of S6K1 accounts partially for the anti-inflammatory effects of the arginase inhibitor L-norvaline
BMC Cardiovascular Disorders volume 9, Article number: 12 (2009)
Pharmacological inhibition of endothelial arginase-II has been shown to improve endothelial nitric oxide synthase (eNOS) function and reduce atherogenesis in animal models. We investigated whether the endothelial arginase II is involved in inflammatory responses in endothelial cells.
Human endothelial cells were isolated from umbilical veins and stimulated with TNFα (10 ng/ml) for 4 hours. Endothelial expression of the inflammatory molecules i.e. vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule-1 (ICAM-1), and E-selectin were assessed by immunoblotting.
The induction of the expression of endothelial VCAM-1, ICAM-1 and E-selectin by TNFα was concentration-dependently reduced by incubation of the endothelial cells with the arginase inhibitor L-norvaline. However, inhibition of arginase by another arginase inhibitor S-(2-boronoethyl)-L-cysteine (BEC) had no effects. To confirm the role of arginase-II (the prominent isoform expressed in HUVECs) in the inflammatory responses, adenoviral mediated siRNA silencing of arginase-II knocked down the arginase II protein level, but did not inhibit the up-regulation of the adhesion molecules. Moreover, the inhibitory effect of L-norvaline was not reversed by the NOS inhibitor L-NAME and L-norvaline did not interfere with TNFα-induced activation of NF-κB, JNK, p38mapk, while it inhibited p70s6k (S6K1) activity. Silencing S6K1 prevented up-regulation of E-selectin, but not that of VCAM-1 or ICAM-1 induced by TNFα.
The arginase inhibitor L-norvaline exhibits anti-inflammatory effects independently of inhibition of arginase in human endothelial cells. The anti-inflammatory properties of L-norvaline are partially attributable to its ability to inhibit S6K1.
The vessel wall inflammation constitutes a major factor in atherogenesis [1, 2]. The initial step of atherosclerosis is inflammatory cell invasion into the intima upon the onset of inflammation. This process is predominantly mediated by the interaction of complementary cellular adhesion molecules on the endothelium and the inflammatory cells. The endothelial adhesion molecules, including vascular cell adhesion molecule-1 (VCAM-1), intercellular adhesion molecule-1 (ICAM-1) and E-selectin, are expressed on the vascular endothelium when the endothelial cells (ECs) undergo inflammatory activation in response to cytokines such as TNFα . E-selectin is involved in the rolling and tethering of leukocytes on the vascular wall, whereas VCAM-1 and ICAM-1 induce firm adhesion of inflammatory cells at the vascular surface . Several lines of evidence support a crucial role of endothelial adhesion molecules in the development of atherosclerosis and plaque instability. Expression of VCAM-1, ICAM-1 and E-selectin has been observed in ECs of human atherosclerotic lesions [4, 5]. Moreover, mice genetically deficient in any of these endothelial adhesion molecules have reduced atherosclerotic lesion formation in atherosclerosis-prone ApoE-/- or LDLR-/- mice [6–10].
The endothelium-derived nitric oxide (NO), an important vasoprotective factor, is produced from the substrate L-arginine by endothelial NO synthase (eNOS) . In addition to the functions in regulation of vascular tone and inhibition of platelet aggregation , NO has also been shown to inhibit leukocyte adhesion to the endothelium [13, 14], which might be partially attributable to the inhibition of endothelial VCAM-1 and ICAM-1 expression [15, 16]. Recent research work provides accumulating evidence for the involvement of arginase in decreased endothelial NO production through competition with eNOS for the substrate L-arginine . There is increasing number of studies showing that enhanced arginase gene expression and/or activity contribute to endothelial dysfunction in various cardiovascular disorders including atherosclerosis [18, 19]. Most recently, it was reported that in vivo pharmacological treatment of ApoE-/- mice with arginase inhibitors improves endothelium-dependent relaxations and reduces atherosclerotic plaque lesion formation , implicating the potential role of endothelial arginase in pathogenesis of vascular diseases. It has however, not been confirmed whether the beneficial effects of arginase inhibitors are indeed attributable to the inhibition of arginase, in another word, whether the endothelial arginase is indeed involved in inflammatory responses. In the present study, we elucidated the pharmacological effects of arginase inhibitors on endothelial inflammations and the role of arginase in endothelial inflammation was then clarified by small interfering RNA (siRNA)-based specific knocking down of the enzyme in the cells.
Reagents were purchased from the following sources: recombinant human TNFα was purchased from Brunschwig (Basel, Switzerland); S-12-bromoethyl-L-cystine-HCl (BEC) was from Calbiochem; L-norvaline and anti-tubulin monoclonal antibody were from Sigma (Buchs, Switzerland). Both BEC and L-norvaline are dissolved in distilled water and further diluted in culture medium. Anti-VCAM-1, -ICAM-1 and -E-selectin antibodies were from Santa Cruz (Nunningen, Switzerland); anti-IκB, -phospho-IκB-S32, -phospho-c-jun-S63, -phospho-CREB-S133, and -phospho-S6-S235/236 were from Cell Signaling (Allschwil, Switzerland); rabbit anti-S6K1 was from Dr. G. Thomas (Genome Research Institute, University of Cincinnati, USA) ; Endothelial cell growth supplement (ECGS) pack was from Promocell GmbH (Allschwil, Switzerland); all of the cell culture medium and materials were purchased from Gibco BRL (Basel, Switzerland).
Cultivation of human umbilical vein endothelial cells (HUVECs)
Endothelial cells were isolated from human umbilical veins and cultivated as described . Cells of 1st to 4th passages were used.
Generation of recombinant adenoviral (rAd) expressing short hairpin RNA (shRNA)
Generation of recombinant adenovirus expressing shRNA targeting human arginase II (ARG II) or p70s6k (S6K1)  driven by the U6 promoter (rAd/U6-ARGIIshRNA or -S6K1shRNA, respectively) was carried out with the Gateway Technology (Invitrogen life Technologies). The sequence below (only the sense strand is shown) was first cloned into the Gateway pENTR/U6 Vector. A LR recombination reaction between the entry clone pENTR/U6-ARGIIshRNA or -S6K1shRNA and a Gateway destination vector pAd/BLOCK-iT-DEST was then performed to obtain a recombinant adenoviral expression clone pAd/U6-ARGIIshRNA or -S6K1shRNA, respectively. The resultant recombinant virusmids were digested with PacI and transfected into E1-complementing packaging cells (HER911) to generate recombinant adenoviruses. The primary crude lysates of the recombinant adenoviruses were prepared as viral stocks and used to infect HER911 cells to scale up the viral preparation. The viral titer was determined by plaque assay. The control recombinant adenoviruses expressing shRNA targeting LacZ was from Invitrogen life Technologies. In boldface are the targeting DNA sequences.
Arginase II targeting sequence:
S6K1 targeting sequence: CACCGGACATGGCAGGAGTGTTTGACGAATCAAACACTCCTGCCATGTCC.
Adenoviral transduction of HUVEC
HUVEC were seeded at a density of 2 × 105/6 cm dish in complete RPMI-1640 supplemented with 5% FCS and ECGS. Two days later, cells were transduced with the recombinant adenovirus at titers of 100 MOI and cultured in complete medium for 3–4 days. The cells were then serum-starved in 0.2% FCS RPMI-1640 for 24 hours before treatment and extraction on days 4 of post-transduction (4 d p.t).
Expression of the adhesion molecules VCAM-1, ICAM-1, E-selectin
Cell lysate preparation, SDS-PAGE, transfer of SDS gels to an Immobilon-P membrane (Millipore) were performed as previously described . The resultant membrane was first incubated with the corresponding primary antibody at room temperature for 2 – 3 hours with gentle agitation after blocking with 5% skimmed milk. The blot was then further incubated with a corresponding anti-mouse (Alexa fluor 680 conjugated) or anti-rabbit (IRDye 800 conjugated) secondary antibodies and the signals were visualized using Odyssey Infrared Imaging System (LI-COR Biosciences). Quantification of the signals was performed using the Odyssey Application Software 1.2.
Activation of NF-κB, JNK, p38mapk, and S6K1
Activation of NF-κB, JNK, p38mapk and S6K1 pathways was assessed by immunoblotting of phospho-IκB-S32/total IκB, phospho-c-jun-S63, phospho-CREB-S133, and phospho-S6-S235/236, respectively.
Data are given as mean ± SEM (standard error of mean). In all experiments, n equals the number of individual experiments. The ANOVA with Bonferroni's post-test was used for statistical analysis. Differences in mean values were considered statistically significant at p < 0.05.
L-norvaline inhibits TNFα-induced endothelial inflammation
Stimulation of the endothelial cells with TNFα (10 ng/ml) for 4 hours strongly enhanced the expression of the examined inflammatory adhesion molecules, i.e. VCAM-1, ICAM-1, E-selectin as assessed by immunoblotting analysis (Fig. 1, lane 2, n = 5). This effect of TNFα was concentration-dependently prevented by pre-incubation of the cells with the arginase inhibitor L-norvaline (1 to 40 mmol/L) (Fig. 1, lanes 3–6, n = 5, ***p < 0.001, **p < 0.01, *p < 0.05 vs. TNFα alone).
L-norvaline inhibits endothelial inflammation independently of NOS activity
To examine whether the inhibitory effects of L-norvaline on expression of VCAM-1, ICAM-1, E-selectin are through increased NOS activity, the endothelial cells were pre-incubated with L-NAME (0.1 mmol/L) for 1 hour (to inhibit NOS activity in the cells ) before treatment with L-norvaline (20 mmol/L) followed by stimulation with TNFα for 4 hours. As shown in Fig. 2, L-NAME did not reverse the effects of L-norvaline (Fig. 2, compare lane 8 vs. lane 4), although L-NAME significantly augmented the TNFα-induced effect on the VCAM-1 and ICAM-1 expression (Fig. 2, lane 6 vs. lane 2, n = 5, ***p < 0.001, **p < 0.01 vs. TNFα alone).
L-norvaline inhibits endothelial inflammation independently of arginase
Next we investigated whether the anti-inflammatory effects of L-norvaline are dependent on arginase activity. For this purpose, the endothelial cells were either pre-treated with another arginase inhibitor BEC (Fig. 3) or transduced with recombinant adenovirus expressing shRNA targeting arginase-II (Fig. 4), the principle arginase isoform in HUVECs . Our experiments showed that BEC at the concentration of 200 μmol/L exerted inhibitory effects on arginase activity (51.9 ± 7.0% inhibition) which was comparable to that of 20 mmol/L L-norvaline (52.4 ± 3.9% inhibition, n = 4). However, in contrast to L-norvaline, BEC was unable to affect TNFα-induced expression of any of the inflammatory molecules (Fig. 3, n = 5). Similarly, knocking down arginase-II by the two different shRNAs i.e. shRNA-ARG IIa and c (shRNA-ARG IIb had no effect and served as a 2nd control in addition to shRNA-LacZ) also had no effects (Fig. 4, lanes 6 and 8 vs. lanes 5 and 7, n = 5).
L-norvaline inhibits S6K1
Given the above observations, we then tested whether the anti-inflammatory effects of L-norvaline are attributable to its ability to interfere with signaling pathway(s) involved in expression of the inflammatory molecules. Upon stimulation with TNFα (10 ng/ml, 15 minutes), NF-κB, JNK, p38mapk and S6K1 pathways were activated, as monitored by phosphorylation and degradation of IκB for NF-κB activation, and phosphorylation of the substrate of JNK, p38mapk and S6K1: c-jun, CREB and S6, respectively (Fig. 5, lane 2). Pre-treatment of the cells with L-norvaline (20 mmol/L) did not significantly affect the activation of NF-κB, JNK or p38mapk, but remarkably inhibited S6K1 activation (Fig. 5, lane 3).
Role of S6K1 in up-regulation of VCAM-1, ICAM-1, and E-selectin
The role of S6K1 in up-regulation of VCAM-1, ICAM-1, and E-selectin was then further investigated by recombinant adenovirus-mediated RNA interference (RNAi). In parallel to the abrogated expression of S6K1 (Fig. 6A, panel a), cells transduced with the rAd-shRNA against S6K1 exhibited significantly decreased kinase activity upon stimulation with TNFα (10 ng/ml, 4 hours), as measured by phosphorylation of its substrate S6 at serine235/serine236 (Fig. 6A, panel b). In the cells transduced with control viral vector expressing LacZ-shRNA, TNFα (10 ng/ml, 4 hours) induced up-regulation of VCAM-1, ICAM-1, and E-selectin (Fig. 6A, panels c to e, lane 2; n = 5, p < 0.001 vs. LacZ alone lane 1), silencing S6K1 significantly reduced TNFα-induced up-regulation of E-selectin, but not that of VCAM-1 and ICAM-1 (Fig. 6B, lane 4; n = 5, p < 0.001 vs. LacZ + TNFα, lane 2).
Emerging evidence suggests that increased endothelial arginase activity decreases L-arginine availability for eNOS to produce NO under various pathological conditions . The arginase inhibitor L-norvaline has been previously shown to improve endothelial NO release via inhibition of arginase . Treatment of ApoE-/- mice with arginase inhibitors has been reported to improve endothelial function and reduce plaque formation . It is however, not clear whether arginase is indeed involved in vascular inflammation responses, a crucial mechanism in atherogenesis. The present study further investigated whether arginase is involved in the modulation of endothelial inflammatory responses and whether this is dependent on NOS activity in endothelial cells. In cultured human endothelial cells, we demonstrate that the arginase inhibitor L-norvaline exerts anti-inflammatory effect at the same concentration ranges which exhibit arginase inhibitory activity . It inhibited endothelial expression of VCAM-1, ICAM-1, E-selectin stimulated by TNFα. Although inhibition of NOS activity in the endothelial cells with L-NAME  could significantly augment TNFα-induced expression of VCAM-1 and ICAM-1, it was unable to reverse the anti-inflammatory effects of L-norvaline. The results implicate that basal level of NO exerts a weak but significant anti-inflammatory effects, which is consistent with the previous findings [15, 16]. The results with L-NAME suggest that L-norvaline inhibits endothelial inflammation via a mechanism(s) independently of NO production and/or arginase. To further confirm the role of arginase-II, the prominent isoform expressed in HUVECs  in the inflammatory responses, another arginase inhibitor BEC and adenoviral mediated siRNA silencing of arginase-II were employed. Indeed, pharmacological inhibition of arginase activity with BEC at the concentration (200 μmol/L) exerts similar inhibition of arginase activity (51.9 ± 7.0% inhibition) as 20 mmol/L L-norvaline (52.4 ± 3.9% inhibition); however, it did not show any effects on TNFα-induced expression of the adhesion molecules. Moreover, efficient knocking down of arginase-II with two different targeting sequences (shRNA-ARGIIa and -ARGIIc) did not affect endothelial expression of the inflammatory molecules stimulated by TNFα either. Both pharmacological and specific siRNA silencing approaches therefore reinforce our conclusion that L-norvaline exerts anti-inflammatory effects in endothelial cells independently of arginase and NOS activity.
Another important finding of this report is the role of S6K1 in up-regulation of E-selectin by TNFα. In an effort to analyse the possible underlying mechanisms of L-norvaline-mediated inhibition of endothelial inflammatory responses, we investigated whether the anti-inflammatory effects of L-norvaline are attributable to its ability to interfere with signaling pathway(s) that could regulate the expression of adhesion molecules. Various signalling pathways such as NF-κB, JNK, p38mapk have been shown to be involved in the up-regulation of VCAM-1, ICAM-1, E-selectin [23–26]. These mechanisms were however, not affected by L-norvaline, demonstrating that the compound inhibits endothelial inflammation independently of the signalling mechanisms. Interestingly, we found that TNFα-induced S6K1 activation was strongly inhibited by L-norvaline, indicating that the compound may inhibit endothelial inflammation via inhibition of S6K1. To confirm this hypothesis, we took the siRNA approach to knock-down the expression and activity of S6K1. Remarkably, silencing experiments revealed that suppressing S6K1 expression and the enzymatic activity inhibited the expression of E-selectin, but not that of VCAM-1 or ICAM-1 in response to TNFα. The results demonstrate that the anti-inflammatory properties of L-norvaline are partially attributable to its ability to inhibit S6K1. This is the first study showing that S6K1 plays an important role in the expression of endothelial inflammatory molecule E-selectin. The mechanisms that are involved in L-norvaline-mediated inhibition of endothelial VCAM-1 and ICAM-1 expression remain to be investigated in the future study.
In summary, our results demonstrate that the arginase inhibitor L-norvaline exhibits anti-inflammatory properties independently of its effect on inhibition of arginase activity and increased NO production. The anti-inflammatory effects are partially attributable to its ability to inhibit S6K1. This effect of L-norvaline has to be taken into account, when the drug is used to study functions of arginase or NO production in biological systems. The results of our study also implicate that L-norvaline or its derivatives may be useful drugs to treat inflammatory responses in cardiovascular system and to prevent cardiovascular diseases.
- ARG II:
endothelial cell growth supplement
endothelial nitric oxide synthase
human umbilical vein endothelial cells
intercellular adhesion molecule-1
c-jun N-terminal kinase
standard error of mean
short hairpin RNA
small interfering RNA
tumor necrosis factor alpha
vascular cell adhesion molecule-1.
Ross R: Atherosclerosis – an inflammatory disease. N Engl J Med. 1999, 340: 115-126.
Libby P, Theroux P: Pathophysiology of coronary artery disease. Circulation. 2005, 111: 3481-3488.
Blankenberg S, Barbaux S, Tiret L: Adhesion molecules and atherosclerosis. Atherosclerosis. 2003, 170: 191-203.
O'Brien KD, McDonald TO, Chait A, Allen MD, Alpers CE: Neovascular expression of E-selectin, intercellular adhesion molecule-1, and vascular cell adhesion molecule-1 in human atherosclerosis and their relation to intimal leukocyte content. Circulation. 1996, 93: 672-682.
Davies MJ, Gordon JL, Gearing AJ, Pigott R, Woolf N, Katz D, Kyriakopoulos A: The expression of the adhesion molecules ICAM-1, VCAM-1, PECAM, and E-selectin in human atherosclerosis. J Pathol. 1993, 171: 223-229.
Cybulsky MI, Iiyama K, Li H, Zhu S, Chen M, Iiyama M, Davis V, Gutierrez-Ramos JC, Connelly PW, Milstone DS: A major role for VCAM-1, but not ICAM-1, in early atherosclerosis. J Clin Invest. 2001, 107: 1255-1262.
Dansky HM, Barlow CB, Lominska C, Sikes JL, Kao C, Weinsaft J, Cybulsky MI, Smith JD: Adhesion of monocytes to arterial endothelium and initiation of atherosclerosis are critically dependent on vascular cell adhesion molecule-1 gene dosage. Arterioscler Thromb Vasc Biol. 2001, 21: 1662-1667.
Bourdillon MC, Poston RN, Covacho C, Chignier E, Bricca G, McGregor JL: ICAM-1 deficiency reduces atherosclerotic lesions in double-knockout mice (ApoE(-/-)/ICAM-1(-/-)) fed a fat or a chow diet. Arterioscler Thromb Vasc Biol. 2000, 20: 2630-2635.
Kitagawa K, Matsumoto M, Sasaki T, Hashimoto H, Kuwabara K, Ohtsuki T, Hori M: Involvement of ICAM-1 in the progression of atherosclerosis in APOE-knockout mice. Atherosclerosis. 2002, 160: 305-310.
Dong ZM, Chapman SM, Brown AA, Frenette PS, Hynes RO, Wagner DD: The combined role of P- and E-selectins in atherosclerosis. J Clin Invest. 1998, 102: 145-152.
Palmer RM, Ashton DS, Moncada S: Vascular endothelial cells synthesize nitric oxide from L-arginine. Nature. 1988, 333: 664-666.
Yang Z, Ming XF: Recent advances in understanding endothelial dysfunction in atherosclerosis. Clin Med Res. 2006, 4: 53-65.
Granger DN, Kubes P: Nitric oxide as antiinflammatory agent. Methods Enzymol. 1996, 269: 434-442.
Michel T, Feron O: Nitric oxide synthases: which, where, how, and why?. J Clin Invest. 1997, 100: 2146-2152.
Engelman DT, Watanabe M, Maulik N, Cordis GA, Engelman RM, Rousou JA, Flack JE, Deaton DW, Das DK: L-arginine reduces endothelial inflammation and myocardial stunning during ischemia/reperfusion. Ann Thorac Surg. 1995, 60: 1275-1281.
Kobayashi K, Nishimura Y, Yamashita T, Nishiuma T, Satouchi M, Yokoyama M: The effect of overexpression of endothelial nitric oxide synthase on eosinophilic lung inflammation in a murine model. Int Immunopharmacol. 2006, 6: 1040-1052.
Yang Z, Ming XF: Endothelial arginase: a new target in atherosclerosis. Curr Hypertens Rep. 2006, 8: 54-59.
Ming XF, Barandier C, Viswambharan H, Kwak BR, Mach F, Mazzolai L, Hayoz D, Ruffieux J, Rusconi S, Montani JP, Yang Z: Thrombin stimulates human endothelial arginase enzymatic activity via RhoA/ROCK pathway: implications for atherosclerotic endothelial dysfunction. Circulation. 2004, 110: 3708-3714.
Ryoo S, Gupta G, Benjo A, Lim HK, Camara A, Sikka G, Lim HK, Sohi J, Santhanam L, Soucy K, Tuday E, Baraban E, Ilies M, Gerstenblith G, Nyhan D, Shoukas A, Christianson DW, Alp NJ, Champion HC, Huso D, Berkowitz DE: Endothelial arginase II: a novel target for the treatment of atherosclerosis. Circ Res. 2008, 102: 923-932.
Ming XF, M Burgering BM, Wennstrom S, Claesson-Welsh L, Heldin CH, Bos JL, Kozma SC, Thomas G: Activation of p70/p85 S6 kinase by a pathway independent of p21ras. Nature. 1994, 371: 426-429.
Ming XF, Viswambharan H, Barandier C, Ruffieux J, Kaibuchi K, Rusconi S, Yang Z: Rho GTPase/Rho kinase negatively regulates endothelial nitric oxide synthase phosphorylation through the inhibition of protein kinase B/Akt in human endothelial cells. Mol Cell Biol. 2002, 22: 8467-8477.
Shima H, Pende M, Chen Y, Fumagalli S, Thomas G, Kozma SC: Disruption of the p70(s6k)/p85(s6k) gene reveals a small mouse phenotype and a new functional S6 kinase. EMBO J. 1998, 17: 6649-6659.
Read MA, Whitley MZ, Gupta S, Pierce JW, Best J, Davis RJ, Collins T: Tumor necrosis factor alpha-induced E-selectin expression is activated by the nuclear factor-kappaB and c-JUN N-terminal kinase/p38 mitogen-activated protein kinase pathways. J Biol Chem. 1997, 272: 2753-2761.
Holden NS, Catley MC, Cambridge LM, Barnes PJ, Newton R: ICAM-1 expression is highly NF-kappaB-dependent in A549 cells. No role for ERK and p38 MAPK. Eur J Biochem. 2004, 271: 785-791.
Anwar KN, Fazal F, Malik AB, Rahman A: RhoA/Rho-associated kinase pathway selectively regulates thrombin-induced intercellular adhesion molecule-1 expression in endothelial cells via activation of I kappa B kinase beta and phosphorylation of RelA/p65. J Immunol. 2004, 173: 6965-6972.
Shi RJ, Simpson-Haidaris PJ, Lerner NB, Marder VJ, Silverman DJ, Sporn LA: Transcriptional regulation of endothelial cell tissue factor expression during Rickettsia rickettsii infection: involvement of the transcription factor NF-kappaB. Infect Immun. 1998, 66: 1070-1075.
The pre-publication history for this paper can be accessed here:http://www.biomedcentral.com/1471-2261/9/12/prepub
This work was supported by the Swiss National Science Foundation (Nr. 3100A0-105917 and 310000-120435/1), the Swiss Heart Foundation, the Swiss Cardiovascular Research and Training Network (SCRTN) Program. JMC was partially supported by Roche Research Foundation.
The authors declare that they have no competing interests.
XFM conceived the study, performed Western blot analysis, constructed rAd/U6-shRNAs and drafted the manuscript. AGR and JMC assisted in adenoviral transduction and Western blot analysis. JR assisted in cultivation of HUVECs. ZY conceived and coordinated the study, and drafted the manuscript. All authors read and approved the final manuscript.
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Ming, XF., Rajapakse, A.G., Carvas, J.M. et al. Inhibition of S6K1 accounts partially for the anti-inflammatory effects of the arginase inhibitor L-norvaline. BMC Cardiovasc Disord 9, 12 (2009). https://doi.org/10.1186/1471-2261-9-12
- Nitric Oxide
- Recombinant Adenovirus
- Arginase Activity
- Inflammatory Molecule