1. Modulation of L-arginine transport (system y+) and release of nitric oxide (NO) and prostacyclin (PGI2) by elevated glucose and insulin were investigated in human cultured umbilical vein endothelial cells. 2. Elevated glucose induced a time-(6-12 h) and concentration-dependent stimulation of L-arginine transport, which was reversible and associated with a 3-fold increase in intracellular cGMP accumulation (index of NO synthesis) and 75 % decrease in PGI2 production. 3. Elevated glucose had no effect on the initial transport rates for L-serine, L-citrulline, L-leucine, L-cystine or 2-deoxyglucose. 4. Resting membrane potential was unaffected by elevated glucose whereas basal intracellular [Ca2P] increased from 65 + 5 nm to 136 + 16 nM.5. Insulin induced a protein synthesis-dependent stimulation of L-arginine transport and increased NO and PGI2 production in cells exposed to 5 mm glucose. 6. In cells exposed to high glucose, insulin downregulated elevated rates of L-arginine transport and cGMP accumulation but had no effect on the depressed PGI2 production. 7. Our findings suggest that insulin's normal stimulatory action on human endothelial cell vasodilator pathways may be impaired under conditions of sustained hyperglycaemia.Endothelium-dependent relaxation is impaired in longlasting diabetes mellitus (reviewed by Cohen, 1993;Poston & Taylor, 1995), yet in the early stages of the disease blood flow is actually increased in various organs (reviewed by Tooke, 1989). The generalized vasodilatation in diabetic patients appears to be influenced by the degree of hyperglycaemia and is attenuated upon lowering blood glucose levels (see Tooke, 1989). As endothelium-derived nitric oxide (NO) plays a key role in the regulation of vascular tone (Moncada, Palmer & Higgs, 1991), it seems likely that prolonged hyperglycaemia may modulate the L-arginine-NO signalling pathway. We have recently shown that gestational diabetes induces phenotypic changes in human fetal endothelial cells, which are associated with a membrane hyperpolarization, activation of the L-arginine transporter (system y+), elevation of basal NO synthesis and decreased basal and histamine-stimulated PGI2 release (Sobrevia, Cesare, Yudilevich & Mann, 1995). Recent evidence also implicates insulin as a regulator of the L-arginine-NO vasodilator pathway in man (see Baron, 1994). Moreover, insulin has been reported to enhance the synthesis and expression of a high-affinity cationic amino acid transporter (system y+/ murine cationic amino acid transporter-1 (MCAT-1): Kim, Closs, Albritton & Cunningham, 1991) in rat liver cells (Wu, Robinson, Kung & Hatzoglou, 1994 b).In the present study we have investigated the effects of elevated glucose and human insulin on L-arginine transport and generation of NO and PGI2 in human umbilical vein endothelial cells isolated from normal pregnancies. In addition, we examined whether elevated glucose altered the resting membrane potential and intracellular Ca2+ levels. Our findings establish that both hyperglycaemia and human ...