“…L-arginine, due to its anti-oxidant and antiinflammatory properties (6,112,113), as well as due to its proposed protective effect on endothelium by the stimulation of endothelium-derived relaxing factors (114), was tested in several preclinical studies on pelvic radiation-induced bladder toxicity. In these studies, the amino acid administration triggered nitric oxide formation in animals with impaired endothelial function at basal levels (115), reduced radiation-induced diarrhea in around 40% of rats (116), and prevented bladder modification, restoring the morphology of blood vessels by recovering VEGF and FGF expression in the bladder wall (73).…”