Rationale: Genetic variation in arginase (ARG) and nitric oxide synthase (NOS) has been associated with exhaled nitric oxide (FeNO) levels in children. Little is known about whether epigenetic variation in these genes modulates FeNO. Objectives: To evaluate whether DNA methylation in ARG and NOS genes is associated with FeNO. Methods: A subset of 940 participants in the Children's Health Study were selected for this study. Children were eligible if they had FeNO measurements and buccal cells collected on the same day. CpG loci located in the promoter regions of NOS1, NOS2A, NOS3, ARG1, and ARG2 genes were analyzed. Multiple loci in each gene were evaluated individually and averaged together. DNA methylation was measured using a bisulfite-polymerase chain reaction pyrosequencing assay. Linear regression models were used to investigate the association between DNA methylation and FeNO and whether associations differed by asthma status. Measurements and Main Results: DNA methylation in ARG2 was significantly associated with FeNO. A 1% increase in average DNA methylation of ARG2 was associated with a 2.3% decrease in FeNO (95% confidence interval, 24 to 20.6). This association was significantly larger in children with asthma (%diff ¼ 28.7%) than in children with no asthma (%diff ¼ 21.6%; p int ¼ 0.01). Differences in FeNO by asthma status were also observed for ARG1 (%diff asthma ¼ 24.4%; %diff non-asthma ¼ 0.3%; p int ¼ 0.02). DNA methylation in NOS genes was not associated with FeNO. Conclusions: DNA methylation in ARG1 and ARG2 is associated with FeNO in children with asthma and suggests a possible role for epigenetic regulation of nitric oxide production.Keywords: arginase; nitric oxide synthase; FeNO; asthma Nitric oxide (NO) is involved in the pathophysiology of allergic airway diseases. Fractional concentration of NO (FeNO) is measurably higher in children with eosinophilic airway inflammation and active asthma or allergic airway diseases, conditions in which airway inflammation plays a prominent role (1-3). Based on the findings in children, FeNO has been suggested as a biomarker that reflects important aspects of airway inflammation that may be useful in the management of some children with asthma (4).NO is synthesized from L-arginine by three NO synthase (NOS) isoforms: (1) neuronal NOS (nNOS encoded by NOS1); (2) endothelial NOS (eNOS encoded by NOS3); and (3) inducible NOS (iNOS encoded by NOS2A). The availability of intracellular L-arginine is a rate-limiting factor in NO production (5). Arginase (ARG) competes with NOS for the common substrate L-arginine. In humans, two isoforms of ARG (encoded by ARG1 and ARG2) are recognized. All three NOS isoforms are expressed in airway epithelium (6-8). Among ARG isoforms, ARGI is located in the cytosol, whereas ARGII is located in the mitochondrial matrix (8). Both isoforms are expressed in the airway epithelium, smooth muscle, and peribronchial and perivascular connective tissues (9, 10). Therefore, differences in ARG and NOS expression levels or function caused ...