This invention embodies use of exogenous L-citrulline not only for support
of capillary endothelial function, by L-citrulline bioconversion to
plasma L-arginine to provide more cell substrate for enzymatic generation
of nitric oxide, but also for providing more L-arginine in cellular
microenvironments including that in acidified endosomes and lysosomes for
potential chelation to free bivalent iron. Thus, it is contemplated that
cellular oxidative damage from hydroxyl free radicals generated by
Fenton-like reactions between bivalent iron and diffusible hydrogen
peroxide will be ameliorated or prevented in age-related macular
degeneration and in several nervous system age-related degenerative
diseases by oral L-citrulline supplementation. In addition, a novel
pharmaceutical composition containing L-citrulline, calcium myo-inositol
hexakisphosphate (calcium phytate), and calcium carbonate is formulated
in order to provide L-citrulline and also to reduce unfavorable higher
serum ferritin levels to lower values by means of reduction of body iron
stores, by inhibition of gastrointestinal absorption of iron without
inducing substantial negative calcium balances.