The known effects of a novel stomach pentadecapeptide BPC157 (10 μg or 10 ng/kg), namely its salutary activity against ethanol (96%, i.g.)-induced gastric lesions (simultaneously applied i.p.) and in blood pressure maintenance (given i.v.), were investigated in rats challenged with a combination of N G-nitro- l-arginine methylester ( l-NAME) (5 mg/kg i.v.), a competitive inhibitor of endothelium nitric oxide (NO)-generation and NO precursor, l-arginine (200 mg/kg i.v.) ( d-arginine was ineffective). In the gastric lesions assay, NO agents were given 5 min before ethanol injury and BPC 157 medication. Given alone, BPC157 had an antiulcer effect, as did l-arginine, but l-NAME had no effect. l-NAME completely abolished the effect of l-arginine, whereas it only attenuated the effect of BPC 157. After application of the combination of l-NAME+ l-arginine, the BPC157 effect was additionally impaired. In blood pressure studies, compared with l-arginine, pentadecapeptide BPC 157 (without effect on basal normal values) had both a mimicking effect (impaired l-NAME-blood pressure increase, when applied prophylactically and decreased already raised l-NAME values, given at the time of the maximal l-NAME-blood pressure increase (i.e., 10 min after l-NAME)) and preventive activity ( l-arginine-induced moderate blood pressure decrease was prevented by BPC 157 pretreatment). When BPC 157 was given 10 min after l-NAME+ l-arginine combination, which still led to a blood pressure increase, its previously clear effect (noted in l-NAME treated rats) disappeared. In vitro, in gastric mucosa from rat stomach tissue homogenates, BPC 157, given in the same dose (100 μM) as l-arginine, induced a comparable generation of NO. But, BPC 157 effect could not be inhibited by l-NAME, even when l-NAME was given in a tenfold (100 versus 1000 μM) higher dose than that needed for inhibition of the l-arginine effect. NO synthesis was blunted when the pentadecapeptide BPC 157 and l-arginine were combined. In summary, BPC 157 could interfere with the effects of NO on both gastric mucosal integrity and blood pressure maintenance in a specific way, especially with l-arginine, having a more prominent and/or particularly different effect from that of NO.