Purpose. The purpose of this work was to characterize the main transport pathway of hydrophilic macromolecules induced by poly-L- arginine (poly- L- Arg; molecular weight 42.4 kDa) across the excised rabbit nasal epithelium. Methods. Excised rabbit nasal epithelium was mounted in an Ussing-type chamber for measurement of fluorescein isothiocyanate- labeled dextran (FD- 4; molecular weight 4.4 kDa) transport and transepithelial electrical resistance (TEER). The main transport pathway of FD- 4 enhanced by poly- L- Arg was evaluated using confocal laser scanning microscopy. Immunolocalization of junction proteins (ZO- 1, occludin, and E- cadherin) after treatment with poly- L- Arg was also observed. Results. After apical application of a poly- L- Arg (0.05, 0.5, and 5 mg/ mL), the permeability coefficient of FD- 4 increased by 1.6-, 2.9-, and 5.2- fold, respectively, compared with the control of 5.2 +/- 1.3 x 10(-7) cm/ s. Consistent with the increase in transport, there was a concurrent reduction in TEER. At a concentration of 0.05 mg/ mL poly-L- Arg, both FD- 4 transport and TEER returned to the control level. A good correlation was obtained between the FD- 4 permeability coefficient and 1/ TEER. Basolateral application of poly- L- Arg at 5 mg/ mL, however, did not increase FD- 4 transport. Marked FD- 4 fluorescence was located in the paracellular spaces after treatment with apical poly- L- Arg compared with that in the absence of poly- L- Arg. Immunofluorescence of ZO- 1, occludin, and E- cadherin in cell- to- cell junctions was reduced and distributed into the cytoplasm by apical application of poly- L- Arg, suggesting that poly- L- Arg regulates the junction proteins to enhance paracellular permeability across the nasal epithelium. After pretreatment with either 2,4- dinitrophenol or ouabain, the enhancing effect of apical poly- L- Arg was abolished, indicating the contribution of metabolic energy (cell viability) to the poly- L- Arg- mediated enhancing effect. Conclusion. In the nasal epithelium, apical poly- L- Arg appears to increase predominantly the paracellular transport of hydrophilic macromolecules via disorganization of tight- and adherens- junction proteins. The regulatory mechanism of the poly- L- Arg effect is likely to be dependent on energy- requiring cellular processes.