Effects of pH, Nitrite, and Ascorbic Acid on Nonenzymatic Nitric Oxide Generation and Bacterial Growth in Urine
Abstract
Nitrite may be generated by bacteria in urine during urinary tract infections. Acidification of nitrite results in the formation of nitric oxide (NO) and other reactive nitrogen oxides, which are toxic to a variety of microorganisms. We have studied NO formation and bacterial growth in mildly acidified human urine containing nitrite and the reducing agent vitamin C. Urine collected from healthy subjects was incubated in closed syringes at different pH values with varying amounts of nitrite and/or ascorbic acid added. NO generation was measured in headspace gas using a chemiluminescence technique. A similar setup was also used to study the growth of three strains of bacteria in urine. Mildly acidified nitrite-containing urine generated large amounts of NO and this production was greatly potentiated by ascorbic acid. The growth of Escherichia coli, Pseudomonas aeruginosa, and Staphylococcus saprophyticus was markedly reduced by the addition of nitrite to acidified urine. This inhibition was enhanced by ascorbic acid. In conclusion, we show that the growth of three common urinary pathogens is markedly inhibited in mildly acidified urine when nitrite is present. The bacteriostatic effect of acidified nitrite is likely related to the release of NO and other toxic reactive nitrogen intermediates. These results may help to explain the well-known beneficial effects of urinary acidification with, e.g., vitamin C in treatment and prevention of urinary tract infection.
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Supplementation of drinking water with nitrite enhanced graft survival to more than 120 days compared with 50 days in control animals on a normal diet.
“Supplementation of drinking water with nitrite enhanced graft survival to more than 120 days compared with 50 days in control animals on a normal diet.”
From Nitrate-Nitrite-Nitric Oxide Pathway: Implications for Anesthesiology and Intensive Care (2010) · cites this paper as [163]
In animals on a low nitrate/nitrite diet, allograft survival was significantly reduced to 31 days.
“In contrast, in animals on a low nitrate/nitrite diet, allograft survival was significantly reduced to 31 days.”
From Nitrate-Nitrite-Nitric Oxide Pathway: Implications for Anesthesiology and Intensive Care (2010) · cites this paper as [163]
These differences were accompanied by amelioration of histopathologic changes in the allografts as well as decreased tissue messenger RNA concentrations of interferon-γ and tumor necrosis factor-α.
“These differences were accompanied by amelioration of histopathologic changes in the allografts as well as in decreased tissue messenger RNA concentrations of interferon-␥ and tumor necrosis factor-␣.”
From Nitrate-Nitrite-Nitric Oxide Pathway: Implications for Anesthesiology and Intensive Care (2010) · cites this paper as [163]
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- Authors
- Carlsson, S., Wiklund, N. P., Engstrand, L., Weitzberg, E., & Lundberg, J. O. N.
- Affiliations
- Karolinska University Hospital (SE)
- Uppsala University Hospital (SE)
- Karolinska Institutet (SE)
- Corresponding author
- Carlsson, S.
- Venue
- Nitric Oxide
- Publisher
- Elsevier BV
- Published
- 2001-12
- Volume
- 5
- Issue
- 6
- Pages
- 580-586
- ISSN
- 1089-8603 (ISSN-L)
- OpenAlex
- W1974538071
- Cited by
- 189
- References
- 20
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 11 · 2022: 9 · 2021: 16 · 2020: 17 · 2019: 5 · 2018: 8 · 2017: 10 · 2016: 7 · 2015: 7 · 2014: 10 · 2013: 10 · 2012: 9
- FWCI
- 2.41
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Nitric Oxide (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- Topics
- Health Sciences › Medicine › Epidemiology › Urinary Tract Infections Management
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Keywords
- nitrite, vitamin C, urine pH, urinary acidification, urinary tract infection, bacterial growth inhibition, Escherichia coli, Pseudomonas aeruginosa, Staphylococcus saprophyticus, reactive nitrogen oxides, chemiluminescence
- MeSH terms
- Adult, Ascorbic Acid, Bacteriuria, Escherichia coli, Humans, Hydrogen-Ion Concentration, Middle Aged, Nitric Oxide, Nitrites, Pseudomonas aeruginosa, Staphylococcus
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