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Diet-induced endogenous formation of nitroso compounds in the GI tract
Abstract
Red or processed meat, but not white meat or fish, is associated with colorectal cancer. The endogenous formation of nitroso compounds is a possible explanation, as red or processed meat--but not white meat or fish--causes a dose-dependent increase in fecal apparent total N-nitroso compounds (ATNC) and the formation of nitroso-compound-specific DNA adducts. Red meat is particularly rich in heme and heme has also been found to promote the formation of ATNC. To investigate the underlying mechanism of ATNC formation, fecal and ileal samples of volunteers fed a high red meat or a vegetarian diet were analyzed for nitrosyl iron, nitrosothiols, and heme. To simulate the processes in the stomach, food homogenates and hemoglobin were incubated under simulated gastric conditions. Nitrosyl iron and nitrosothiols were significantly (p < 0.0001) increased in ileal and fecal samples after a high red meat diet compared with a vegetarian diet; significantly more nitrosyl iron than nitrosothiols was detectable in ileal (p < 0.0001) and fecal (p < 0.001) samples. The strong correlation between fecal nitrosyl iron and heme (0.776; p < 0.0001) suggested that nitrosyl heme is the main source of nitrosyl iron, and ESR confirmed the presence of nitrosyl heme in fecal samples after a high red meat diet. Under simulated gastric conditions, mainly nitrosothiols were formed, suggesting that acid-catalyzed thionitrosation is the initial step in the endogenous formation of nitroso compounds. Nitrosyl heme and other nitroso compounds can then form under the alkaline and reductive conditions of the small and large bowel.
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“This might partly explain why patients with achlorhydria and non-vegetarians eating large amounts of cured meats are at risk of developing gastric cancer [137,138,139,140,141,142].”
From NO-Rich Diet for Lifestyle-Related Diseases (2015) · cites this paper as [140]
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da Silveira, T. F. F., Cristianini, N., Kuhnle, G., Ribeiro, A. B., Filho, J. T., & Godoy, H. T. (2019) · Innovative Food Science & Emerging Technologies · doi:10.1016/j.ifset.2019.05.001 · Cited by 97
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“NOCs have been found in the environment and certain types of food, such as beer, fish, and nitrite-preserved meat (Tricker and Preussmann, 1991), but can also be formed endogenously by nitrosation of dietary precursors, a process that occurs predominantly in the gastrointestinal tract (Kuhnle et al., 2007; Mirvish, 19…”
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“A series of reports consistently show higher intestinal NOC levels following high meat diets, compared with those of poultry or fish (Hughes et al., 2001; Bingham et al., 2002; Cross et al., 2003; Kuhnle et al., 2007; Joosen et al., 2009).”
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Pereira, C., Barbosa, R. M., & Laranjinha, J. A. N. (2015) · The Journal of Nutritional Biochemistry · doi:10.1016/j.jnutbio.2014.12.004 · Cited by 23
“6 × 10(2) M−2 s−1) [23,24] under similar experimental conditions [21] in particular at lower pH [23,25] and in presence of bicarbonate [26], such as found in the gastric environment.”
Pomélie, D. D. L., Santé-Lhoutellier, V., Sayd, T., Théron, L., & Gatellier, P. (2019) · Food Chemistry · doi:10.1016/j.foodchem.2018.12.094 · Cited by 23
Kiwifruit as a Modulator of DNA Damage and DNA Repair
Collins, A. R. (2013) · Advances in food and nutrition research · doi:10.1016/b978-0-12-394294-4.00016-x · Cited by 22
Recent Perspectives on the Relations between Fecal Mutagenicity, Genotoxicity, and Diet
Gratz, S. W., Wallace, R. J., & El-Nezami, H. S. (2011) · Frontiers in Pharmacology · doi:10.3389/fphar.2011.00004 · Cited by 20
“Different methods are used to illustrate the proportion of DNA remaining in the Comet Head (i.e., undamaged DNA) and in the Comet tail (i.e., excretion of less mutagenic stools in six volunteers compared to a high risk mixed diet (Kuhnlein et al., 1983).”
Diet Composition Is Associated with Endogenous Formation of N-Nitroso Compounds in Obese Men
Holtrop, G., Johnstone, A. M., Fyfe, C., & Gratz, S. W. (2012) · Journal of Nutrition · doi:10.3945/jn.112.158824 · Cited by 20
Farsi, D. N., Lara, J., Finnigan, T. J. A., Cheung, W., Muñoz-Muñoz, J., & Commane, D. M. (2023) · European Journal of Nutrition · doi:10.1007/s00394-023-03238-1 · Cited by 22
“Urinary nitrates and nitrites were determined using chemiluminescence as described previously [31].”
MethodThøgersen, R., Castro-Mejía, J. L., Sundekilde, U. K., Hansen, L. H., Gray, N., Kuhnle, G., Jørgensen, N. R., Hansen, A. K., Nielsen, D. S., & Bertram, H. C. (2020) · Food Chemistry · doi:10.1016/j.foodchem.2020.127291 · Cited by 17
Ruiz-Saavedra, S., Pietilä, T. K., Zapico, A., Reyes‐Gavilán, C. G. D. L., Pajari, A., & González, S. (2024) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.4c05751 · Cited by 20
“28,29 Unless otherwise stated, the chemicals were obtained from Sigma-Aldrich (Merck Life Science).”
MethodDavis, M. E., Lisowyj, M. P., Zhou, L., Wisecarver, J. L., Gulizia, J. M., Shostrom, V., Naud, N., Corpet, D. E., & Mirvish, S. S. (2012) · Nutrition and Cancer · doi:10.1080/01635581.2012.650777 · Cited by 14
“Each set of results included thos e f r total ANC and for ANC after addition of mercuric chloride (HgCl2), a test for R SNO, or of potassium ferricyanide [K3Fe(CN)6], a test for nitrosyl iron compounds [RF eNO] (17).”
MethodNicken, P., Schröder, B., von Keutz, A., Breves, G., & Steinberg, P. (2013) · Archives of Toxicology · doi:10.1007/s00204-012-1006-0 · Cited by 14
“…(e.g. endogenously formed N-nitroso compounds) (Bingham et al. 1996; Hughes et al. 2001; Bingham et al. 2002; Cross et al. 2003; Lewin et al. 2006; Kuhnle et al. 2007) and other risk factors (ethanol, tobacco and/or obesity among others) are responsible for the high colorectal cancer incidence…”
BackgroundKeuleyan, E., Bonifacie, A., Sayd, T., Duval, A., Aubry, L., Bourillon, S., Gatellier, P., Promeyrat, A., Nassy, G., Scislowski, V., et al. (2022) · Food Chemistry X · doi:10.1016/j.fochx.2022.100474 · Cited by 13
“Those adducts generally promote mutagenesis, and through multiple reactions, may trigger carcinogenesis (Kuhnle et al., 2007; Van Hecke, Vanden Bussche, Vanhaecke, Vossen, Van Camp, & De Smet, 2014).”
BackgroundHerraiz, T., & Galisteo, J. (2017) · Food and Chemical Toxicology · doi:10.1016/j.fct.2017.12.042 · Cited by 14
Kostka, T., Fohrer, J., Guigas, C., Briviba, K., Seiwert, N., Fahrer, J., Steinberg, P., & Empl, M. T. (2020) · Archives of Toxicology · doi:10.1007/s00204-020-02846-8 · Cited by 12
Bonifacie, A., Aubry, L., Sayd, T., Bourillon, S., Duval, A., Kombolo, M., Nassy, G., Promeyrat, A., Santé-Lhoutellier, V., & Théron, L. (2024) · Food Research International · doi:10.1016/j.foodres.2024.114969 · Cited by 11
El consumo de nitrato y su potencial efecto benéfico sobre la salud cardiovascular
Brayan Moreno, C., Karen Soto, O., & González, D. R. (2015) · Revista chilena de nutrición · doi:10.4067/s0717-75182015000200013 · Cited by 13
Detection of N ‐nitroso‐bile acids at 285 nm in reverse‐phase HPLC
Araki, Y., Mukaisyo, K.-I., Sugihara, H., Fujiyama, Y., & Hattori, T. (2008) · Journal of Separation Science · doi:10.1002/jssc.200800230 · Cited by 10
Connor, J. R., & Lee, S. Y. (2010) · Humana Press eBooks · doi:10.1007/978-1-60761-627-6_21 · Cited by 9
Ruelas, M. G., Alvarado‐Gamarra, G., Aramburú, A., Dolores-Maldonado, G. K., Rodríguez, K. C., Rojas-Limache, G., Díaz-Parra, C. D. P., & Lanata, C. F. (2024) · European Journal of Nutrition · doi:10.1007/s00394-024-03564-y · Cited by 9
Urinary Excretion of N-Nitroso Compounds in Rats Fed Sodium Nitrite and/or Hot Dogs
Zhou, L., Anwar, M. M., Zahid, M., Shostrom, V., & Mirvish, S. S. (2014) · Chemical Research in Toxicology · doi:10.1021/tx5000188 · Cited by 9
Omofuma, O. O., Steck, S. E., Olshan, A. F., & Troester, M. A. (2022) · Breast Cancer Research and Treatment · doi:10.1007/s10549-022-06555-x · Cited by 9
Understanding the microbiome: a primer on the role of the microbiome in colorectal neoplasia
Watson, K. M. (2020) · Annals of Gastroenterology · doi:10.20524/aog.2020.0467 · Cited by 9
“responsible for endogenous production of NOCs, accounting for approximately 45-75% of total NOC exposure [102].”
BackgroundInfluentialA comprehensive review on various carcinogenic aspects of N-nitrosopiperidine (NPIP)
Chaudhary, P., Singh, D., & Janmeda, P. (2024) · Phytochemistry Reviews · doi:10.1007/s11101-024-10000-w · Cited by 10
“Moreover, Kuhnle et al. (2007) reported the presence of nitrosyl heme in faeces and in ileum, generated by the nitrosation and nitrosylation, and might promotes the generation of diazoacetate, a very reactive alkylating agent.”
Singh, M. S., Singh, S., Shukla, G., & Ray, S. (2023) · Synthesis · doi:10.1055/a-2013-5801 · Cited by 8
Lin, X., Yao, H., Guo, J., Huang, Y., Wang, W., Yin, B., Li, X., Wang, T., Li, C., Xu, X., et al. (2021) · Molecular Nutrition & Food Research · doi:10.1002/mnfr.202100615 · Cited by 8
Kuhnle, G., & Bingham, S. A. (2010) · Humana Press eBooks · doi:10.1007/978-1-60761-627-6_10 · Cited by 7
Nitrosyl-Heme and Heme Iron Intake from Processed Meats in Subjects from the EPIC-Spain Cohort
Rizzolo-Brime, L., Farrán-Codina, A., Bou, R., Luján‐Barroso, L., Quirós, J. R., Amiano, P., Sánchez, M., Rodríguez‐Barranco, M., Guevara, M., Moreno‐Iribas, C., et al. (2024) · Nutrients · doi:10.3390/nu16060878 · Cited by 6
“Furthermore, these findings align with expectations, given that MDs represent the sole source of nitrosyl-heme within the diet [43], while heme iron is derived from a broader range of protein foods [44].”
BackgroundFecal Biomarkers for Research on Dietary and Lifestyle Risk Factors in Colorectal Cancer Etiology
Kato, I., Startup, J. J., & Ram, J. L. (2013) · Current Colorectal Cancer Reports · doi:10.1007/s11888-013-0195-0 · Cited by 5
“Relatively high concentrations of fecal NOC are contributed by both endogenous synthesis, through interaction between dietary constituents and bacterial enzymatic activity, and exogenous sources [24].”
BackgroundInfluentialSlabá, H., Määttänen, M., Marttinen, M., Lapinkero, V., Päivärinta, E., & Pajari, A. (2023) · Journal of Functional Foods · doi:10.1016/j.jff.2023.105440 · Cited by 5
Saturated Fatty Acids and Cancer
Forman, M. R., & Mahabir, S. (2010) · Humana Press eBooks · doi:10.1007/978-1-60761-627-6_11 · Cited by 5
Sirvins, C., Goupy, P. M., Promeyrat, A., & Dufour, C. (2024) · Journal of Agricultural and Food Chemistry · doi:10.1021/acs.jafc.3c08445 · Cited by 4
Meat and Cancer Evidence for and Against
Sødring, M. S., Oostindjer, M., Dragsted, L. O., Haug, A., Paulsen, J. E., & Egelandsdal, B. (2017) · Elsevier eBooks · doi:10.1016/b978-0-08-100593-4.00020-5 · Cited by 4
Pierre, F. (2019) · Cahiers de Nutrition et de Diététique · doi:10.1016/s0007-9960(20)30011-0 · Cited by 4
Pomélie, D. D. L., Léroy, S., Talòn, R., Ruiz, P., Gatellier, P., & Santé-Lhoutellier, V. (2021) · Foods · doi:10.3390/foods10102415 · Cited by 4
Metadata
- Authors
- Kuhnle, G. G. C., Story, G. W., Reda, T., Mani, A. R., Moore, K. P., Lunn, J. C., & Bingham, S. A.
- Affiliations
- MRC Mitochondrial Biology Unit (GB)
- The Royal Free Hospital (GB)
- Corresponding author
- Bingham, Sheila A.
- Venue
- Free Radical Biology and Medicine
- Publisher
- Elsevier BV
- Published
- 2007-10
- Volume
- 43
- Issue
- 7
- Pages
- 1040-1047
- ISSN
- 0891-5849 (ISSN-L)
- OpenAlex
- W2079577516
- Cited by
- 146
- References
- 59
- Citations by year
- 2026: 5 · 2025: 4 · 2024: 27 · 2023: 7 · 2022: 6 · 2021: 5 · 2020: 6 · 2019: 10 · 2018: 7 · 2017: 7 · 2016: 4 · 2015: 9 · 2014: 7 · 2013: 7 · 2012: 4
- FWCI
- 10.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Free Radical Biology and Medicine (publishedVersion)
- PubMed (publishedVersion)
- UCL Discovery (University College London) (submittedVersion)
- Funders
- Food Standards Agency
- Medical Research Council
- Topics
- Life Sciences › Agricultural and Biological Sciences › Animal Science and Zoology › Meat and Animal Product Quality
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Biochemistry (medical) › Antioxidant Activity and Oxidative Stress
- Keywords
- nitroso compounds, endogenous nitrosation, red meat, processed meat, heme, S-nitrosothiols, colorectal cancer, DNA adducts, simulated gastric conditions, hemoglobin, vegetarian diet, gastrointestinal tract
- MeSH terms
- Apoproteins, Diet, Electron Spin Resonance Spectroscopy, Feces, Gastric Mucosa, Heme, Hemoglobins, Humans, Ileum, Iron, Kinetics, Meat, Nitroso Compounds, Serum Albumin, Bovine, Diet, Vegetarian, S-Nitrosothiols, Gastrointestinal Tract
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