Plasma nitrite response and arterial reactivity differentiate vascular health and performance
Open accessAbstract
NO is crucial for endothelial function and vascular health. Plasma nitrite (NO(2)(-)) is the main oxidation product of NO and has been shown to reflect changes in eNOS activity. We hypothesized that plasma NO(2)(-) response to physical exercise stress along with physiological endothelial function would be reduced with increasing severity of vascular disease. Subject groups were: (a) risk factors but no vascular disease (RF); (b) Type 2 diabetes with no vascular disease (DM); (c) diagnosed peripheral arterial disease (PAD); and (d) DM+PAD. Venous blood was drawn at rest and 10min following maximal exercise. Plasma samples were analyzed by reductive chemiluminescence. Brachial diameters were imaged prior to, during and following 5min of forearm occlusion (BAFMD). There were no differences in resting plasma NO(2)(-) or BA diameters between groups. The PAD groups had lower age adjusted BAFMD responses (p0.05). Within group analysis revealed an increase in NO(2)(-) in the RF group (+39.3%), no change in the DM (-15.51%), and a decrease in the PAD (-44.20%) and PAD+DM (-39.95%). This was maintained after adjusting for age and VO(2peak) (p0.05). DeltaNO(2)(-) and BAFMD were the strongest independent predictors of VO(2peak) in multivariate linear regression. These findings suggest DeltaNO(2)(-) discriminates severity of cardiovascular disease risk, is related to endothelial function and predicts exercise capacity.
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Induction of plasma nitrite levels during supervised exercise therapy is significantly blunted in diabetic patients with PAD versus non-diabetic PAD patients or diabetics alone.
“induction of plasma nitrite levels during supervised exercise therapy were significantly blunted in diabetic patients with PAD versus non-diabetic PAD patients or diabetics alone [173].”
From Inorganic nitrite therapy: historical perspective and future directions (2011) · cites this paper as [173]
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- Authors
- Allen, J. D., Miller, E. M., Schwark, E., Robbins, J. L., Duscha, B. D., & Annex, B. H.
- Affiliations
- Duke University (US)
- Duke Medical Center (US)
- University of Virginia (US)
- Corresponding author
- Allen, Jason D.
- Venue
- Nitric Oxide
- Publisher
- Elsevier BV
- Published
- 2009-06
- Volume
- 20
- Issue
- 4
- Pages
- 231-237
- ISSN
- 1089-8603 (ISSN-L)
- PMC
- PMC2676216
- OpenAlex
- W2034538856
- Cited by
- 76
- References
- 51
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 4 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 3 · 2018: 12 · 2017: 5 · 2016: 1 · 2015: 4 · 2014: 2 · 2013: 8 · 2012: 9
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nitric Oxide (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Victoria University Research Repository (Victoria University) (submittedVersion)
- Funders
- National Heart, Lung, and Blood Institute (R01HL075752)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- plasma nitrite, endothelial function, peripheral arterial disease, type 2 diabetes, exercise capacity, peak oxygen uptake, brachial artery flow-mediated dilation, forearm occlusion, cardiovascular risk factors
- MeSH terms
- Aged, Blood Flow Velocity, Brachial Artery, Endothelium, Vascular, Forearm, Humans, Middle Aged, Nitric Oxide, Nitrites, Vasodilation, Peripheral Vascular Diseases
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