Skeletal muscle as an endogenous nitrate reservoir
Open accessAbstract
The nitric oxide synthase (NOS) family of enzymes form nitric oxide (NO) from arginine in the presence of oxygen. At reduced oxygen availability NO is also generated from nitrate in a two step process by bacterial and mammalian molybdopterin proteins, and also directly from nitrite by a variety of five-coordinated ferrous hemoproteins. The mammalian NO cycle also involves direct oxidation of NO to nitrite, and both NO and nitrite to nitrate by oxy-ferrous hemoproteins. The liver and blood are considered the sites of active mammalian NO metabolism and nitrite and nitrate concentrations in the liver and blood of several mammalian species, including human, have been determined. However, the large tissue mass of skeletal muscle had not been generally considered in the analysis of the NO cycle, in spite of its long-known presence of significant levels of active neuronal NOS (nNOS or NOS1). We hypothesized that skeletal muscle participates in the NO cycle and, due to its NO oxidizing heme protein, oxymyoglobin has high concentrations of nitrate ions. We measured nitrite and nitrate concentrations in rat and mouse leg skeletal muscle and found unusually high concentrations of nitrate but similar levels of nitrite, when compared to the liver. The nitrate reservoir in muscle is easily accessible via the bloodstream and therefore nitrate is available for transport to internal organs where it can be reduced to nitrite and NO. Nitrate levels in skeletal muscle and blood in nNOS(-/-) mice were dramatically lower when compared with controls, which support further our hypothesis. Although the nitrate reductase activity of xanthine oxidoreductase in muscle is less than that of liver, the residual activity in muscle could be very important in view of its total mass and the high basal level of nitrate. We suggest that skeletal muscle participates in overall NO metabolism, serving as a nitrate reservoir, for direct formation of nitrite and NO, and for determining levels of nitrate in other organs.
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Written from the paper’s full text.
TL;DR
Skeletal muscle contains unusually high nitrate concentrations in rodents, exceeding blood and liver, and this pool is markedly reduced in nNOS−/− mice, suggesting muscle acts as an endogenous nitrate reservoir. Muscle has lower nitrate reductase activity than liver, but its large mass and high nitrate content may still contribute to systemic nitrite/NO homeostasis.
Key findings
- Rat skeletal muscle nitrate was 212.4±52.1 nmol/g tissue, significantly higher than blood (76.6±2.6 nmol/g) and liver (12.7±4.6 nmol/g) (p<0.05); liver nitrate was significantly lower than blood (p<0.05).
- In mice, skeletal muscle nitrate was 113±5.8 nmol/g in wild type vs 13.2±5 in nNOS−/−, and blood nitrate was 48.9±17.3 vs 9.7±2.3 nmol/g; both muscle and blood nitrate were significantly lower in nNOS−/− mice (p<0.05 for both).
- Rat nitrite concentrations were comparable across tissues: liver 0.8±0.5, blood 0.5±0.2, and skeletal muscle 0.6±0.2 nmol/g, with no statistically significant differences.
- Nitrate reductase activity was lower in skeletal muscle than liver: at 100, 300, and 500 μM nitrate, liver rates were 1.5, 4.8, and 10.9 nmol/(h×g tissue), while muscle rates were 0.4, 0.5, and 0.9 nmol/(h×g tissue); oxypurinol drastically inhibited liver nitrate reduction (p<0.05), whereas raloxifene had little effect.
Methods
- Adult male Wistar rats (n=6, 250±50 g), adult nNOS−/− mice (n=5, C57BL/6 background), and wild-type mice (n=10, C57BL/6J) were used; blood, liver, and hind-leg skeletal muscle were collected.
- Nitrite and nitrate were measured by chemiluminescence after tissue homogenization and protein precipitation; nitrate reductase assays in rat liver and skeletal muscle were performed at 2% oxygen, pH 7.4, 37°C with 100, 300, or 500 μM nitrate and cofactor mix, sampling at 0 min, 30 min, 1, 2, 3, 4, and 24 h.
- Inhibitor studies used 100 μM oxypurinol (XOR inhibitor) and 50 nM raloxifene (AO inhibitor); Western blotting assessed XOR, AO, and GAPDH expression; statistical significance was tested by one-way ANOVA.
Limitations
- Stated: nitrate reductase experiments were restricted to rat tissues because of insufficient mouse tissue samples.
- Stated: the alternative hypothesis that high muscle nitrate results from active transport from blood cannot be completely ruled out.
- Evident: sample sizes are small (n=5–10 per group), human total nitrate pool estimates are rough extrapolations from rat data, and some supporting data are described as not shown (e.g., pH 6 nitrate reductase results and nNOS−/− nitrite levels).
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Claims the paper makes
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- Findingown data
Nitrite levels in all mouse tissues measured are similar between wild-type and nNOS−/− mice.
“Nitrite levels in all mice tissues were similar in wild type and nNOS−/− mice (data not shown).”
Quote in the paperNot a substantial claim - Findingown data
In nNOS−/− mice, nitrate concentrations in skeletal muscle and blood are significantly lower than in wild-type controls.
“Nitrate levels in skeletal muscle and blood in nNOS−/− mice were dramatically lower when compared with controls, which support further our hypothesis.”
- Also stated in: § Results · plain
“Nitrate concentrations of wild type and nNOS−/− mice in skeletal muscle were 113±5.8 and 13.2±5, in blood 48.9±17.3 and 9.7±2.3, and in liver and16.9±5 nmol/g, respectively. These nitrate concentrations in skeletal muscle and blood of nNOS−/− mice were significantly lower than in control mice (p<0.05 for both cases), as seen in Figure 1A.”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
In rat skeletal muscle homogenate, no significant differences in accumulated nitrite were observed at different starting nitrate concentrations.
“No significant differences in amount of accumulated nitrite were observed at different starting conditions.”
Quote in the paperSubstantial claim - Findingown data
In liver and muscle homogenates, increased nitrite formation from nitrate was observed at pH 6 compared to pH 7.4.
“Indeed, when nitrate reductase activity of liver and muscle homogenates were tested, increased nitrite formation from nitrate was observed at pH 6 compared to pH 7.4 (data not shown).”
Quote in the paperSubstantial claim - Findingown data
Skeletal muscle in rodents contains unusually high nitrate concentrations compared to liver and blood.
“We measured nitrite and nitrate concentrations in rat and mouse leg skeletal muscle and found unusually high concentrations of nitrate but similar levels of nitrite, when compared to the liver.”
- Also stated in: § Results · plain
“Nitrate concentrations in rat liver, blood and skeletal muscle were 12.7±4.6, 76.6±2.6 and 212.4±52.1 nmol/g tissue, respectively. Thus the nitrate concentration in muscle is significantly higher than in liver and blood (p<0.05) but nitrate level in liver was significantly lower than in blood (p<0.05) (Figure 1B).”
- Also stated in: § Discussion · plain
“When analyzing the data in Figure 1B in terms of distributions of nitrate and nitrite ions among skeletal muscle, blood and liver, it is striking that nitrate concentrations in skeletal muscle are about 3-fold over those found in blood and about 17-fold higher than in liver.”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Interpretationown data
Skeletal muscle serves as an endogenous reservoir of nitrate ions that are distributed via the bloodstream to other internal organs, particularly liver.
“We suggest that skeletal muscle participates in overall NO metabolism, serving as a nitrate reservoir, for direct formation of nitrite and NO, and for determining levels of nitrate in other organs.”
- Also stated in: § Discussion · hedged
“This distribution leads us to the hypothesis that skeletal muscle mass serves as an endogenous reservoir of nitrate ions that are then distributed via the bloodstream into other internal organs, and in particular liver, where they can be converted by actions of XOR or AO into nitrite and further reduced into NO.”
- Also stated in: § Conclusions · hedged
“Unexpectedly, skeletal muscle appears to be the organ governing intrinsic nitrate homeostasis, being its main production site and distribution regulator.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · hedged
- Interpretationreasoning
Even low XOR activity in skeletal muscle, combined with large muscle mass and high nitrate concentrations, could be enough to significantly support internal organs and tissue homeostasis at normal basal levels of function.
“However, even this low XOR activity, when combined with the large mass of skeletal muscles and the high concentrations of nitrate could be enough to significantly support internal organs and tissue homeostasis at normal basal levels of function.”
Quote in the paperSubstantial claim- Rests on an assumption: Skeletal muscle is the largest organ in the mammalian body.
- Interpretationown data
Nitrate is likely transported from skeletal muscle into blood by passive diffusion, based on the approximately 3-fold concentration gradient between nitrate in blood and skeletal muscle.
“Nitrate is likely transported from skeletal muscle into blood by passive diffusion, based on the approximately 3-fold concentration gradient between nitrate in blood and skeletal muscle (Figure 1B).”
Quote in the paperSubstantial claim - Interpretationnone given
Skeletal muscle is the largest renewable pool of nitrate in the mammalian body.
“In this view, our identification of the largest renewable pool of nitrate in mammalian body, the skeletal muscle tissue, may be very relevant.”
Quote in the paperNot a substantial claim- Rests on an assumption: Skeletal muscle is the largest organ in the mammalian body.
- Interpretationown data
Skeletal muscle tissue is highly likely to be one of the most important storage pools of nitrate in mammals.
“This rough estimation shows that skeletal muscle tissue is highly likely to be one of the most important storage pools of nitrate in mammals.”
- Also stated in: § Conclusions · hedged
“In this view, our identification of the largest renewable pool of nitrate in mammalian body, the skeletal muscle tissue, may be very relevant.”
Quote in the paperSubstantial claim- Rests on an assumption: Skeletal muscle is the largest organ in the mammalian body.
- Also stated in: § Conclusions · hedged
- Interpretationown data
Mammals have their own mechanisms to synthesize, store, and distribute nitrate that are independent of symbiotic bacteria.
“Our data show that mammals have their own mechanisms to synthesize, store and distribute nitrate that is independent of symbiotic bacteria.”
Quote in the paperSubstantial claim- Rests on an assumption: The bacterial contribution to nitrate/nitrite metabolism is dietary-dependent.
- Interpretationown data
Most nitrate reduction in rat liver homogenate under these conditions is due to XOR.
“While oxypurinol drastically inhibited nitrate reduction (p<0.05), raloxifene had little effect, suggesting that most of the reduction was due to XOR.”
- Also stated in: § Discussion · boosted
“An inhibitor study with oxypurinol (XOR inhibitor) confirmed that XOR is the active protein responsible for nitrate reduction in liver, as shown in Figure 3.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · boosted
- Premisecitation
When NO released from isolated rat muscle was measured, there was ~60 pmol of NO/mg at resting conditions and ~150 pmol of NO/mg during electrical stimulation.
“When NO released from isolated rat muscle into a bathing solution was measured, there was ~60pmol of NO/mg at resting conditions and the value almost tripled to ~150pmol of NO/mg during electrical stimulation [25].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [25] Balon TW Nadler JL Nitric oxide release is present from incubated skeletal muscle preparations J Appl Physiol (1985) 1994 77 2519 21 7896585
Not checked in the free run.
- Premisecitation
Skeletal muscle contains significant levels of active neuronal NOS (nNOS or NOS1).
“However, Murad et al. found in 1993 that neuronal NOS (nNOS or NOS1) is expressed in skeletal muscle tissue in significant quantities [21].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [21] Nakane M Schmidt HH Pollock JS Forstermann U Murad F Cloned human brain nitric oxide synthase is highly expressed in skeletal muscle FEBS Lett 1993 316 175 80 7678401 source
Not checked in the free run.
- Premisecitation
XOR nitrate reductase activity is highly pH-dependent, with higher activity occurring at lower pH.
“It has been shown that XOR nitrate reductase activity is highly pH-dependent, with higher activity occurring at lower pH [12].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [12] Li H Samouilov A Liu X Zweier JL Characterization of the magnitude and kinetics of xanthine oxidase-catalyzed nitrate reduction: evaluation of its role in nitrite and nitric oxide generation in anoxic tissues Biochemistry 2003 42 1150 9 12549937 source
Not checked in the free run.
- May combine two claims. 19
- Classified as probably not a substantial claim. 11
May combine two claims.
Findingown dataNitrite concentrations in rat skeletal muscle and liver are comparable and both are slightly higher than blood, but not statistically significantly.
“We found that nitrite concentrations in rat liver, blood and skeletal muscle were, 0.8±0.5, 0.5±0.2 and 0.6±0.2 nmol/g tissue, respectively. As seen in Figure 1C, nitrite levels in skeletal muscle and liver were comparable and both values trended to be slightly higher (but not statistically significantly) than in blood.”
- Also stated in: § Discussion · plain
“This distribution is not reflected by nitrite ions, levels of which are slightly higher in muscle and liver than in blood, although the differences are not statistically significant.”
Quote in the paperNot a substantial claim- Also stated in: § Discussion · plain
May combine two claims.
Findingown dataIn rat liver homogenate, oxypurinol drastically inhibited nitrate reduction (p<0.05), while raloxifene had little effect.
“While oxypurinol drastically inhibited nitrate reduction (p<0.05), raloxifene had little effect, suggesting that most of the reduction was due to XOR.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataThere is a pronounced nitrate gradient from skeletal muscle through blood to other tissues such as liver, and a slight nitrite gradient from liver and skeletal muscle to blood.
“Therefore, there is a well pronounced nitrate gradient from skeletal muscle through blood to other tissues, such as liver, and a slight nitrite gradient from these organs (liver and skeletal muscle) to blood.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataIn rat liver homogenate, nitrate reduction to nitrite increases linearly over 4 hours after nitrate addition, with rates of 1.5, 4.8, and 10.9 nmol/(h x g tissue) for 100, 300, and 500 μM nitrate, respectively.
“In liver, after addition of the different concentrations of nitrate, we observed a linear increase of nitrite in the homogenate over the next 4 hours (Figure 2A), with rates of 1.5, 4.8 and 10.9 nmol/(h x g tissue), respectively.”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataIn rat skeletal muscle homogenate, nitrate reduction to nitrite occurs at rates of 0.4, 0.5, and 0.9 nmol/(h x g tissue) for 100, 300, and 500 μM nitrate, respectively, which are significantly lower than in liver.
“Figure 2B shows the results for skeletal muscle homogenate. Calculated rates of nitrate reduction to nitrite were 0.4, 0.5 and 0.9 nmol/(h x g tissue), numbers that are significantly lower than observed for liver.”
Quote in the paperSubstantial claimMay combine two claims.
Findingown dataXOR is expressed at significant levels in rat skeletal muscle and liver tissues, while AO expression is very low but detectable in skeletal muscle.
“XOR is expressed at significant levels in muscle and liver tissues while AO expression level is very low, but detectable, in skeletal muscle tissue.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationThe role of myoglobin as an NO scavenger in skeletal muscle to prevent its toxicity had been proposed.
“In fact, the role of myoglobin as an NO scavenger in skeletal muscle to prevent its toxicity had been proposed [35; 36].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [35] Brunori M Nitric oxide moves myoglobin centre stage Trends Biochem Sci 2001 26 209 10 11295538
Not checked in the free run.
- cites [36] Wittenberg JB Wittenberg BA Myoglobin function reassessed J Exp Biol 2003 206 2011 20 12756283 source
Not checked in the free run.
May combine two claims.
Interpretationown dataThe high nitrate content of rodent skeletal muscle is likely due to nNOSμ and nNOSβ activity, local NO production, and its oxidation by oxymyoglobin.
“It is likely that the unexpectedly high nitrate content of rodent skeletal muscle tissue is due to the nNOSμ and nNOSβ activity of this tissue.”
- Also stated in: § Discussion · hedged
“We postulate that the high levels of nitrate result from local NO production and its oxidation, as skeletal muscle contains high concentrations of oxymyoglobin, which avidly reacts with NO to form nitrate and metmyoglobin.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · hedged
May combine two claims.
Interpretationown dataAcidosis or hypoxia during physical activity predicts increased nitrate reduction by XOR in muscle tissue and opens the possibility of local nitrate reduction within the muscle cell, possibly to NO.
“Further, acidosis or hypoxia during physical activity predicts increased nitrate reduction by XOR in muscle tissue and open the possibility of local nitrate reduction within the muscle cell, possibly to NO.”
Quote in the paperSubstantial claimMay combine two claims.
Interpretationown dataThe nitrate pool in skeletal muscle exceeds the blood nitrate pool in both concentration and total stored amount.
“In addition to this source, as we report here, there is also a much larger but previously unknown pool of nitrate originating from metabolic processes in the skeletal muscle that exceeds the blood nitrate pool, both in the concentration and total stored nitrate amount.”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe paper's data in liver and blood of control wild-type mice and rats are in good agreement with previously reported values.
“Our data in liver and blood in control wild type animals (mice and rats) are in good agreement with these reports [32 - 34].”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [32] Kleinbongard P Dejam A Lauer T Rassaf T Schindler A Picker O Scheeren T Godecke A Schrader J Schulz R Heusch G Schaub GA Bryan NS Feelisch M Kelm M Plasma nitrite reflects constitutive nitric oxide synthase activity in mammals Free Radic Biol Med 2003 35 790 6 14583343 source
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- cites [33] Hall CN Garthwaite J What is the real physiological NO concentration in vivo? Nitric Oxide 2009 21 92 103 19602444 PMC2779337 source
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- cites [34] Milsom AB Fernandez BO Garcia-Saura MF Rodriguez J Feelisch M Contributions of nitric oxide synthases, dietary nitrite/nitrate, and other sources to the formation of NO signaling products Antioxid Redox Signal 2012 17 422 32 22133018 PMC3365358
Not checked in the free run.
May combine two claims.
PremisecitationMuscle cells contain robust metmyoglobin reductase systems that reduce metmyoglobin back to myoglobin, keeping it functional as an oxygen transporter and available for further reaction with NO.
“Muscle cells also contain robust metmyoglobin reductase systems, which reduce metmyoglobin back to myoglobin to keep it functional as an oxygen transporter within the myocyte [37; 38], and available for further reaction with NO.”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [37] Taylor D Hochstein P Reduction of metmyoglobin in myocytes J Mol Cell Cardiol 1982 14 133 40 7108969
Not checked in the free run.
- cites [38] Echevarne C Renerre M Labas R Metmyoglobin reductase activity in bovine muscles Meat Sci 1990 27 161 72 22055228
Not checked in the free run.
May combine two claims.
InterpretationreasoningAlthough nitrate reductase activity of skeletal muscle XOR is lower than that of liver, the residual activity in muscle could be important for total nitrite and NO formation because of muscle's large mass and high nitrate levels.
“Although the nitrate reductase activity of xanthine oxidoreductase in muscle is less than that of liver, the residual activity in muscle could be very important in view of its total mass and the high basal level of nitrate.”
- Also stated in: § Discussion · hedged
“However, it is worth noting that although the nitrate reductase activity of skeletal muscle tissue is low, when combined with its large total mass in body and high nitrate levels, muscle could still contribute to total nitrite and NO formation even under resting conditions.”
Quote in the paperSubstantial claim- Also stated in: § Discussion · hedged
May combine two claims.
InterpretationreasoningIn an adult human, using rat measured values, total nitrate available in skeletal muscle is estimated at 2.12-3.18 mmol, and total nitrite at 7-10.5 μM, while blood contains 382 μM nitrate and 2.5 μmol nitrite.
“If we use our measured values for liver and skeletal muscle in rat, this would translate into total 2.5μmol of nitrite and 382μM of nitrate in blood and 7-10.5μM of nitrite and 2.12 – 3.18mmol of nitrate available in skeletal muscle at any given time.”
Quote in the paperSubstantial claim- Rests on an assumption: Rat measured nitrate concentrations and tissue masses can be used to estimate total nitrate pools in adult humans.
May combine two claims.
Interpretationnone givenNitrate levels in nNOS−/− mice presumably originate from dietary contribution and oxidation of NO produced by other NOS isoforms (eNOS and iNOS).
“Nitrate levels in nNOS−/− mice presumably originate from dietary contribution and oxidation of NO produced by other NOS isoforms – eNOS (NOS3) and iNOS (NOS2).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationNO is not the only possible end product in the reaction cycle of nNOS; depending on the path by which ferric heme releases NO and returns to ferrous state, two end products are possible - NO and nitrate ions (the futile cycle).
“NO is not the only possible end product in the reaction cycle of the nNOS enzyme. In fact, depending on the path by which ferric heme releases NO and returns to the initial ferrous oxidation state, two end products are possible – NO and nitrate ions. The details of this alternative process, termed the “futile” cycle, are described elsewhere [39 - 41].”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [39] Stuehr DJ Santolini J Wang ZQ Wei CC Adak S Update on mechanism and catalytic regulation in the NO synthases J Biol Chem 2004 279 36167 70 15133020
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- cites [40] Tejero J Santolini J Stuehr DJ Fast ferrous heme-NO oxidation in nitric oxide synthases FEBS J 2009 276 4505 14 19691141 PMC2737443
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- cites [41] Li H Poulos TL Structure-function studies on nitric oxide synthases J Inorg Biochem 2005 99 293 305 15598508 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAn active nitrate transporter, sialin, has recently been described in salivary glands.
“An active nitrate transporter, sialin, has recently had been described in salivary glands [44].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [44] Qin L Liu X Sun Q Fan Z Xia D Ding G Ong HL Adams D Gahl WA Zheng C Qi S Jin L Zhang C Gu L He J Deng D Ambudkar IS Wang S Sialin (SLC17A5) functions as a nitrate transporter in the plasma membrane Proc Natl Acad Sci U S A 2012 109 13434 9 22778404 PMC3421170 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationnNOS missing from the dystrophin protein complex in skeletal muscle is associated with most forms of muscular dystrophies and likely also with sarcopenia.
“It is also known that nNOS missing from the dystrophin protein complex in the skeletal muscle is associated with most forms of muscular dystrophies and likely also with sarcopenia [23; 24].”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [23] Ehmsen J Poon E Davies K The dystrophin-associated protein complex J Cell Sci 2002 115 2801 3 12082140
Not checked in the free run.
- cites [24] Samengo G Avik A Fedor B Whittaker D Myung KH Wehling-Henricks M Tidball JG Age-related loss of nitric oxide synthase in skeletal muscle causes reductions in calpain S-nitrosylation that increase myofibril degradation and sarcopenia Aging Cell 2012 11 1036 45 22950758 PMC3734855 source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
Study design and conductnone givenAll animal procedures were carried out according to the NIH Guide for the Care and Use of Laboratory Animals under an approved NIDDK Animal Care and Use Committee protocol.
“All animal procedures were carried out according to the recommendations in the Guide for the Care and Use of Laboratory Animals of NIH under NIDDK Animal Care and Use Commitee approved protocol.”
Quote in the paperNot a substantial claimMay combine two claims.
InterpretationreasoningNOS activity of skeletal muscle is important even at resting conditions, which would likely make skeletal muscle the main site of production of NO and its metabolites.
“The above values show that NOS activity of skeletal muscle is important, even at the resting conditions, which would likely make the skeletal muscle, as the largest organ in the mammalian body, the main site of production of NO and its metabolites.”
Quote in the paperSubstantial claim- Rests on an assumption: Skeletal muscle is the largest organ in the mammalian body.
May combine two claims.
PremisecitationNO is produced in skeletal muscle tissue even at rest, and its production substantially increases during contraction.
“It is produced in muscle tissue even at rest and during contraction its production substantially increases [25].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [25] Balon TW Nadler JL Nitric oxide release is present from incubated skeletal muscle preparations J Appl Physiol (1985) 1994 77 2519 21 7896585
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationSkeletal muscle contains two active nNOS splice variants, nNOSμ and nNOSβ.
“In fact, it was later shown that skeletal muscle contains two different active nNOS splice variants, nNOSμ an essential member of the dystrophin-associated protein complex in sarcolemma, and nNOSβ - located in the Golgi complex [22].”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [22] Percival JM Anderson KN Huang P Adams ME Froehner SC Golgi and sarcolemmal neuronal NOS differentially regulate contraction-induced fatigue and vasoconstriction in exercising mouse skeletal muscle J Clin Invest 2010 120 816 26 20124730 PMC2827958
Not checked in the free run.
Classified as probably not a substantial claim.
PremisecitationCurrently, dietary nitrate is often considered to be the main source of nitrate and nitrite in the body.
“Currently, dietary nitrate is often considered to be the main source of nitrate and nitrite in the body [43].”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [43] Wagner DA Young VR Tannenbaum SR Schultz DS Deen WM Mammalian nitrate biochemistry: metabolism and endogenous synthesis IARC Sci Publ 1984 247 53 6533015
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductown dataDue to insufficient mouse tissue, nitrate reductase assays were restricted to rat tissues.
“Due to insufficient amount of tissue samples available from mouse, we were restricted to rat tissues in these experiments.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
InterpretationreasoningEven if active nitrate transport exists in muscle, it would not change the proposal that muscle tissue is a very important reservoir of body nitrate.
“Even if this pathway exists in muscle, it would not change our proposal that muscle tissue is a very important reservoir of body nitrate.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductcitationThe alternative hypothesis that high skeletal muscle nitrate is due to active nitrate transport from blood cannot be completely ruled out.
“However, an alternative hypothesis, that high concentration of nitrate in the skeletal muscle is a result of its accumulation in this tissue due to the active nitrate transport from blood, cannot be completely ruled out.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing), S4 (based). May combine two claims.
PremisereasoningOxyhemoglobin in red blood cells is a well-known and efficient nitrite and NO oxidase, and blood could be a significant source of nitrate generation from nitrite and NO oxidations.
“Also, the most abundant protein in blood, oxyhemoglobin in red blood cells, is a well-known and efficient nitrite and NO oxidase, and thus blood could also be a very significant source of nitrate generation from nitrite and NO oxidations, in addition to its role in dietary nitrate transport.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
No prior measurements of nitrite and/or nitrate in skeletal muscle have been reported.
“To our knowledge, values of nitrite and/or nitrate in skeletal muscle have not been reported so far.”
“Both ions had been quantified using chemiluminescence in most of the internal organs [7; 9; 12; 19; 20], but we are not aware of any similar measurements done in skeletal muscle.”
The paper relies on this without support.
Skeletal muscle is the largest organ in the mammalian body.
“The above values show that NOS activity of skeletal muscle is important, even at the resting conditions, which would likely make the skeletal muscle, as the largest organ in the mammalian body, the main site of production of NO and its metabolites.”
“These new results on nitrate concentrations in rodent skeletal muscle tissue suggest that this tissue, constituting one of the largest organs in the mammalian body, could play a major role in mammalian nitrogen metabolism.”
The paper relies on this without support.
Rat measured nitrate concentrations and tissue masses can be used to estimate total nitrate pools in adult humans.
“If we use our measured values for liver and skeletal muscle in rat, this would translate into total 2.5μmol of nitrite and 382μM of nitrate in blood and 7-10.5μM of nitrite and 2.12 – 3.18mmol of nitrate available in skeletal muscle at any given time.”
The paper relies on this without support.
The bacterial contribution to nitrate/nitrite metabolism is dietary-dependent.
“However, the bacterial contribution to nitrate/nitrite metabolism is also dietary-dependent and therefore can be considered only as an additional mechanism that is highly dependent on extended factors.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Elevations in [NO3−] and [NO2−] following NO3− supplementation have been observed in skeletal muscle and plasma.
“Elevations in [NO3−] and [NO2−] following NO3− supplementation have been observed in skeletal muscle [88,89,90,91] and plasma [53,64,92], and are associated with positive physiological effects [41,64,74,93] that facilitate a greater capacity for muscular work [51,53,59] and/or improved muscle contractile efficiency (i.e., a lower high-energy phosphate cost of force production) [51,94].”
From Effects of Dietary Nitrate Supplementation on Weightlifting Exercise Performance in Healthy Adults: A Systematic Review (2020) · cites this paper as [89]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Blood nitrate amount is reported as a concentration
MinorThe stated 382 is approximately the total nitrate amount in 5 liters of blood, in μmol, not a concentration in μM. Dividing that amount by 5 liters gives about 76.4 μM, consistent with the reported rat blood value of 76.6 nmol/g.
Reported 382 · recomputed 76.4
“an adult human has about 5 liters of blood, but about 10-15kg of skeletal muscle. If we use our measured values for liver and skeletal muscle in rat, this would translate into total 2.5μmol of nitrite and 382μM of nitrate in blood”
Muscle nitrite amount is reported as a concentration
MinorThe estimate of 7-10.5 is an amount across 10-15 kg of muscle, so its unit should be μmol rather than μM. Dividing its lower endpoint by 10 kg gives 0.7 μmol/kg, not a concentration of 7 μM.
Reported 7 · recomputed 0.7
“about 10-15kg of skeletal muscle. If we use our measured values for liver and skeletal muscle in rat, this would translate into total 2.5μmol of nitrite and 382μM of nitrate in blood and 7-10.5μM of nitrite and 2.12 – 3.18mmol of nitrate available in skeletal muscle”
Cites
The nitrate-nitrite-nitric oxide pathway in physiology and therapeutics
Lundberg, J. O., Weitzberg, E., & Gladwin, M. T. (2008) · Nature Reviews Drug Discovery · doi:10.1038/nrd2466 · Cited by 2,739 · cited 1× · see citing works
“The hypotheses presented earlier in our view represents an intrinsic mechanism for nitrite/nitrate homeostasis in the mammalian body that is acting in synergy with variable levels of dietary nitrate and nitrite, as well as the significant contribution of the symbiotic bacterial flora that have been intensively discuss…”
Nitrite reduction to nitric oxide by deoxyhemoglobin vasodilates the human circulation
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Dietary nitrate supplementation increases diaphragm peak power in old mice
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Measurement of nitrate and nitrite in biopsy-sized muscle samples using HPLC
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Beetroot Juice - Legal Doping for Athletes?
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Quality and nutritional investigation of some water sources in Sulaimani city
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- Authors
- Piknova, B., Park, J. W., Swanson, K. M., Dey, S., Noguchi, C. T., & Schechter, A. N.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Piknova, Barbora
- Venue
- Nitric Oxide
- Publisher
- Elsevier BV
- Published
- 2015-05
- Volume
- 47
- Pages
- 10-16
- ISSN
- 1089-8603 (ISSN-L)
- PMC
- PMC4439352
- OpenAlex
- W2022265373
- Cited by
- 108
- References
- 48
- Citations by year
- 2026: 5 · 2025: 11 · 2024: 10 · 2023: 9 · 2022: 9 · 2021: 13 · 2020: 11 · 2019: 14 · 2018: 13 · 2017: 7 · 2016: 5 · 2015: 1
- FWCI
- 6.39
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Nitric Oxide (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99 DK999999)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Hemoglobin structure and function
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Heme Oxygenase-1 and Carbon Monoxide
- Keywords
- skeletal muscle, nitrite, nitric oxide synthase, neuronal nitric oxide synthase, oxymyoglobin, xanthine oxidoreductase, nitrate reductase, nitric oxide metabolism, nitrate transport, nNOS knockout mice
- MeSH terms
- Animals, Male, Mice, Inbred C57BL, Nitrates, Nitric Oxide, Rats, Wistar, Mice, Knockout, Muscle, Skeletal, Nitric Oxide Synthase, Mice, Rats
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