Nitrite and nitrate: cardiovascular risk–benefit and metabolic effect
Abstract
PURPOSE OF REVIEW: To review the most recent published literature on the biological effects of nitrite and nitrate in order to establish the context for potential health benefits vs. potential risks or adverse effects. Nitrite and nitrate are indigenous to our diet and are formed naturally within our body from the oxidation of nitric oxide. Emerging health benefits from dietary sources of nitrite and nitrate contradict decades of epidemiological research that have suggested an association of nitrite and nitrate in foods, primarily cured and processed meat, with certain cancers. RECENT FINDINGS: The major source of exposure of nitrite and nitrate comes from the consumption of nitrate-enriched vegetables. The preponderance of epidemiological studies shows a very weak association with consumption of meats and certain cancers, which contain very little nitrite and nitrate. Nitrite and nitrate in certain foods and diets can be metabolized to nitric oxide and promote cardiovascular benefits and cytoprotection. SUMMARY: The cardiovascular benefits of nitrite and nitrate are beginning to be translated in humans by the increasing number of clinical trials using nitrite and nitrate. The collective body of evidence suggests that foods enriched in nitrite and nitrate provide significant health benefits with very little risk.
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Dietary supplementation of nitrites can cause methemoglobinemia and interfere with oxygenation of the blood.
“Dietary supplementation of nitrites can cause methemoglobinemia and interfere with oxygenation of the blood.”
From Dietary nitrate, nitric oxide, and restenosis (2011) · cites this paper as [18]
Diet is an important source of nitrite, largely via secondary reduction from nitrate.
“the diet is an important source of nitrite (largely via secondary reduction from nitrate)”
From Current perspectives and challenges in understanding the role of nitrite as an integral player in nitric oxide biology and therapy (2011) · cites this paper as [118]
Diet has the potential to contribute significantly to nitrite-dependent responses.
“several studies have shown that it has the potential to contribute significantly to nitrite-dependent responses [84, 86-89, 118-121]”
From Current perspectives and challenges in understanding the role of nitrite as an integral player in nitric oxide biology and therapy (2011) · cites this paper as [118]
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- Authors
- Tang, Y., Jiang, H., & Bryan, N. S.
- Affiliations
- Brown Foundation Institute of Molecular Medicine for the Prevention of Human Diseases (US)
- Corresponding author
- Bryan, Nathan S
- Venue
- Current Opinion in Lipidology
- Published
- 2011-02
- Volume
- 22
- Issue
- 1
- Pages
- 11-15
- ISSN
- 0957-9672 (ISSN-L)
- OpenAlex
- W2066945371
- Cited by
- 69
- References
- 53
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 4 · 2020: 3 · 2019: 5 · 2018: 7 · 2017: 11 · 2016: 5 · 2015: 6 · 2014: 4 · 2013: 4 · 2012: 8
- FWCI
- 0.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Current Opinion in Lipidology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Nutritional Studies and Diet
- Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
- Keywords
- nitrite, nitrate, nitric oxide, dietary nitrate, cancer risk, cytoprotection, metabolic effects, clinical trials
- MeSH terms
- Cardiovascular Diseases, Humans, Nitrates, Nitrites
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