Dietary supplement with vitamin C prevents nitrate tolerance
Open accessAbstract
Enhanced formation of superoxide radicals has been proposed to play a major role in the development of nitrate tolerance in humans. We tested the effects of vitamin C (Vit-C) supplementation on glyceroltrinitrate (GTN)-induced hemodynamic effects during 3-d nonintermittent transdermal administration of GTN (0.4 mg/h) in nine healthy subjects. Tolerance development was monitored by changes in arterial pressure, dicrotic digital pulse pressure, and heart rate. Studies with GTN, Vit-C, or GTN/Vit-C were successively carried out at random in three different series in the same subjects. GTN treatment caused an immediate rise in arterial conductivity (a/b ratio of dicrotic pulse), but within 2 d of initiating GTN, the a/b ratio progressively decreased and reached basal levels. In addition, there was a progressive loss of the orthostatic decrease in blood pressure. However, coadministration of Vit-C and GTN fully maintained the GTN-induced changes in the orthostatic blood pressure, and the rise of a/b ratio was augmented by 310% for the duration of the test period. Changes in vascular tolerance in GTN-treated subjects were paralleled by upregulation of the activity of isolated platelets, which was also reversed by Vit-C administration. These findings demonstrate that dietary supplementation with Vit-C eliminates vascular tolerance and concomitant upregulation of ex vivo-washed platelet activity during long-term nonintermittent administration of GTN in humans.
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- Authors
- Bassenge, E., Fink, N., Skatchkov, M., & Fink, B.
- Affiliations
- University of Freiburg (DE)
- ORCID
- Fink, B
- Venue
- Journal of Clinical Investigation
- Published
- 1998-07-01
- Volume
- 102
- Issue
- 1
- Pages
- 67-71
- ISSN
- 0021-9738 (ISSN-L)
- PMC
- PMC509066
- OpenAlex
- W2027872608
- Cited by
- 138
- References
- 36
- Citations by year
- 2024: 1 · 2023: 1 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2015: 4 · 2014: 2 · 2013: 2 · 2012: 3
- FWCI
- 8.18
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Clinical Investigation (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- FreiDok plus (Universitätsbibliothek Freiburg) (submittedVersion)
- Funders
- Deutsche Herzstiftung
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
- Health Sciences › Medicine › Biochemistry › Antioxidant Activity and Oxidative Stress
- Keywords
- nitrate tolerance, vitamin C, vitamin C supplementation, nitroglycerin, superoxide, platelet function, orthostatic blood pressure, pulse pressure, vasodilation
- MeSH terms
- Adult, Aged, Aged, 80 and over, Ascorbic Acid, Blood Platelets, Blood Pressure, Calcium, Diet, Drug Tolerance, Female, Nitroglycerin, Cyclic GMP, Humans, Male, Middle Aged, Superoxides
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