Cited by 31Nitric Oxide and Endothelin EffectsPhytochemicals and Antioxidant ActivitiesCardiovascular Health and Disease Prevention

The Nitrate-Nitrite-Nitric Oxide Pathway on Healthy Ageing: A Review of Pre-clinical and Clinical Data on the Impact of Dietary Nitrate in the Elderly

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Rocha, Bárbara S.·2021·Frontiers in Aging

Abstract

We are living longer. Are we living healthier? As we age, cellular and molecular damage reshape our physiological responses towards environmental and endogenous stimuli. The free radical theory of ageing has been proposed long before ageing has been considered a “scientific discipline” and, since then, has been discussed and upgraded as a major contributor to aberrant ageing. Assuming that ageing results merely from the accumulation of oxidative modifications of biomolecules is not only a simplistic and reductive view of such a complex and dynamic process, but also free radicals and related oxidants are now considered pivotal signalling molecules. The fine modulation of critical signalling pathways by redox compounds demands a novel approach to tackle the role of free radicals in ageing. Nitric oxide (⋅NO) is a paradigmatic example given its biological functions in cardiovascular, neurologic and immune systems. In addition to the canonical ⋅NO synthesis by a family of enzymes, nitrate from green leafy vegetables, is reduced to nitrite in the oral cavity which is further reduced to ⋅NO in the stomach. Boosting this nitrate-nitrite-NO pathway has been shown to improve gastrointestinal, cardiovascular, metabolic and cognitive performance both in humans and in animal models of disease. In the elderly, nitrate-derived ⋅NO has been shown improve several physiological functions that typically decline during ageing. In this paper, the role of nitrate and derived nitrogen oxides will be discussed while reviewing pre-clinical and clinical data on the cardiovascular, neuronal, musculoskeletal and metabolic effects of nitrate during healthy ageing.

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Crossref · 10.3389/fragi.2021.778467

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  • While dietary nitrate can increase NO production, a high oxidative burden may reduce its effectiveness by accelerating NO degradation.

    “While dietary nitrate can increase NO production, a high oxidative burden may reduce its effectiveness by accelerating NO degradation [128,234,256].”

    From Dietary Nitrate-Rich Vegetables as Natural Modulators of Health: Mechanisms and Benefits in Ageing Populations (2026) · cites this paper as [234]

    The Introduction (page unavailable) describes dietary nitrate being converted through nitrite to NO, supporting the first part of the claim. Neither that section nor the passages retrieved on oxidative stress and NO degradation say that a high oxidative burden accelerates NO degradation or reduces dietary nitrate’s effectiveness. (LLM, conf=0.84)

    Experimental — accuracy not yet measured
  • The nitrate-nitrite-NO pathway becomes more important under hypoxic or acidic conditions.

    “Consequently, the nitrate-nitrite-NO pathway becomes more important, particularly under hypoxic or acidic conditions [233,234].”

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Authors
Rocha, B. S.
Affiliations
University of Coimbra (PT)
Corresponding author
Rocha, Bárbara S.
Venue
Frontiers in Aging
Published
2021-11-17
Volume
2
Pages
778467-778467
ISSN
2673-6217 (ISSN-L)
OpenAlex
W3213842070
Cited by
30
References
92
Citations by year
2026: 10 · 2025: 9 · 2024: 5 · 2023: 2 · 2022: 4
FWCI
0.37
Type
journal article
Language
en
Open access
Locations
  • Frontiers in Aging (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Fundação para a Ciência e a Tecnologia
Topics
  • Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
  • Health Sciences › Medicine › Biochemistry › Phytochemicals and Antioxidant Activities
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Disease Prevention
Keywords
nitrate-nitrite-nitric oxide pathway, dietary nitrate, healthy aging, older adults, free radicals, oxidative stress, free radical theory of aging, redox signaling, leafy vegetables, cardiovascular function, cognitive function, musculoskeletal function, metabolic function, neuronal function

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