The microbial generation of nitric oxide in the human oral cavity
Abstract
Nitric oxide a potent antimicrobial agent and vasodilator, may be synthesized in the human mouth due to the bacterial reduction of salivary nitrate. The purpose of this study was to determine whether intra-oral pH changes produced by the oral flora may augment the production of nitric oxide. To test this hypothesis a sucrose mouthrinse was administered to human volunteers who were free from caries and periodontal disease and production of oral nitric oxide was related to intra-oral pH changes. Baseline measurements consisted of pooled supragingival plaque and anterior and posterior tongue scrapings for microbiological analysis. Additional samples of saliva were collected for nitrate and nitrite analysis. Intra-oral pH measurements were recorded with a microelectrode at selected sites and NO intra-oral levels were measured by chemiluminescence. In addition selected members of the oral flora were tested for their ability to reduce nitrate to nitrite. A decrease in pH produced by the sucrose rinse was significantly associated with an increase in the intra-oral generation of NO after 5 min (p=0.006). The most frequently recovered nitrate reducing organisms were Veillonella spp. and Actinomyces spp. whilst the acidogenic Streptococcus spp. were negative nitrate reducers. The oral generation of NO appears to be influenced by pH levels within the oral cavity. Keywords: nitric oxide, nitrate, nitrite, saliva, nitrate reductase, intra-oral pH.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
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?
Among the highest nitrate-reducing species in the oral cavity are Firmicutes (Staphylococcus, Streptococcus, and Veillonella) and Actinobacteria (Actinomyces), followed by Pasteurella, Rothia, Neisseria, Haemophilus, and Granulicatella.
“Among the highest nitrate-reducers species, identified in the oral cavity, there are: Firmicutes (Staphylococcus, Streptococcus, and Veillonella) and Actinobacteria (Actinomyces), followed by numerous other taxa, including Pasteurella, Rothia, Neisseria, Haemophilus, Granulicatella (Smith et al., 1999; Palmerini et al., 2003; Hyde et al., 2014).”
From Do Changes in Oral Microbiota Correlate With Plasma Nitrite Response? A Systematic Review (2019) · cites this paper as Smith et al., 1999
Cites
The L-Arginine-Nitric Oxide Pathway
Epstein, F. H., Moncada, S., & Higgs, A. (1993) · New England Journal of Medicine · doi:10.1056/nejm199312303292706 · Cited by 6,678 · see citing works
Manual of Clinical Microbiology
Balows, A., Hausler, W. J., HERRMANN, K. L., Isenberg, H. D., & Shadomy, H. J. (1991) · Revista do Instituto de Medicina Tropical de São Paulo · doi:10.1590/s0036-46651991000600015 · Cited by 1,160 · see citing works
Duncan, C., Dougall, H., Johnston, P., Green, S., Brogan, R., Leifert, C., Smith, L., Golden, M., & Benjamin, N. (1995) · Nature Medicine · doi:10.1038/nm0695-546 · Cited by 734 · see citing works
Self-citationBenjamin, N., O'Driscoll, F., Dougall, H., Duncan, C., Smith, L., Golden, M., & McKenzie, H. (1994) · Nature · doi:10.1038/368502a0 · Cited by 665 · see citing works
Self-citationIntra-Oral Hydrogen-Ion Concentrations Associated With Dental Caries Activity
Stephan, R. M. (1944) · Journal of Dental Research · doi:10.1177/00220345440230040401 · Cited by 458 · see citing works
The effect of nitrate intake on nitrite formation in human saliva
Tannenbaum, S. R., Weisman, M., & Fett, D. (1976) · Food and Cosmetics Toxicology · doi:10.1016/s0015-6264(76)80006-5 · Cited by 381 · see citing works
EPR characterization of molecular targets for NO in mammalian cells and organelles
Henry, Y. A., Lepoivre, M., Drapier, J., Ducrocq, C., Boucher, J., & Guissani, A. (1993) · The FASEB Journal · doi:10.1096/fasebj.7.12.8397130 · Cited by 367 · see citing works
ASSESSING THE CONTRIBUTION OF ANAEROBIC MICROFLORA OF THE TONGUE TO ORAL MALODOR
Boever, E. H. D., & Loesche, W. J. (1995) · The Journal of the American Dental Association · doi:10.14219/jada.archive.1995.0049 · Cited by 329 · see citing works
Cole, J. (1996) · FEMS Microbiology Letters · doi:10.1111/j.1574-6968.1996.tb08017.x · Cited by 195 · see citing works
Reactive nitrogen intermediates and antimicrobial activity: Role of nitrite
Klebanoff, S. J. (1993) · Free Radical Biology and Medicine · doi:10.1016/0891-5849(93)90084-8 · Cited by 192 · see citing works
Effects of nitric oxide and nitrogen dioxide on bacterial growth
Mancinelli, R. L., & McKay, C. P. (1983) · Applied and Environmental Microbiology · doi:10.1128/aem.46.1.198-202.1983 · Cited by 184 · see citing works
Malawista, S. E., Montgomery, R. R., & Blaricom, G. V. (1992) · Journal of Clinical Investigation · doi:10.1172/jci115903 · Cited by 184 · see citing works
Alspaugh, J. A., & Granger, D. L. (1991) · Infection and Immunity · doi:10.1128/iai.59.7.2291-2296.1991 · Cited by 175 · see citing works
The pharmacology of dietary nitrate and the origin of urinary nitrate
Bartholomew, B., & Hill, M. J. (1984) · Food and Chemical Toxicology · doi:10.1016/0278-6915(84)90116-9 · Cited by 175 · see citing works
Nitrate and nitrite concentrations in human saliva: Variations with salivary flow-rate
Granli, T., Dahl, R., Brodin, P., & Bøckman, O. (1989) · Food and Chemical Toxicology · doi:10.1016/0278-6915(89)90122-1 · Cited by 78 · see citing works
Nitrosamines : toxicology and microbiology
Hill, M. J. (1988) · Ellis Horwood eBooks · Cited by 75 · see citing works
Dougall, H., Smith, L., Duncan, C. W., & Benjamin, N. (1995) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1995.tb04479.x · Cited by 73 · see citing works
Self-citationThe Tongue Microbiota of Low Odour and Malodorous Individuals
Hartley, M. G., Maaytah, M. E., McKenzie, C., & Greenman, J. (1996) · Microbial Ecology in Health and Disease · doi:10.3402/mehd.v9i5.8370 · Cited by 49 · see citing works
Nitric oxide in mucosal immunity
Green, S. J. (1995) · Nature Medicine · doi:10.1038/nm0695-515 · Cited by 45 · see citing works
Predominant Cultivable Microorganisms on the Tongue of Preschool Children
Milnes, A. R., Bowden, G. H., Gates, D., et al. (1993) · Microbial Ecology in Health and Disease · doi:10.3402/mehd.v6i5.8141 · Cited by 6 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Koch, C. D., Gladwin, M. T., Freeman, B. A., Lundberg, J. O., Weitzberg, E., & Morris, A. (2017) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2016.12.015 · Cited by 186 · see citing works
Antimicrobial effect of acidified nitrite on periodontal bacteria
Allaker, R. P., Silva Mendez, L. S., Hardie, J. M., & Benjamin, N. (2001) · Oral Microbiology and Immunology · doi:10.1034/j.1399-302x.2001.160410.x · Cited by 100 · see citing works
Self-citationAntimicrobial effect of acidified nitrite on cariogenic bacteria
Silva Mendez, L. S., Allaker, R. P., Hardie, J. M., & Benjamin, N. (1999) · Oral Microbiology and Immunology · doi:10.1034/j.1399-302x.1999.140612.x · Cited by 72 · see citing works
Self-citationLiddle, L., Burleigh, M. C., Monaghan, C., Muggeridge, D. J., Sculthorpe, N., Pedlar, C. R., Butcher, J., Henriquez, F. L., & Easton, C. (2019) · Nitric Oxide · doi:10.1016/j.niox.2018.12.003 · Cited by 59 · see citing works
Do Changes in Oral Microbiota Correlate With Plasma Nitrite Response? A Systematic Review
Zhurakivska, K., Troiano, G., Caponio, V. C. A., Dioguardi, M., Laino, L., Maffione, A. B., & Lo Muzio, L. (2019) · Frontiers in Physiology · doi:10.3389/fphys.2019.01029 · Cited by 37 · see citing works
Bescos, R., Gallardo-Alfaro, L., Ashor, A., Rizzolo-Brime, L., Siervo, M., & Casas-Agustench, P. (2025) · Free Radical Biology and Medicine · doi:10.1016/j.freeradbiomed.2024.11.010 · Cited by 13 · see citing works
- Authors
- Smith, A. J., Benjamin, N., Weetman, D. A., Mackenzie, D., & MacFarlane, T. W.
- Affiliations
- University of Glasgow (GB)
- University of London (GB)
- Venue
- Microbial Ecology in Health & Disease
- Publisher
- Co-Action Publishing
- Published
- 1999-03-01
- Volume
- 11
- Issue
- 1
- ISSN
- 0891-060X (ISSN-L)
- 1651-2235
- OpenAlex
- W2130279367
- Cited by
- 19
- References
- 20
- Citations by year
- 2026: 1 · 2024: 1 · 2019: 2 · 2018: 1 · 2017: 1 · 2016: 2 · 2015: 2 · 2014: 1 · 2013: 2
- FWCI
- 1.58
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Microbial Ecology in Health and Disease (publishedVersion)
- Topics
- Health Sciences › Dentistry › Periodontics › Oral microbiology and periodontitis research
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Health Sciences › Dentistry › Periodontics › Dental Health and Care Utilization
- Keywords
- nitric oxide, nitrate reduction, oral microbiota, salivary nitrate, nitrite, Veillonella, Actinomyces, Streptococcus, oral cavity, chemiluminescence
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review