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Am J Physiol Heart Circ Physiol (February 27, 2009). doi:10.1152/ajpheart.01291.2008
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Submitted on December 12, 2008
Revised on February 25, 2009
Accepted on February 25, 2009

Dietary Nitrite Prevents Hypercholesterolemic Microvascular Inflammation and Reverses Endothelial Dysfunction

Karen Y Stokes1, Tammy R. Dugas2, Yaoping Tang3, Harsha Garg3, Eric Guidry2, and Nathan S Bryan4*

1 LSUHSC-Shreveport
2 LSU Health Science Center - Shreveport
3 The University of Texas - Houston Health Science Center
4 The University of Texas - Houston Health Sciences Center

* To whom correspondence should be addressed. E-mail: nathan.bryan{at}uth.tmc.edu.

The nitrite anion is an endogenous product of mammalian nitric oxide (NO) metabolism, key intermediate in the nitrogen cycle in plants and constituent of many foods. Research over the past 6 years has revealed surprising biological and cytoprotective activity of this anion. Hypercholesterolemia causes a pro-inflammatory phenotype in the microcirculation. This phenotype appears to result from a decline in NO bioavailability that results from a reduction in NO biosynthesis, inactivation of NO by superoxide (O2•-), or both. Since nitrite has been shown to be potently cytoprotective and restore NO biochemical homeostasis, we investigated if supplemental nitrite could attenuate microvascular inflammation caused by a high cholesterol diet. C57Bl/6J mice were fed either a normal diet or a high cholesterol diet for 3 weeks to induce microvascular inflammation. The mice on the high cholesterol diet received either nitrite free drinking water or supplemental nitrite at 33 mg/L or 99 mg/L ad libitum in their drinking water. The results from this investigation reveal that mice fed a cholesterol-enriched diet exhibited significantly elevated leukocyte adhesion to, and emigration through the venular endothelium as well as impaired endothelium-dependent relaxation in arterioles. Administration of nitrite in the drinking water inhibited the leukocyte adhesion and emigration, and prevented the arteriolar dysfunction. This was associated with sparing of reduced tetrahydrobiopterin (BH4) and decreased levels of C-reactive protein. These data reveal novel anti-inflammatory properties of nitrite and implicate the use of nitrite as a new natural therapy for microvascular inflammation and endothelial dysfunction associated with hypercholesterolemia.




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Am. J. Physiol. Heart Circ. Physiol.Home page
J. O. Lundberg
Cardiovascular prevention by dietary nitrate and nitrite
Am J Physiol Heart Circ Physiol, May 1, 2009; 296(5): H1221 - H1223.
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