It is rocket science - why dietary nitrate is hard to Beet! part II: further mechanisms and therapeutic potential of the nitrate-nitrite-NO pathway

Charlotte Elizabeth Mills, Jibran Khatri, Perry Maskell, Chimed Odongerel, Andrew James Webb

Research output: Contribution to journalArticlepeer-review

43 Citations (Scopus)
210 Downloads (Pure)

Abstract

Dietary nitrate (found in green leafy vegetables such as rocket and in beetroot) is now recognised to be an important source of nitric oxide, via the nitrate-nitrite-NO pathway. Dietary nitrate confers several cardiovascular beneficial effects on blood pressure, platelets, endothelial function, mitochondrial efficiency and exercise. Having described key twists and turns in the elucidation of the pathway and the underlying mechanisms in Part I, we explore the more recent developments which have served to confirm mechanisms, extend our understanding, and discover new properties and potential therapeutic uses of the Pathway in Part II. Even the established dependency on low oxygen states for bioactivation of nitrite has recently been challenged. Dietary nitrate appears to be an important component of 'healthy diets', such as the DASH diet to lower blood pressure and the Mediterranean diet, with its potential to lower cardiovascular risk, possibly through beneficial interactions with a range of other constituents. The World Cancer Research Foundation report strong evidence for vegetables including spinach and lettuce (high nitrate-containing) decreasing cancer risk (mouth, pharynx, larynx, oesophagus and stomach), summarised in a 'Nitrate-Cancer Risk Veg-Table'. The European Space Agency recommends beetroot, lettuce, spinach and rocket (high-nitrate vegetables) are grown to provide food for long term space missions. Nitrate, an ancient component of rocket fuel, could support sustainable crops for healthy humans. This article is protected by copyright. All rights reserved.

Original languageEnglish
JournalBritish Journal of Clinical Pharmacology
Early online date23 Feb 2016
DOIs
Publication statusE-pub ahead of print - 23 Feb 2016

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