Recent studies have shown that orally supplied nitrates, which substantially exist in our daily diets, are reduced into nitrites and become significant sources of nitric oxide (NO) especially in hypoxic tissues. However, physiological significance of nitrites in normal tissues has not been elucidated though our serum concentrations of nitrites reach as high as micromolar levels. We investigated effects of nitrite on endothelial NO synthase (eNOS) using human glomerular endothelial cells to reveal potential glomerular-protective actions of nitrites with its underlying molecular mechanism. Here we demonstrate that nitrite stimulation evokes eNOS activation which is dependent on 5′AMP-activated protein kinase (AMPK) activation in accordance with ATP reduction. Thus, nitrites should facilitate AMPK-eNOS pathway in an energy level-dependent manner in endothelial cells. The activation of AMPK-eNOS signals is suggested to be involved in vascular and renal protective effects of nitrites and nitrates. Nitrites may harbor beneficial effects on metabolic regulations as AMPK activators.Key words nitrite; 5′AMP-activated protein kinase; endothelial nitric oxide synthase; human glomerular endothelial cell (HGEC); nitrate Nitric oxide (NO) is an important signaling molecule involved in many physiological processes. Above all, NO is a dominant vasodilator released from endothelial cells and identified as the nature of endothelium-derived relaxant factor so called, which regulates blood pressures.1) In addition, NO prevents endothelial apoptosis, platelet aggregation and has tissue-protective actions against such proinflammatory and proatherogenic stimulations.2-4) NO is produced from arginine by three distinct isoforms of nitric oxide synthase (NOS). In uninjured endothelial cells, endothelial NOS (eNOS) dominantly catabolizes the NO production. Therefore, appropriate regulation of eNOS activity is quite important to keep vessels and tissues in good conditions. Disruption of endothelial NO synthesis has been reported in such diseases as hypertension, diabetes and hyperlipidemia in accordance.
5-8)The half-life of NO in blood is just in seconds and metabolized into inert nitrate via nitrite. In addition, our daily diets, especially vegetables, ordinarily contain considerable amounts of nitrate and nitrite, and significant concentrations of them distributes throughout our bodies. An analysis using capillary electrophoresis revealed the concentrations of nitrite and nitrate in normal human serum are around 6.6 and 34 µM, respectively.
9)Exogenous NO sources constitute a powerful way to supplement NO when the body cannot generate it enough for normal biological functions. Recent studies have established the notion of nitrate-nitrite-NO pathway (reviewed in 10,11) ). In brief, dietary and salivary glands-secreted nitrate is reduced into nitrite by bacteria in oral cavity. The nitrite is converted into nitrogen oxides including NO in the stomach or other acidic environments. The resultant nitrate in the plasma is taken up and re-secr...