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Beneficial Effects of Inorganic Nitrate/Nitrite on Vascular Function and Blood Pressure in Diabetes

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Mechanisms of Vascular Defects in Diabetes Mellitus

Abstract

The potential property of inorganic nitrate (NO3) and nitrite (NO2) to convert to nitric oxide (NO ) , a key regulator of vascular homeostasis and a natural vasodilator , has highlighted these anions as therapeutic options in vascular abnormalities and hypertension states. Pre-clinical studies confirmed the protective effects of NO3 and NO2 against ischemia-reperfusion injury, arterial stiffness, oxidative stress, and inflammation. Clinical studies also revealed that short-term supplementation with NO3 and NO2 could improve endothelial function, decrease arterial stiffness, pro-inflammatory cytokines, and effectively decrease systolic and diastolic blood pressure. In summary, supplementation with inorganic NO3 and NO2 represents a promising therapy for treatment of vascular dysfunction and hypertension in humans. To confirm cardioprotective effects of inorganic NO3/NO2 in diabetic patients, clinical studies with a dose-response design and a longer-duration, are highly recommended.

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Bahadoran, Z., Mirmiran, P., Ghasemi, A. (2017). Beneficial Effects of Inorganic Nitrate/Nitrite on Vascular Function and Blood Pressure in Diabetes. In: Kartha, C., Ramachandran, S., Pillai, R. (eds) Mechanisms of Vascular Defects in Diabetes Mellitus. Advances in Biochemistry in Health and Disease, vol 17. Springer, Cham. https://doi.org/10.1007/978-3-319-60324-7_23

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