Key result
Oral nitrite treatment significantly attenuated the hypertensive responses to angiotensin II in rats, reducing the mean arterial pressure increase from 20 mmHg to 9 mmHg at the 0.03 μg/kg dose.
Why the study?
Circulating nitrite levels do not correlate directly with oral nitrite antihypertensive effects, prompting investigation into whether gastric nitrosylated species promote vascular protein nitrosylation to attenuate angiotensin II responses.
Absolute Event Rate: 9% vs 20%
p-value: p=<0.05
Oral nitrite attenuates vascular and hypertensive responses to angiotensin II via S-nitrosylation of vascular protein kinase C.
May support gastric RXNO as a mediator of oral nitrite's antihypertensive effects; leaves open clinical translation and therapeutic targeting.
Nitrate and nitrite supplement deficient endogenous nitric oxide (NO) formation. While these anions may generate NO, recent studies have shown that circulating nitrite levels do not necessarily correlate with the antihypertensive effect of oral nitrite administration and that formation of nitrosylated species (RXNO) in the stomach is critically involved in this effect. This study examined the possibility that RXNO formed in the stomach after oral nitrite administration promotes target protein nitrosylation in the vasculature, inhibits vasoconstriction and the hypertensive responses to angiotensin II. Our results show that oral nitrite treatment enhances circulating RXNO concentrations (measured by ozone-based chemiluminescence methods), increases aortic protein kinase C (PKC) nitrosylation (measured by resin-assisted capture SNO-RAC method), and reduces both angiotensin II-induced vasoconstriction (isolated aortic ring preparation) and hypertensive (in vivo invasive blood pressure measurements) effects implicating PKC nitrosylation as a key mechanism for the responses to oral nitrite. Treatment of rats with the nitrosylating compound S-nitrosoglutathione (GSNO) resulted in the same effects described for oral nitrite. Moreover, partial depletion of thiols with buthionine sulfoximine prevented PKC nitrosylation and the blood pressure effects of oral nitrite. Further confirming a role for PKC nitrosylation, preincubation of aortas with GSNO attenuated the responses to both angiotensin II and to a direct PKC activator, and this effect was attenuated by ascorbate (reverses GSNO-induced nitrosylation). GSNO-induced nitrosylation also inhibited the increases in Ca2+ mobilization in angiotensin II-stimulated HEK293T cells expressing angiotensin type 1 receptor. Together, these results are consistent with the idea that PKC nitrosylation in the vasculature may underlie oral nitrite treatment-induced reduction in the vascular and hypertensive responses to angiotensin II.
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Pinheiro et al. (2020) studied Normotensive. Oral nitrite vs. Water (vehicle) was evaluated on Increase in mean arterial pressure (MAP) after angiotensin II 0.03 μg/kg infusion (p=<0.05). Oral nitrite treatment significantly attenuated the hypertensive responses to angiotensin II in rats, reducing the mean arterial pressure increase from 20 mmHg to 9 mmHg at the 0.03 μg/kg dose.
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