
of nitric oxide in the stomach for protection against
pathogens. Inhibition of gastric NO synthesis does
not have clinical relevance, but this could be due to
the high microbiological standards of contemporary
diets. Nitrate is also expressed in sweat where signifi-
cant amounts of nitrite and bacterially generated
nitric oxide can also be found and where a protective
effect against pathogens has also been postulated.
0030 Gastric juices provide a rich source of nitrosatable
substrates, which, some consider, far exceeds those
provided by food. Hence, since nitrate can be endo-
genously formed, carried in the blood, and excreted in
saliva, it would appear unavoidable that some gastric
nitrosation takes place. However, much more gastric
nitric oxide is produced than might be expected from
acid-catalyzed dissociation of nitrite to nitric oxide
and nitrogen dioxide. Thus, it would appear that
another reductant (e.g., ascorbic acid) is produced in
gastric juice in order to facilitate the generation of
NO. Therefore, it may be that man is metabolically
adapted to the possibility of gastric nitrosation. This
view is supported by the failure of a number of epi-
demiological studies to demonstrate a link between
nitrate intake and cancer in man.
See also: Curing; Escherichia coli: Occurrence and
Epidemiology of Species other than Escherichia coli;
Legislation: Contaminants and Adulterants; Meat:
Preservation; Nitrosamines; Smoked Foods: Principles;
Applications of Smoking; Water Supplies: Chemical
Analysis
Further Reading
Benjamin N (2000) Nitrates in the human diet – good or
bad? Annales De Zootechnie 49: 207–216.
Commission of the European Communities Commission
Regulation (EC) No. 466/2001 (2001) Setting maximum
levels for certain contaminants in foodstuffs. Official
Journal of the European Communities No. L77: 1–13.
Croen LA, Todoroff K and Shaw GM (2001) Maternal
exposure to nitrate from drinking water and diet
and risk neural tube defects. American Journal of
Epidemiology 153(4): 325–331.
Hill MJ (1996) Factors controlling endogenous N-nitrosa-
tion. European Journal of Cancer Prevention 5(supple-
ment 1): 71–74.
Hughes R, Cross AJ, Pollock JRA and Bingham S (2001)
Dose-dependent effect of dietary meat on endogenous
colonic N-nitrosation. Carcinogenesis 22(1): 199–202.
Hunt J and Turner MK (1994) A survey of nitrite concen-
trations in retail fresh vegetables. Food Additives and
Contaminants 11(3): 327–332.
Ishiwata H, Nishijima M, Fukasawa Y, Ito Y and Yamada T
(1998) Evaluation of the inorganic food additive (nitrite,
nitrate and sulfur dioxide) content of foods and estima-
tion of daily intake based on the results of Official
Inspection in Japan in the fiscal year 1994. Journal of
the Food Hygiene Society of Japan 39(2): 78–88.
Lyons DJ, Rayment GE, Nobbs PE and McCallum LE
(1994) Nitrate and nitrite in fresh vegetables from
Queensland. Journal of the Science of Food and Agricul-
ture 64: 279–281.
Ministry of Agriculture, Fisheries and Food (1998a) MAFF
UK – Survey of nitrite and nitrate in bacon and cured
meat products. Food Surveillance Information Sheet
No. 142.
Ministry of Agriculture, Fisheries and Food (1998b) MAFF
UK – 1997 Total Diet Study – Nitrate and nitrite. Food
Surveillance Information Sheet No. 163.
Ministry of Agriculture, Fisheries and Food (1998c) MAFF
UK – Duplicate diet study of vegetarians – nitrate analy-
sis. Food Surveillance Information Sheet No. 165.
Mirvish SS, Reimers KJ, Kutler B et al. (2000) Nitrate and
nitrite concentrations in human saliva for men and
women at different ages and times of the day and their
consistency over time. European Journal of Cancer
Prevention 9: 335–342.
Parham NJ and Gibson GR (2000) Microbes involved in
dissimilatory nitrate reduction in the human large intes-
tine. FEMS Microbiology Ecology 31: 21–28.
Perner A and Rask-Madsen J (1999) Review article: the
potential role of nitric oxide in chronic inflammatory
bowel disorders. Alimentary Pharmacology and Thera-
peutics 13: 135–144.
Petersen A and Stoltze S (1999) Nitrate and nitrite in vege-
tables on the Danish market: content and intake. Food
Additives and Contaminants 16(7): 291–299.
Rowland IR, Granli T, Bockman OC, Key PE and Massey
RC (1991) Endogenous N-nitrosation in man assessed
by measurement of apparent total N-nitroso compounds
in faeces. Carcinogenesis 12(8): 1395–1401.
Santamaria P (1997) Contributo degli ortaggi all’assun-
zione giornaliera di nitrato, nitrito e nitrosamine. Indus-
trie Alimentari XXXVI (Novembre): 1329–1334.
Smith NA (1994) Cambridge Prize Lecture: Nitrate reduc-
tion and N-nitrosation in brewing. Journal of the Insti-
tute of Brewing 100: 347–355.
van Maanen JMS, van Dijk A, Mulder K et al. (1994)
Consumption of drinking water with high nitrate levels
causes hypertrophy of the thyroid. Toxicology Letters
72: 365–374.
Virtanen SM, Jaakkola L, Rasanen L et al. (1994) Nitrate
and nitrite intake and the risk for type 1 diabetes in
Finnish children. Diabetic Medicine 11: 656–662.
Walker R (1990) Nitrates, nitrites and N-nitrosocom-
pounds: a review of the occurrence in food and diet
and the toxicological implications. Food Additives and
Contaminants 7(6): 717–768.
World Health Organization (1998) Guidelines for drinking
water quality, 2nd edn. Addendum to vol. 2 Health
criteria and other supporting information, pp. 64–80.
Ysart G, Miller P, Barrett G, Farrington D, Lawrance P
and Harrison N (1999) Dietary exposures to nitrate in
the UK. Food Additives and Contaminants 16(12):
521–532.
NITRATES AND NITRITES 4141