New scientific findings have been made in recent years regarding the physiological role of nitrate and its metabolic nitrite products and reactive nitrogen compounds, such as nitrogen monoxide (NO). It has been established, for instance, that nitrogen monoxide (NO), which is produced spontaneously from nitrite in an acidic milieu, has a vasodilatating and therefore anti-hypertensive effect. NO plays an important role in the healing of wounds by limiting the adhesion and aggregation of platelets. It also plays a role in the central and peripheral nervous system in the conducting of stimuli. The antibacterial effect of NO was proven several years ago: pathogenic germs ingested with food, such as Salmonella or E. Coli, can be rendered harmless through the interactions of NO and acidic gastric acid. Furthermore, it has been shown that NO stimulates the circulation of blood in the stomach lining and has positive effects on the thickness of the mucous layer on the stomach wall, which has a protective effect on the stomach.
Several authors even raise nitrate to the status of a nutrient. They attribute the positive effects associated with the consumption of fruit and vegetables, such as the reduction of the risk of cardiovascular disease, to the nitrate which can be contained in these foods in comparatively large quantities. The BfRshort forGerman Federal Institute for Risk Assessment is of the opinion, however, that this hypothesis has not been substantiated as to date it has not been clarified which of the ingredients present in vegetables are responsible for the positive effects described, since nitrate occurs in vegetables in combination with a large number of phytonutrients.
Just like the EFSAshort forEuropean Food Safety Authority, the BfRshort forGerman Federal Institute for Risk Assessment sees no genuine health benefit of nitrate by itself for the sole purpose of maintaining human physiology. The further clarification in recent years of the physiological role of nitrate must not be allowed to have the result that it is now indiscriminately alleged to have health benefits. In several instances, the alimentary intake of nitrate within the limits of the ADIshort forAcceptable Daily Intake can prove to be beneficial for replenishing the endogenous nitrate pool. However, the contribution the exogenous intake of nitrate makes to the physiology of healthy humans has yet to be established. Therefore, the BfRshort forGerman Federal Institute for Risk Assessment currently sees no reason to amend its previous risk assessments in any way.
The BfRshort forGerman Federal Institute for Risk Assessment would also like to point out that some population groups can react more sensitively than others to nitrate exposure. Additional nitrate intake could result in a greater health risk for persons with increased endogenous production of N-nitroso compounds. Chronic exposure to nitrogen monoxide is seen by several authors as a critical factor in the connection between inflammation and cancer. NO and NO synthase are also associated with increasing oxidative stress and DNA damage.