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Blood, 15 July 2005, Vol. 106, No. 2, pp. 734-739.
Prepublished online as a Blood First Edition Paper on March 17, 2005; DOI 10.1182/blood-2005-02-0567.


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Submitted February 10, 2005
Accepted March 13, 2005

Erythrocytes are the major intravascular storage sites of nitrite in human blood

Andre Dejam, Christian J Hunter, Mildred M Pelletier, Lewis L Hsu, Roberto F Machado, Shruti Shiva, Gordon G Power, Malte Kelm, Mark T Gladwin, and Alan N Schechter*

Molecular Medicine Branch, NIDDK, NIH, Bethesda, MD, USA
Vascular Therapeutics Section, Cardiovascular Branch, NHLBI, NIH, Bethesda, MD, USA; Center for Perinatal Biology, School of Medicine, Loma Linda University, Loma Linda, CA, USA
Molecular Medicine Branch, NIDDK, NIH, Bethesda, MD, USA; Vascular Therapeutics Section, Cardiovascular Branch, NHLBI, NIH, Bethesda, MD, USA
Vascular Therapeutics Section, Cardiovascular Branch, NHLBI, NIH, Bethesda, MD, USA
Center for Perinatal Biology, School of Medicine, Loma Linda University, Loma Linda, CA, USA
Department of Medicine, Division of Cardiology, Pulmonary Diseases, Angiology, Heinrich-Heine University, Duesseldorf, Germany
Vascular Therapeutics Section, Cardiovascular Branch, NHLBI, NIH, Bethesda, MD, USA; Critical Care Medicine Department, Clinical Center, Bethesda, MD, USA

* Corresponding author; email: aschecht{at}helix.nih.gov.

Plasma levels of nitrite ions have been used as an index of nitric oxide synthase (NOS) activity in vivo. Recent data suggest that nitrite is a potential intravascular repository for nitric oxide (NO), bioactivated by a nitrite reductase activity of deoxyhemoglobin. The precise levels and compartmentalization of nitrite within blood and erythrocytes have not been determined. Nitrite levels in whole blood and erythrocytes were determined using reductive chemiluminescence in conjunction with a ferricyanide-based hemoglobin oxidation assay to prevent nitrite destruction. This method yields sensitive and linear measurements of whole blood nitrite over 24 h at room temperature. Nitrite levels measured in plasma, erythrocytes, and whole blood from 15 normal volunteers were 121 ± 9, 288 ± 47, and 176 ± 17 nmol/L, indicating a surprisingly high concentration of nitrite within erythrocytes. The majority of nitrite in erythrocytes is located in the cytosol unbound to proteins. In humans, we found a significant artery-to-vein gradient of nitrite in whole blood and erythrocytes. Shear-stress and acetylcholine-mediated stimulation of endothelial NOS significantly increased venous nitrite levels. These studies suggest a dynamic intravascular NO metabolism in which eNOS-derived NO is stabilized as nitrite, transported by erythrocytes and consumed during arterial-to-venous transit.


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