PMID- 37880786 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231119 IS - 1743-7075 (Print) IS - 1743-7075 (Electronic) IS - 1743-7075 (Linking) VI - 20 IP - 1 DP - 2023 Oct 25 TI - Does dietary nitrate boost the effects of caloric restriction on brain health? Potential physiological mechanisms and implications for future research. PG - 45 LID - 10.1186/s12986-023-00766-9 [doi] LID - 45 AB - Dementia is a highly prevalent and costly disease characterised by deterioration of cognitive and physical capacity due to changes in brain function and structure. Given the absence of effective treatment options for dementia, dietary and other lifestyle approaches have been advocated as potential strategies to reduce the burden of this condition. Maintaining an optimal nutritional status is vital for the preservation of brain function and structure. Several studies have recognised the significant role of nutritional factors to protect and enhance metabolic, cerebrovascular, and neurocognitive functions. Caloric restriction (CR) positively impacts on brain function via a modulation of mitochondrial efficiency, endothelial function, neuro-inflammatory, antioxidant and autophagy responses. Dietary nitrate, which serves as a substrate for the ubiquitous gasotransmitter nitric oxide (NO), has been identified as a promising nutritional intervention that could have an important role in improving vascular and metabolic brain regulation by affecting oxidative metabolism, ROS production, and endothelial and neuronal integrity. Only one study has recently tested the combined effects of both interventions and showed preliminary, positive outcomes cognitive function. This paper explores the potential synergistic effects of a nutritional strategy based on the co-administration of CR and a high-nitrate diet as a potential and more effective (than either intervention alone) strategy to protect brain health and reduce dementia risk. CI - (c) 2023. BioMed Central Ltd., part of Springer Nature. FAU - Alharbi, Mushari AU - Alharbi M AD - School of Life Sciences, The University of Nottingham Medical School, Queen's Medical Centre, Nottingham, NG7 2UH, UK. AD - Department of Clinical Biochemistry, Faculty of Medicine, King Abdulaziz University, Jeddah, 22252, Saudi Arabia. FAU - Stephan, Blossom Cm AU - Stephan BC AD - Curtin Dementia Centre of Excellence, EnAble Institute, Curtin University, Kent Street, Bentley, WA, 6102, Australia. FAU - Shannon, Oliver M AU - Shannon OM AD - Human Nutrition Research Centre, Population Health Sciences Institute, Newcastle University, Newcastle upon Tyne, NE2 4HH, UK. FAU - Siervo, Mario AU - Siervo M AD - Curtin Dementia Centre of Excellence, EnAble Institute, Curtin University, Kent Street, Bentley, WA, 6102, Australia. Mario.Siervo@curtin.edu.au. LA - eng PT - Journal Article PT - Review DEP - 20231025 PL - England TA - Nutr Metab (Lond) JT - Nutrition & metabolism JID - 101231644 PMC - PMC10599060 OTO - NOTNLM OT - Brain health OT - Caloric restriction OT - Cognitive function OT - Dementia OT - Dietary nitrate OT - Endothelial function OT - Nitric oxide COIS- The authors declare no conflict of interest. Not applicable. EDAT- 2023/10/26 06:42 MHDA- 2023/10/26 06:43 PMCR- 2023/10/25 CRDT- 2023/10/26 00:08 PHST- 2023/05/26 00:00 [received] PHST- 2023/10/07 00:00 [accepted] PHST- 2023/10/26 06:43 [medline] PHST- 2023/10/26 06:42 [pubmed] PHST- 2023/10/26 00:08 [entrez] PHST- 2023/10/25 00:00 [pmc-release] AID - 10.1186/s12986-023-00766-9 [pii] AID - 766 [pii] AID - 10.1186/s12986-023-00766-9 [doi] PST - epublish SO - Nutr Metab (Lond). 2023 Oct 25;20(1):45. doi: 10.1186/s12986-023-00766-9.