Nitric oxide release: Part II. Therapeutic applications
Open accessAbstract
A wide range of nitric oxide (NO)-releasing materials has emerged as potential therapeutics that exploit NO's vast biological roles. Macromolecular NO-releasing scaffolds are particularly promising due to their ability to store and deliver larger NO payloads in a more controlled and effective manner compared to low molecular weight NO donors. While a variety of scaffolds (e.g., particles, dendrimers, and polymers/films) have been cleverly designed, the ultimate clinical utility of most NO-releasing macromolecules remains unrealized. Although not wholly predictive of clinical success, in vitro and in vivo investigations have enabled a preliminary evaluation of the therapeutic potential of such materials. In this tutorial review, we review the application of macromolecular NO therapies for cardiovascular disease, cancer, bacterial infections, and wound healing.
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NO inhibits respiration at the level of complex IV and has a safe record for use as a vasodilator and in dermatologic applications.
“We made use of nitric oxide (NO), which inhibits respiration at the level of complex IV and has a safe record for use as a vasodilator (20) and in dermatologic applications (21).”
From Inhibition of Classical and Alternative Modes of Respiration in <i>Candida albicans</i> Leads to Cell Wall Remodeling and Increased Macrophage Recognition (2019) · cites this paper as [20]
The Introduction describes successful topical dermatological use of gaseous NO, and the Cardiovascular Disease section describes NO-mediated vasodilation. The cited passages do not establish an unqualified safety record; they identify risks and side effects of NO therapies. No passage found supports inhibition of respiration at complex IV. (LLM, conf=0.86)
Experimental — accuracy not yet measuredGiven nitric oxide's roles in the immune response, favorable tissue reactions to nitric oxide-releasing substrates would be expected in vivo.
“Given NO’s roles in the immune response, favorable tissue reactions to NO-releasing substrates would be expected in vivo.217”
From Biocompatible Materials for Continuous Glucose Monitoring Devices (2013) · cites this paper as [217]
NO-activated sGC reduces intracellular calcium, inhibits platelet PI3-kinase, and reduces affinity and number of fibrinogen binding sites on GPIIb/IIIa.
“The NO activated sGC ultimately results in reduced intracellular calcium, inhibition of platelet phosphoinositide 3-kinase (PI3), and reduced affinity as well as number of surface membrane fibrinogen binding sites on platelets (GPIIb/IIIa).117,121–126”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [117]
cGMP increases cAMP indirectly through phosphodiesterase III, decreasing intracellular calcium.
“In addition, the cGMP increases cyclic adenosine monophosphate (cAMP) levels indirectly through phosphodiesterase III, which will also decrease the intracellular calcium concentration.”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [117]
Three main strategies for increasing NO bioavailability are exercise/diet, drugs that alter enzymatic NO production, and modified polymeric materials that deliver NO exogenously.
“There are three main strategies for increasing NO bioavailability: 1) by participating in physical exercise and controlling certain dietary components (e.g., nitrate-rich diet);132,133 2) by administrating drugs that alter the enzymatic production of NO through nitric oxide synthases (NOSs) and increase the biosynthesis of NO endogenously;117 and 3) by using modified polymeric materials that can”
From Recent advances in thromboresistant and antimicrobial polymers for biomedical applications: just say yes to nitric oxide (NO) (2016) · cites this paper as [117]
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- Authors
- Carpenter, A. W., & Schoenfisch, M. H.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Schoenfisch, Mark H.
- ORCID
- Schoenfisch, Mark H.
- Venue
- Chemical Society Reviews
- Publisher
- Royal Society of Chemistry (RSC)
- Published
- 2012
- Volume
- 41
- Issue
- 10
- Pages
- 3742
- ISSN
- 0306-0012 (ISSN-L)
- 1460-4744
- PMC
- PMC3341526
- OpenAlex
- W2026954356
- Cited by
- 964
- References
- 93
- Citations by year
- 2026: 50 · 2025: 63 · 2024: 76 · 2023: 92 · 2022: 102 · 2021: 80 · 2020: 88 · 2019: 87 · 2018: 60 · 2017: 62 · 2016: 52 · 2015: 60 · 2014: 44 · 2013: 33 · 2012: 12
- FWCI
- 5.13
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Chemical Society Reviews (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute of Biomedical Imaging and Bioengineering (EB 000708, R01EB000708)
- Topics
- Health Sciences › Medicine › Physiology › Nitric Oxide and Endothelin Effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Medicine › Hydrogels: synthesis, properties, applications
- Physical Sciences › Materials Science › Biomaterials › Nanoparticle-Based Drug Delivery
- Keywords
- nitric oxide, nitric oxide donors, cardiovascular disease, cancer therapy, bacterial infection, wound healing, dendrimers, polymers, particles, clinical translation
- MeSH terms
- Animals, Anti-Bacterial Agents, Blood Circulation, Cardiovascular Diseases, Humans, Neoplasms, Nitric Oxide, Thrombosis, Wound Healing, Reperfusion Injury, Free Radical Scavengers, Endothelium-Dependent Relaxing Factors
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