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. 2022 Jan 20;27(3):674. doi: 10.3390/molecules27030674

Table 1.

Summary of NO concentration and its general effects on antibacterial and anti-biofilm activity and biosafety.

Targeted Delivery of NO to Infection Site Spontaneous NO Release
High NO concentration
  • Depending on kinetics of NO release, killing of planktonic bacteria and eradication of biofilms can occur at sufficiently high NO concentrations

  • Lower likelihood of side effects due to NO, as NO is delivered and consumed close to or at the target site

  • Side effects/toxicity caused by the drug delivery vehicle needs to be further evaluated

  • Off target NO release may lead to NO levels below the required therapeutic dose at the target site

  • Higher potential of side- or systemic effects due to NO as it is spontaneously released

  • Side effects/toxicity caused by the drug delivery vehicle needs to be further evaluated

Low NO concentration
  • Depending on kinetics of NO release, targeted NO release may enable local NO concentrations to reach low NO concentrations required for biofilm dispersal

  • Lower potential of side effects due to NO as low dose of NO delivered, with NO delivery close to or at the target site

  • Side effects/toxicity caused by the drug delivery vehicle needs to be further evaluated