Skip to main content

Advertisement

Log in

Antimicrobial properties of nitric oxide and its application in antimicrobial formulations and medical devices

  • Mini-Review
  • Published:
Applied Microbiology and Biotechnology Aims and scope Submit manuscript

Abstract

This review describes the antimicrobial properties of nitric oxide (NO) and its application as an antimicrobial agent in different formulations and medical devices. We depict the eukaryotic biosynthesis of NO and its physiologic functions as a cell messenger and as an antimicrobial agent of the cell-mediated immune response. We analyze the antimicrobial activity of NO and the eukaryotic protective mechanisms against NO for the purpose of delineating the therapeutic NO dosage range required for an efficacious and safe antimicrobial activity. We also examine the role of NO produced by virulent bacteria in lessening the efficacy of traditional antimicrobials. In addition, we discuss the efficacy of NO in the healing of infected wounds, describing different NO-producing devices by category, analyzing therapeutic levels, duration of NO production, as well as commercial considerations. Finally, we provide current and future prospects for the design and use of NO-producing devices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  • Adams LB, Hibbs JB Jr, Taintor RR, Krahenbuhl JL (1990) Microbiostatic effect of murine-activated macrophages for Toxoplasma gondii. Role for synthesis of inorganic nitrogen oxides from l-arginine. J Immunol 144:2725–2729

    CAS  Google Scholar 

  • Alican I, Kubes P (1996) A critical role for nitric oxide in intestinal barrier function and dysfunction. Am J Physiol 270:G225–G237

    CAS  Google Scholar 

  • Anstead GM, Quinones-Nazario G, Lewis JS (2007) Treatment of infections caused by resistant Staphylococcus aureus. Meth Mol Biol 391:227–258

    Article  CAS  Google Scholar 

  • Anstey NM, Weinberg JB, Hassanali MY, Mwaikambo ED, Manyenga D, Misukonis MA, Arnelle DR, Hollis D, McDonald MI, Granger DL (1996) Nitric oxide in Tanzanian children with malaria: inverse relationship between malaria severity and nitric oxide production/nitric oxide synthase type 2 expression. J Exp Med 184:557–567

    Article  CAS  Google Scholar 

  • Augusto O, Linares E, Giorgio S (1996) Possible roles of nitric oxide and peroxynitrite in murine leishmaniasis. Braz J Med Biol Res 29:853–862

    CAS  Google Scholar 

  • Benjamin N, Pattullo S, Weller R, Smith L, Ormerod A (1997) Wound licking and nitric oxide. Lancet 349:1776–1776

    Article  CAS  Google Scholar 

  • Bhide M (2006) Nitric oxide delivery from polymeric wound dressings. Dissertation, University of Akron

  • Blackytny R, Jude E (2006) The molecular biology of chronic wounds and delayed healing in diabetes. Diabet Med 23:594–608

    Article  Google Scholar 

  • De Groote MA, Fang FC (1995) NO inhibitions: antimicrobial properties of nitric oxide. Clin Infect Dis 21(Suppl 2):S162–S165

    Google Scholar 

  • Doel JJ, Hector MP, Amirtham CV, Al-Anzan LA, Benjamin N, Allaker RP (2004) Protective effect of salivary nitrate and microbial nitrate reductase activity against caries. Eur J Oral Sci 112:424–428

    Article  CAS  Google Scholar 

  • Evans T, Carpenter A, Kinderman H, Cohen J (1993a) Evidence of increased nitric oxide production in patients with the sepsis syndrome. Circ Shock 41:77–81

    CAS  Google Scholar 

  • Evans TJ, Strivens E, Carpenter A, Cohen J (1993b) Differences in cytokine response and induction of nitric oxide synthase in endotoxin-resistant and endotoxin-sensitive mice after intravenous gram-negative infection. J Immunol 150:5033–5040

    CAS  Google Scholar 

  • Fang FC (1997) Perspectives series: host/pathogen interactions. Mechanisms of nitric oxide-related antimicrobial activity. J Clin Invest 99:2818–2825

    Article  CAS  Google Scholar 

  • Friedman AJ, Han G, Navati MS, Chacko M, Gunther L, Alfieri A, Friedman JM (2008) Sustained release nitric oxide releasing nanoparticles: characterization of a novel delivery platform based on nitrite containing hydrogel/glass composites. Nitric Oxide 19:12–20

    Article  CAS  Google Scholar 

  • Ghaffari A, Jalili R, Ghaffari M, Miller C, Ghahary A (2007) Efficacy of gaseous nitric oxide in the treatment of skin and soft tissue infections. Wound Repair Regen 15:368–377

    Article  Google Scholar 

  • Ghaffari A, Miller CC, McMullin B, Ghahary A (2006) Potential application of gaseous nitric oxide as a topical antimicrobial agent. Nitric Oxide 14:21–29

    Article  CAS  Google Scholar 

  • Gorwitz RJ (2008) A review of community-associated methicillin-resistant Staphylococcus aureus skin and soft tissue infections. Pediatr Infect Dis J 27:1–7

    Article  Google Scholar 

  • Gosselink MP, Darby M, Zimmerman DD, Gruss HJ, Schouten WR (2005) Treatment of chronic anal fissure by application of l-arginine gel: a phase II study in 15 patients. Dis Colon Rectum 48:832–837

    Article  CAS  Google Scholar 

  • Gribbe O, Gustafsson LE, Wiklund NP (2008) Transdermally administered nitric oxide by application of acidified nitrite increases blood flow in rat epigastric island skin flaps. Eur J Pharmacol 578:51–56

    Article  CAS  Google Scholar 

  • Gusarov I, Shatalin K, Starodubtseva M, Nudler E (2009) Endogenous nitric oxide protects bacteria against a wide spectrum of antibiotics. Science 325:1380–1384

    Article  CAS  Google Scholar 

  • Hardwick JB, Tucker AT, Wilks M, Johnston A, Benjamin N (2001) A novel method for the delivery of nitric oxide therapy to the skin of human subjects using a semi-permeable membrane. Clin Sci (Lond) 100:395–400

    Article  CAS  Google Scholar 

  • Hetrick EM, Shin JH, Stasko NA, Johnson CB, Wespe DA, Holmuhamedov E, Schoenfisch MH (2008) Bactericidal efficacy of nitric oxide-releasing silica nanoparticles. ACS Nano 2:235–246

    Article  CAS  Google Scholar 

  • Ischiropoulos H, al-Mehdi AB (1995) Peroxynitrite-mediated oxidative protein modifications. FEBS Lett 364:279–282

    Article  CAS  Google Scholar 

  • Jones ML, Ganopolsky JG, Labbe A, Prakash S (2010) A novel nitric oxide producing probiotic patch and its antimicrobial efficacy: preparation and in vitro analysis. Appl Microbiol Biotechnol 87:509–516

    Article  CAS  Google Scholar 

  • Juedes MJ, Wogan GN (1996) Peroxynitrite-induced mutation spectra of pSP189 following replication in bacteria and in human cells. Mutat Res 349:51–61

    Google Scholar 

  • Kampschreur MJ, Tan NC, Picioreanu C, Jetten MS, Schmidt I, van Loosdrecht MC (2006) Role of nitrogen oxides in the metabolism of ammonia-oxidizing bacteria. Biochem Soc Trans 34:179–181

    Article  CAS  Google Scholar 

  • Kawanishi M (1995) Nitric oxide inhibits Epstein–Barr virus DNA replication and activation of latent EBV. Intervirology 38:206–213

    CAS  Google Scholar 

  • Li Y, Lee PI (2010) Controlled nitric oxide delivery platform based on S-nitrosothiol conjugated interpolymer complexes for diabetic wound healing. Mol Pharm 7:254–266

    Article  CAS  Google Scholar 

  • Lundberg JO, Weitzberg E (2009) NO generation from inorganic nitrate and nitrite: role in physiology, nutrition and therapeutics. Arch Pharm Res 32:1119–1126

    Article  CAS  Google Scholar 

  • Lundberg JO, Weitzberg E, Gladwin MT (2008) The nitrate-nitrite-nitric oxide pathway in physiology and therapeutics. Nat Rev Drug Discov 7:156–167

    Article  CAS  Google Scholar 

  • Mollace V, Salvemini D, Anggard E, Vane J (1990) Cultured astrocytoma cells inhibit platelet aggregation by releasing a nitric oxide-like factor. Biochem Biophys Res Commun 172:564–569

    Article  CAS  Google Scholar 

  • Morris RE, WHEATLEY PS, Buttler AR (2005) Zeolytes for delivery of nitric oxide. PCT/GB2004/002905

  • Morris SL, Hansen JN (1981) Inhibition of Bacillus cereus spore outgrowth by covalent modification of a sulfhydryl group by nitrosothiol and iodoacetate. J Bacteriol 148:465–471

    CAS  Google Scholar 

  • Mulligan MS, Hevel JM, Marletta MA, Ward PA (1991) Tissue injury caused by deposition of immune complexes is l-arginine dependent. Proc Natl Acad Sci USA 88:6338–6342

    Article  CAS  Google Scholar 

  • Napoli C, Ignarro LJ (2009) Nitric oxide and pathogenic mechanisms involved in the development of vascular diseases. Arch Pharm Res 32:1103–1108

    Article  CAS  Google Scholar 

  • Nordmann P, Naas T, Fortineau N, Poirel L (2007) Superbugs in the coming new decade; multidrug resistance and prospects for treatment of Staphylococcus aureus, Enterococcus spp. and Pseudomonas aeruginosa in 2010. Curr Opin Microbiol 10:436–440

    Article  CAS  Google Scholar 

  • Palmer RM, Ashton DS, Moncada S (1988) Vascular endothelial cells synthesize nitric oxide from l-arginine. Nature 333:664–666

    Article  CAS  Google Scholar 

  • Schwarz MA, Lazo JS, Yalowich JC, Allen WP, Whitmore M, Bergonia HA, Tzeng E, Billiar TR, Robbins PD, Lancaster JR Jr (1995) Metallothionein protects against the cytotoxic and DNA-damaging effects of nitric oxide. Proc Natl Acad Sci USA 92:4452–4456

    Article  CAS  Google Scholar 

  • Shabani M, Pulfer SK, Bulgrin JP, Smith DJ (1996) Enhancement of wound repair with a topically applied nitric oxide-releasing polymer. Wound Repair Regen 4:353–362

    Article  CAS  Google Scholar 

  • Sobko T, Huang L, Midtvedt T, Norin E, Gustafsson LE, Norman M, Jansson EA, Lundberg JO (2006) Generation of NO by probiotic bacteria in the gastrointestinal tract. Free Radic Biol Med 41:985–991

    Article  CAS  Google Scholar 

  • Sobko T, Reinders CI, Jansson E, Norin E, Midtvedt T, Lundberg JO (2005) Gastrointestinal bacteria generate nitric oxide from nitrate and nitrite. Nitric Oxide 13:272–278

    Article  CAS  Google Scholar 

  • Stenzler A and Miller C (2006) Device and method for treatment of wounds with nitric oxide. 11/021,109:1–21

  • Vazquez-Torres A, Jones-Carson J, Balish E (1996) Peroxynitrite contributes to the candidacidal activity of nitric oxide-producing macrophages. Infect Immun 64:3127–3133

    CAS  Google Scholar 

  • Weller R, Pattullo S, Smith L, Golden M, Ormerod A, Benjamin N (1996) Nitric oxide is generated on the skin surface by reduction of sweat nitrate. J Invest Dermatol 107:327–331

    Article  CAS  Google Scholar 

  • Weller R, Price RJ, Ormerod AD, Benjamin N, Leifert C (2001) Antimicrobial effect of acidified nitrite on dermatophyte fungi, Candida and bacterial skin pathogens. J Appl Microbiol 90:648–652

    Article  CAS  Google Scholar 

  • Wheatley PS, Butler AR, Crane MS, Fox S, Xiao B, Rossi AG, Megson IL, Morris RE (2006) NO-releasing zeolites and their antithrombotic properties. J Am Chem Soc 128:502–509

    Article  CAS  Google Scholar 

  • Xu J, Verstraete W (2001) Evaluation of nitric oxide production by lactobacilli. Appl Microbiol Biotechnol 56:504–507

    Article  CAS  Google Scholar 

  • Zeina B, Banfield C, al-Assad S (1997) Topical glyceryl trinitrate: a possible treatment for cutaneous leishmaniasis. Clin Exp Dermatol 22:244–245

    Article  CAS  Google Scholar 

Download references

Acknowledgments

We acknowledge financial support from the Industrial Research Assistance Program of the National Research Council of Canada (IRAP-NRC) and from Micropharma Limited.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Satya Prakash.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jones, M.L., Ganopolsky, J.G., Labbé, A. et al. Antimicrobial properties of nitric oxide and its application in antimicrobial formulations and medical devices. Appl Microbiol Biotechnol 88, 401–407 (2010). https://doi.org/10.1007/s00253-010-2733-x

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00253-010-2733-x

Keywords

Navigation