Over the last decade the role of nitric oxide (NO) in various disease
states has become apparent. In cancer, NO plays a variety of roles whi
ch are at times contradictory. On one hand, NO is involved in differen
t etiological mechanisms as well as promoting tumor growth. Yet, NO de
rived from leukocytes plays a seminal role in their tumoricidal activi
ty. In cancer treatment, NO also has diverse effects. Whereas in vitro
, NO can enhance the cytotoxic efficacy of some chemotherapeutic agent
s as well as radiation, NO donors can provide whole body protection ag
ainst these same agents. This manuscript will discuss some mechanisms
involved with NO and cancer treatment modalities and the potential app
lication of these findings to cancer therapy.