Although the nitrate and nitrite have been used for centuries, it has only
recently been discovered that nitrate is manufactured in mammals by the oxi
dation of nitric oxide and that the nitrate formed also has the potential f
or disinfecting the food we eat. The mechanisms by which nitric oxide and o
ther nitrogen oxides provide selective toxicity towards pathogens is not ye
t completely understood, and it is likely that the mechanisms will be diffe
rent with different organisms. Whereas it is clear that acidified nitrite i
s produced on mucosal surfaces, and that this combination is effective in k
illing a variety of human gut and skin pathogens, there is no definite evid
ence as yet that this mechanism is truly protective in humans exposed to a
contaminated environment. Further understanding of the complex chemistry of
nitrogen oxides may also help develop new antimicrobial therapies based on
augmenting what seems to be a simple and effective host defence system.