Nitric oxide (NO) is now recognized as an important modulator of an enormou
s number of physiological processes, ranging from blood pressure regulation
to neuronal transmission to penile erectile function. In the gastrointesti
nal tract, NO also participates in many physiological and pathophysiologica
l processes. In this review, we summarize the contribution made by NO to th
e ability of the gastrointestinal mucosa to resist injury induced by lumina
l toxins and to defend against microbial invasion. We also review some of t
he main features of NO chemistry and the potential of NO as a target for ne
w drugs to treat gastrointestinal disorders.