The recent patent literature covering the modulation of action of the
various isoforms of nitric oxide synthase (NOS) is reviewed. Mammalian
biological systems in which nitric oxide (NO) has been shown to be in
volved are summarised in order to give background to specific patent c
laims. Claims are generally for therapy of various inflammatory states
and for therapy of a number of CNS indications. Emphasis is placed on
inhibitors of the several isoforms, since the patent literature is mo
st extensive in this area. Patents are covered by structural class, wi
th amino acids and various classes of heterocycles being the most comm
on types of claimed compounds. Patent applications covering other aspe
cts of control of NO concentrations in mammals are very briefly review
ed, although they fall outside of the scope of NOS per se. These inclu
de agents that release NO in situ, and agents that scavenge or sequest
er NO.