“… Role of NO | Mechanism of NO activity | Ref. |
Causes genotoxicity | Depolarization through mitochondria, caspase-3 activation and DNA fragmentation | 55 , 56 , 57 , 58 , 59 , 60 |
Suppression of cellular respiration and shifts in iron metabolism |
Generation of oxygen free radicals Inactivation certain key enzymes in cell metabolism |
Promotes cancer cell apoptosis | Decrease in BCL-2 expression | 61 , 62 , 63 , 64 , 65 |
Promotion of the production of ceramide |
Macrophage activation P53 accumulation |
Inhibits cancer cell metastasis | Decrease in galectin-3 expression Inhibition of platelet aggregation and tumor metastasis | 66 , 68 , 69 |
Improves the efficacy of other drugs | Upregulation of MMP-2 and 9 to loose tumor tissue structure | 67 , 72 |
Destruction of the cell membrane to inhibit multidrug resistance |
Inhibition of the ATPase activity of P-gp to inhibit multidrug resistance Normalization of blood vessels at tumor sites to increase the penetration of chemotherapy drugs |
Reverses MDR | Decreased expression of P-gp and MRP | 70 , 71 , 73 |
Depletion of GSH |
Regulation of NF- κ B and HIF |
GSH, glutathione; HIF, hypoxia-induced factors; MDR, multidrug resistance; MRP, multidrug resistance related protein; NO, nitric oxide; P-gp, P-glycoprotein. …”