Related Experiment Video
Updated: Jun 23, 2026

Chemiluminescence-based Assays for Detection of Nitric Oxide and its Derivatives from Autoxidation and Nitrosated Compounds
Published on: February 16, 2022
Is nitric oxide important in photodynamic therapy?
Kimberley J Reeves1, Malcolm W R Reed, Nicola J Brown
1University of Sheffield, UK. k.j.reeves@sheffield.ac.uk
Abstract:
Photodynamic therapy (PDT) involves the use of photochemical reactions mediated through the interaction of photosensitizing agents, light and oxygen to destroy abnormal tissue. The transfer of energy from the activated photosensitizer to available oxygen results in the formation of toxic reactive oxygen species, such as singlet oxygen and free radicals, which can damage proteins, lipids, nucleic acids, and other cellular components. PDT is now commonly used in ophthalmology, dermatology and oncology however the therapeutic response to PDT exhibits variability, ranging from highly sensitive to extremely resistant. Over the last 10 years it has been suggested that nitric oxide (NO) may play a role in PDT, with evidence that NO is produced by both tumour and normal cells in addition to controlling important functions in tumour progression. NO may also influence the outcome of cancer therapies, such as PDT. PDT induces oxidative stress, vascular-mediated damage and leukocyte recruitment, processes all sensitive to NO. This review outlines the role of nitric oxide in PDT primarily focusing on vascular damage and how this may be modulated to improve therapeutic outcome.
Insights
Nitric oxide (NO) influences photodynamic therapy (PDT) outcomes by affecting vascular damage and cellular responses. Modulating NO may enhance PDT effectiveness in treating various cancers and other conditions.
Area of Science:
- Biomedical Science
- Photochemistry
- Oncology
Background:
- Photodynamic therapy (PDT) uses photosensitizers, light, and oxygen to generate reactive oxygen species, destroying abnormal tissue.
- PDT is applied in ophthalmology, dermatology, and oncology but shows variable patient responses.
- Nitric oxide (NO) is implicated in tumor progression and may influence PDT efficacy.
Purpose of the Study:
- To review the role of nitric oxide (NO) in photodynamic therapy (PDT).
- To focus on how NO influences vascular damage during PDT.
- To explore strategies for modulating NO to improve PDT outcomes.
Main Methods:
- Literature review of studies investigating nitric oxide and photodynamic therapy.
- Analysis of mechanisms linking NO to PDT-induced oxidative stress and vascular effects.
- Examination of NO's role in leukocyte recruitment and tumor progression in the context of PDT.
Main Results:
- Nitric oxide (NO) production by tumor and normal cells affects PDT outcomes.
- PDT induces processes like oxidative stress and vascular damage, which are sensitive to NO.
- NO modulation is a potential strategy to enhance PDT's therapeutic effects.
Conclusions:
- Nitric oxide plays a significant role in the vascular-mediated damage caused by PDT.
- Understanding and modulating NO pathways can optimize photodynamic therapy efficacy.
- Targeting NO may improve treatment response in patients undergoing PDT for various conditions.
Related Concept Videos
Nitric Oxide Signaling Pathway
Antihypertensive Drugs: Vasodilators

