Abstract; The cytotoxicity of the nitric oxide donor, S-nitroso-N-acetyl-penicillamine (SNAP), towards cultured human cells from oral tissue was evaluated. The toxicity of SNAP to Smulow-Glickman gingival epithelial cells was correlated with the liberation of nitric oxide, as N-acetyl-D,L-penicillamine. the SNAP metabolites, N-acetyl-D,L-penicillamine disulfide and nitrite, and preincubated (denitrosylated) SNAP did not affect viability. Comparing equimolar concentrations of various nitric oxide donors, cytotoxicity appeared to be inversely related to the relative stability (i.e.. half-life) of the test compound; the sequence of cytotoxicity for a 4 hr exposure was S-nitrosoglutathione>>spermine NONOate> SNAP>DPTA NONOate>>DETA NONOate. Intracellular reduced glutathione (GSH) was lowered in S-G cells exposed to SNAP Pretreatment of the cells with the GSH depleter, 1.3-bis-(chloroethyl)-l-nitrosourea (BCNU), enhanced the toxicity of SNAP Similar findings of enhanced sensitivity to SNAP were noted with gingival fibroblasts and periodontal ligament cells pretreated with BCNU. The toxicity of SNAP towards the gingival epithelial cells was decreased by cotreatment with the antioxidants, N-acetyl-L-cysteine, L-ascorbic acid, and (+)-catechin. Cells exposed to SNAP exhibited nuclear aberrations, including multilobed nuclei and multinucleation. SNAP-induced cell death was apparently by apoptosis, as noted by fluorescence microscopy and DNA agarose gel electrophoresis.Nitric oxide is a free radical gas endogenously synthesized in many cell types from L-arginine by nitric oxide synthase. It has a diverse spectrum of physiological functions, including smooth muscle relaxation, regulation of vascular tone, neurotransmission, inhibition of intercellular platelet adhesion and aggregation, reduction of white blood cell adhesion to endothelial cells, and macrophage-induced cytotoxicity. Situations in which high and sustained amounts of nitric oxide are produced by induction of nitric oxide synthase include tumor growth, inflammation, wound healing, and sepsis, in which cytokines and bacterial endotoxins are released (Nathan 1992;Moncada & Higgs 1993).Over-production of nitric oxide may induce pathological conditions. On a cellular level, the main targets of nitric oxide are thiol groups of proteins, frequently found in cell membranes. These reduced thiols react with nitric oxide to yield S-nitrosothiols (Ignarro et al. 1981). Due to its lipophilicity or its interaction with thiols, nitric oxide can pass easily into the intracellular area and adversely affect cell metabolism. For example, exogenous nitric oxide generated from the chemical donor, S-nitroso-N-acetyl-penicillamine (SNAP), inhibited protein synthesis (Curran et al.