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In the past 15–20 years, carbon monoxide has been shown to be a key signalling molecule in biological systems. The CO regulatory pathway has been exploited to develop many series of promising new therapeutic molecules for a wide variety of medical applications. This review covers: CO-regulatory pathways, types of CO-releasing molecule, modes and mechanisms of CO-release, and how CO-RM research has developed from using simple structural motifs to complex structures to allow modification of properties.

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