Molybdenum water-soluble carbonyl isocyanide complexes were prepared as liver-targeted, potential CO-releasing mols. and tested for cytotoxicity and CO release on murine acetaminophen-induced acute liver failure model.Tricarbonyl complexes [Mo(CO)3(CNCR1R2CO2R3)3] (1, R1, R2 = H, Me, iPr, Et, CH2Ph; R1-R2 = (CH2)5; R3 = H, Na, Li) were found to be least toxic and still active CO-releasing agents.The synthetic procedure for preparation of 1 (R3 = H) comprises ligand substitution reaction of [Mo(CO)3(η6-toluene)] with isocyanides CNCR1R2CO2Me, saponification with NaOH and protonation with aqueous HCl.The discovery of the biol. effects of carbon monoxide (CO) in recent years strongly suggests that CO could find applications as a therapeutic agent.CO is a highly toxic gas when used at industrial doses, due in part to its binding affinity to Hb.Since Hb binds CO with the highest affinity in vivo, it also constitutes a major barrier to the delivery of CO to tissues in need of therapy.A method of delivering CO that can bypass Hb is the use of pro-drugs or CO carriers, called CO-releasing mols. (CO-RMs) that become activated and release CO in tissues in need of treatment.Organometallic carbonyl complexes are best suited to play the role of CO carriers, and indeed the natural CO carrier mols. Hb and myoglobin belong to this class of chem. compoundsThe prepared complexes 1 present favorable druglike characteristics, have low toxicity, and demonstrate specific CO delivery to the liver in the treatment of acetaminophen (APAP)-induced acute liver failure in mice.