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Glutathione

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Title
Oxidant-protease interaction in the lung. Prospects for antioxidant therapy.
Author
Buhl R; Meyer A; Vogelmeier C
Address
Medizinische Klinik II, Zentrum der Inneren Medizin, Johann-Wolfgang-Goethe-UniversitÍat, Frankfurt, Germany.
Source
Chest, 110(6 Suppl):267S-272S 1996 Dec
Abstract
In inflammatory lung disorders, oxidants and proteases complement each other in their potential to destroy lung parenchyma. It is therefore rational to combine therapeutic strategies aimed at augmenting the antiproteolytic defenses of the lung in diseases such as emphysema with antioxidant strategies. In the healthy lung, the oxidant burden is balanced by the local antioxidant defenses. However, both an increased oxidant burden and/or decreased antioxidant defenses may reverse the physiologic oxidant-antioxidant balance in favor of oxidants, leading to lung injury. This concept points to an obvious therapeutic strategy: augmentation of the antioxidant screen of the lung to prevent oxidant-mediated tissue damage. Studies using reduced glutathione (GSH), the major pulmonary antioxidant, as a model therapeutic agent demonstrated that GSH can be administered directly to the respiratory epithelial surface by aerosol and is fully functional as an antioxidant both in vitro and in vivo. In pulmonary diseases such as idiopathic pulmonary fibrosis or following HIV infection, GSH aerosol therapy not only normalized deficient pretherapy GSH levels in the lung, but was capable of favorably influencing cellular events such as oxidant release by pulmonary inflammatory cells. The same was true for oral antioxidant therapy with N-acetylcysteine, a glutathione precursor. These results suggest that it is possible to use antioxidants to reverse the imbalance between oxidants and antioxidants at the site of oxidant injury to prevent the progressive tissue damage in lung disorders characterized by high oxidant states. Antioxidants, alone and in combination with antiproteases, merit further long-term studies for clinical therapy.

Title
Acetaminophen toxicity to cultured rat embryos.
Author
Weeks BS; Gamache P; Klein NW; Hinson JA; Bruno M; Khairallah E
Address
Center for Environmental Health, Department of Animal Science,
University of Connecticut, Storrs.
Source
Teratog Carcinog Mutagen, 10(5):361-71 1990
Abstract
We tested the effects of acetaminophen on cultured rat embryo development. When added directly to culture media at 300 microM, a concentration approximately twice the human therapeutic blood level, acetaminophen caused abnormalities in the cultured embryos. Sera from both rats and monkeys following gavage with acetaminophen were also toxic to cultured embryos. The sera toxicities were related to acetaminophen concentrations, and the toxicity could be removed by serum dialysis. With regard to the metabolism of acetaminophen, glutathione levels in the yolk sac decreased in a concentration related fashion with addition of the drug. Also, buthionine sulfoximine, an inhibitor of glutathione synthesis, appeared to enhance acetaminophen embryo toxicity, and N-acetylcysteine, a glutathione precursor, appeared to protect embryos from acetaminophen toxicity. These results suggested that acetaminophen embryo toxicity resulted from direct exposure of embryos to acetaminophen and not a maternal metabolite.

Title
Elevation of cysteine and replenishment of glutathione in rat lung slices by cysteine isopropylester and other cysteine precursors.
Author
Butterworth M; Upshall DG; Hobbs M; Cohen GM
Address
Medical Research Council Toxicology Unit, Carshalton, Surrey, U.K.
Source
Biochem Pharmacol, 45(9):1769-74 1993 May 5
Abstract
In this study, we have used a rat lung slice model to compare the ability to several potential cysteine delivery systems (L-cysteine isopropylester, L-cysteine cyclohexylester, N-acetylcysteine, L,2-oxo-4-thiazolidine carboxylic acid and cysteine) to elevate cysteine and glutathione (GSH) levels in control lung slices and slices depleted of their GSH by diethyl maleate. The esters of cysteine produced the greatest rise in lung slice cysteine. All the cysteine delivery systems were capable of replenishing GSH in lung slices previously depleted of GSH by diethyl maleate.

Title
Drug antioxidant effects. A basis for drug selection?
Author
Halliwell B
Address
Pulmonary Medicine, UC Davis Medical Center, Sacramento.
Source
Drugs, 42(4):569-605 1991 Oct
Abstract
A free radical is any species capable of independent existence that contains one or more unpaired electrons. Free radical reactions have been implicated in the pathology of more than 50 human diseases. Radicals and other reactive oxygen species are formed constantly in the human body, both by deliberate synthesis (e.g. by activated phagocytes) and by chemical side-reactions. They are removed by enzymic and nonenzymic antioxidant defence systems. Oxidative stress, occurring when antioxidant defences are inadequate, can damage lipids, proteins, carbohydrates and DNA. A few clinical conditions are caused by oxidative stress, but more often the stress results from the disease. Sometimes it then makes a significant contribution to the disease pathology, and sometimes it does not. Several antioxidants are available for therapeutic use. They include molecules naturally present in the body [superoxide dismutase (SOD), alpha-tocopherol, glutathione and its precursors, ascorbic acid, adenosine, lactoferrin and carotenoids] as well as synthetic antioxidants [such as thiols, ebselen (PZ51), xanthine oxidase inhibitors, inhibitors of phagocyte function, iron ion chelators and probucol]. The therapeutic efficacy of SOD, alpha-tocopherol and ascorbic acid in the treatment of human disease is generally unimpressive to date although dietary deficiencies of the last two molecules should certainly be avoided. Xanthine oxidase inhibitors may be of limited relevance as antioxidants for human use. Exciting preliminary results with probucol (antiatherosclerosis), ebselen (anti-inflammatory), and iron ion chelators (in thalassaemia, leukaemia, malaria, stroke, traumatic brain injury and haemorrhagic shock) need to be confirmed by controlled clinical trials. Clinical testing of N-acetylcysteine in HIV-1-positive subjects may also be merited. A few drugs already in clinical use may have some antioxidant properties, but this ability is not widespread and drug-derived radicals may occasionally cause significant damage.

Title
Reduction of lower motor neuron degeneration in wobbler mice by N-acetyl-L-cysteine.
Author
Henderson JT; Javaheri M; Kopko S; Roder JC
Address
Samuel Lunenfeld Research Institute, Program in Development and Fetal Health, Mount Sinai Hospital, Toronto, Ontario, Canada.
Source
J Neurosci, 16(23):7574-82 1996 Dec 1
Abstract
The murine mutant wobbler is a model of lower motoneuron degeneration with associated skeletal muscle atrophy. This mutation most closely resembles Werdnig-Hofmann disease in humans and shares some of the clinical features of amyotrophic lateral sclerosis (ALS). It has been suggested that reactive oxygen species (ROS) may play a role in the pathogenesis of disorders such as ALS. To examine the relationship between ROS and neural degeneration, we have studied the effects of agents such as N-acetyl-L-cysteine (NAC), which reduce free radical damage. Litters of wobbler mice were given a 1% solution of the glutathione precursor NAC in their drinking water for a period of 9 weeks. Functional and neuroanatomical examination of these animals revealed that wobbler mice treated with NAC exhibited (1) a significant reduction in motor neuron loss and elevated glutathione peroxidase levels within the cervical spinal cord, (2) increased axon caliber in the medial facial nerve, (3) increased muscle mass and muscle fiber area in the triceps and flexor carpi ulnaris muscles, and (4) increased functional efficiency of the forelimbs, as compared with untreated wobbler littermates. These data suggest that reactive oxygen species may be involved in the degeneration of motor neurons in wobbler mice and demonstrate that oral administration of NAC effectively reduces the degree of motor degeneration in wobbler mice. This treatment thus may be applicable in the treatment of other lower motor neuropathies.

Title
The protective effects of N-acetyl-L-cysteine against methyl mercury embryotoxicity in mice.
Author
Ornaghi F; Ferrini S; Prati M; Giavini E
Address
Research and Development Division, Zambon Research S.p.a., Bresso,
Milan, Italy.
Source
Fundam Appl Toxicol, 20(4):437-45 1993 May
Abstract
N-Acetyl-L-cysteine (NAC) has been widely used in the protection against the toxic effects produced by several chemicals because of its radical scavenger properties and because NAC is a precursor of glutathione, one of the most important intracellular defenses against oxidants. The aim of this investigation was to verify the potential protective activity of NAC against the well-known embryotoxicity induced by methyl mercuric chloride (MMC) in mice. Three experimental approaches were carried out. In the first investigation, acute treatment of MMC (25 mg/kg po) was given in CD female mice on Day 10 of pregnancy, and was followed immediately and/or after 24, 48, and 72 hr by administrations of NAC (800 mg/kg i.v.). The embryolethal effects caused by MMC poisoning were completely antagonized by just a single administration of NAC, while the incidence of palatoschisis was reduced in relation to the number of NAC administrations. In the second experiment MMC was chronically gavaged (3 mg/kg/day po) during the period of organogenesis on Days 5 to 14 of gestation. During the same period of time some of these females were also exposed to 1% NAC dissolved in drinking water. MMC poisoning reduced the body weight of viable fetuses and induced many cases of palatoschisis. The body weight of fetuses from MMC-poisoned mothers treated with NAC was improved and the incidence of palatoschisis was in the normal range. In the last experiment the treatment with NAC (400 mg/kg i.v., during the period of organogenesis) drastically reduced the severe embryolethality induced by MMC (6 mg/kg/day po) administered during the same period of time.(Abstract TRUNCATED AT 250 WORDS)

Title
glutathione content as an indicator for the presence of metabolic pathways of amino acids in astroglial cultures.
Author
Dringen R; Hamprecht B
Address
Physiologisch-chemisches Institut der Universität, Tübingen, Germany.
Source
J Neurochem, 67(4):1375-82 1996 Oct
Abstract
The intracellular content of glutathione in astroglia-rich primary cultures derived from the brains of newborn rats was measured to be 32.1 +/- 5.4 nmol/mg of protein. During a 24-h incubation in a minimal medium lacking amino acids and glucose, the content of glutathione in these cultures was reduced to 52% of the original content. On refeeding of glucose, glutamic acid, glycine, and cysteine, glutathione was resynthesized. A maximal content of glutathione was found 4 h after refeeding, exceeding the amount of glutathione of untreated cultures by 72%. Maximal glutathione synthesis was observed only if glutamic acid, cysteine, and glycine were present. If successively each one of these amino acids was made limiting for the synthesis of glutathione, half-maximal contents of glutathione were found at 0.2 mM glutamic acid, 20 microM cysteine, or 10 microM glycine. Replacement of glutamic acid or glycine by other amino acids revealed the potential of astroglial cells to convert glutamine, aspartate, asparagine, proline, and ornithine into glutamic acid, and serine into glycine. These results demonstrate that the concentration of intracellular glutathione can serve as an indicator for the presence of metabolic pathways of amino acids in cultured cells.

Title
Use of dipeptides for the synthesis of glutathione by astroglia-rich primary cultures.
Author
Dringen R; Kranich O; Löschmann PA; Hamprecht B
Address
Physiologisch-chemisches Institut der Universität, Tübingen, Germany.
Source
J Neurochem, 69(2):868-74 1997 Aug
Abstract
The intracellular content of glutathione in astroglia-rich primary cultures derived from the brains of newborn rats was used as an indicator for the ability of these cells to use dipeptides for glutathione synthesis. For restoration of the glutathione level, after a 24-h starvation period in the absence of glucose and amino acids, glucose, glutamic acid, cysteine, and glycine have to be present in the incubation buffer. The dipeptides CysGly and gammaGluCys were able to substitute for cysteine plus glycine and glutamic acid plus cysteine, respectively. Half-maximal contents of glutathione were found at 20 microM CysGly and 3 mM gammaGluCys. In addition, the oxidized forms of the dipeptides CysGly and GlyCys could replace cysteine plus glycine for glutathione restoration, and the glycine-containing dipeptides GlyGly, GlyLeu, GlyGlu, GlyGln, and gammaGluGly could partially substitute for the glycine necessary for the replenishment of glutathione. The glutathione resynthesis in the presence of CysGly plus glutamic acid was totally inhibited in the presence of buthionine sulfoximine, an inhibitor of gamma-glutamylcysteine synthetase. In contrast, glutathione restoration from gammaGluCys at a concentration of 10 mM in the presence of glycine was not influenced by the inhibitor. The use of CysGly or gammaGluCys was not affected by the presence of the dipeptidase inhibitors cilastatin or bestatin. In addition, carnosine and several other dipeptides applied in a 50-fold excess only slightly prevented the use of CysGly, hinting at the existence in astroglial cells of a transport system specific for CysGly. The results demonstrate that astroglial cells can use dipeptides for intracellular glutathione synthesis and that the dipeptides most likely are taken up as intact molecules into astroglial cells before intracellular hydrolysis occurs.

Title
Changes in levels of glutathione and related compounds and activities of glutathione-related enzymes during rat liver regeneration.
Author
Teshigawara M; Matsumoto S; Tsuboi S; Ohmori S
Address
Department of Biochemistry, Faculty of Pharmaceutical Sciences, Okayama
University, Japan.
Source
Res Exp Med (Berl), 195(2):55-60 1995
Abstract
The levels of glutathione and glutathione disulfide increased during the regeneration process of rat liver, reaching a maximum (about twice the control value) on day 2 and reverting to the normal level within 5 days. During this regeneration process, changes in the hepatic level of cysteine, glycine and glutamic acid, the substrates for glutathione synthesis, were determined. The cysteine level in liver increased, reaching a maximum on day 2 and returned to the normal level after 5 days. The levels of glycine and glutamic acid did not change. The enzyme activities of cystathionine-beta synthase and gamma-cystathionase for cysteine synthesis, and of gamma-glutamylcysteine synthetase, which is a limiting enzyme for glutathione synthesis, were clearly increased in regenerating liver. The increase of glutathione level could be clearly accounted for by the elevation of these enzyme activities.

Title
glutathione-induced sodium currents in neocortex.
Author
Shaw CA; Pasqualotto BA; Curry K
Address
Department of Ophthalmology, University of British Columbia, Vancouver, Canada.
Source
Neuroreport, 7(6):1149-52 1996 Apr 26
Abstract
The present report demonstrates that glutathione (GSH), a tripeptide composed of glutamic acid, glycine and cysteine (gamma-L-glutamyl-L-cysteinyl-glycine) and best known as a free radical scavenger, elicits a large fast depolarizing potential when applied to cortical slices. This potential is maximally larger than that produced by either NMDA or AMPA. Like AMPA, the GSH current appears to be carried by sodium ions, but cannot be blocked by the glutamic acid receptor antagonists AP5 or DNQX. In addition, removal of external calcium or blockade of potassium currents by TEA does not diminish the GSH-induced potential. Together, these results suggest that GSH acts through its own receptor-mediated channels, independently of the known EAA receptors, and that its receptors may be a key, and previously unknown, component of cortical excitatory neurotransmission.

Title
Different preferences in the utilization of amino acids for glutathione synthesis in cultured neurons and astroglial cells derived from rat brain.
Author
Kranich O; Hamprecht B; Dringen R
Address
Physiologisch-chemisches Institut der Universität, Tübingen, Germany.
Source
Neurosci Lett, 219(3):211-4 1996 Nov 29
Abstract
The intracellular contents of glutathione in neuron-rich and astroglia-rich primary cultures derived from the brains of embryonal and newborn rats were found to be 23.1 +/- 3.0 and 31.2 +/- 6.5 nmol/mg of protein, respectively. Deprivation of amino acids for 4 h reduced the level of glutathione in neuron-rich cultures by 24%. glutathione was resynthesized on refeeding of cysteine, glutamine, and glycine. A maximal content of glutathione was found 4 h after refeeding, exceeding that of untreated neuron-rich cultures by 84%. Replacement of cysteine by cystine or glutamine by glutamic acid during the 4 h refeeding period resulted in a lower intracellular amount of glutathione. An increase in the glutathione level of neuron-rich cultures by 76% was found if the culture medium was supplemented with 250 microM cysteine. However, no such increase occurred if cystine was used instead. In contrast to neuron-rich cultures, astroglia-rich primary cultures restored a maximal content of glutathione if glutamic acid and cystine were refed after amino acid deprivation. These results demonstrate that cysteine is the limiting compound in the culture medium for glutathione synthesis in neuron-rich cultures and that astroglial cells and neurons in culture have different preferences for uptake and utilization of amino acids for glutathione synthesis.

Title
Skeletal muscle glutathione after surgical trauma.
Author
Luo JL; Hammarqvist F; Andersson K; Wernerman J
Address
Anaesthesiological Metabolism Unit, Clinical Research Centre, Karolinska Institute, Stockholm, Sweden.
Source
Ann Surg, 223(4):420-7 1996 Apr
Abstract
OBJECTIVE: The authors investigate the effect of surgical trauma on skeletal muscle concentrations of glutathione in patients undergoing selective abdominal surgery. SUMMARY BACKGROUND DATA: The posttraumatic state is accompanied by characteristic changes in the pattern of free amino acids and a decline of protein synthesis in human skeletal muscle. glutathione has multiple metabolic functions that are involved in cellular homeostasis. It is unknown how surgical trauma affects the glutathione metabolism of skeletal muscle in surgical patients. METHODS: Eight patients undergoing elective abdominal surgery were investigated. Percutaneous muscle biopsies and blood samples were taken before operation and at 6, 24, and 48 hours after operation. The concentrations of glutathione were determined in muscle tissue, plasma, and whole blood, as well as the concentrations of the related amino acids in muscle and plasma. RESULTS: In skeletal muscle, the levels of both reduced and total glutathione decreased by 40% (p<0.01) at 24 hours and remained low at 48 hours after operation compared with the preoperative values. The glutathione concentration in plasma was 20% lower after operation compared with the concentration before operation (p<0.05). There were no changes at the whole blood levels of glutathione. Tissue glutamic acid and glutamine decreased significantly after operation (p<0.001), whereas intracellular cysteine and glycine remained unchanged. CONCLUSIONS: Skeletal muscle glutathione deficiency occurs after surgical trauma. This may lead to an increase in the susceptibility to intracellular oxidative injury.

Title
glutathione release and catabolism during energy substrate restriction in astrocytes.
Author
Juurlink BH; Schültke E; Hertz L
Address
Saskatchewan Stroke Research Centre, College of Medicine, University of Saskatchewan, Saskatoon, Canada.
Source
Brain Res, 710(1-2):229-33 1996 Feb 26
Abstract
This study examined the effect of simulated ischemia (deprivation of both oxygen and substrate) on astrocyte reduced-glutathione (GSH). We have demonstrated that under normoxic conditions there is no GSH efflux from living astrocytes; this suggests that the high levels of GSH in astrocytes in vivo are not available for neighbouring neural cells. Under simulated ischemia there is release of GSH from astrocytes only when astrocytes die. Furthermore, when astrocytic energy stores are depleted GSH is catabolized, such that after 12 h of simulated ischemia approximately 20% of GSH is catabolized. This GSH catabolism can be increased at an earlier time by causing increased ATP utilization through activating the sodium pump either by introducing glutamic acid into the culture medium or by raising medium potassium. Since GSH is catabolized into glycine, glutamic acid and cysteine, the latter two amino acids being neurotoxic, our findings indicate that the high levels of GSH in astrocytes may be used by these cells to survive ischemic insults, but the catabolism of GSH may result in increased neuronal damage.

 

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