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Glutathione Homeostasis and Functions: Potential Targets for Medical Interventions
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Glutathione (GSH) is a tripeptide, which has many biological roles including protection against reactive oxygen and nitrogen species. The primary goal of this paper is to characterize the principal mechanisms of the protective role of GSH against reactive species and electrophiles. The ancillary goals are to provide up-to-date knowledge of GSH biosynthesis, hydrolysis, and utilization; intracellular compartmentalization and interorgan transfer; elimination of endogenously produced toxicants; involvement in metal homeostasis; glutathione-related enzymes and their regulation; glutathionylation of sulfhydryls. Individual sections are devoted to the relationships between GSH homeostasis and pathologies as well as to developed research tools and pharmacological approaches to manipulating GSH levels. Special attention is paid to compounds mainly of a natural origin (phytochemicals) which affect GSH-related processes. The paper provides starting points for development of novel tools and provides a hypothesis for investigation of the physiology and biochemistry of glutathione with a focus on human and animal health.
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“The abundance of GSH is unusually high, the cytosol concentration is ca 1–11 mM, mitochondria contain 6–10 mM, and nuclei 3–15 mM of GSH.”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Lushchak 2012
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“Glutathione is synthesized in the body as part of a major redox system however the ability to synthesize it apparently declines with age.(15,51) This is evidenced by the lower levels of glutathione in several diseases as discussed earlier.”
BackgroundLi, C., Fang, Y., & Chen, Y. M. (2025) · American Journal Of Pathology · doi:10.1016/j.ajpath.2024.12.011 · Cited by 24
Bayliak, M. M., Lylyk, M. P., Maniukh, O., Storey, J. M., Storey, K. B., & Lushchak, V. I. (2017) · Journal of Comparative Physiology B · doi:10.1007/s00360-017-1113-6 · Cited by 25
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“Barros et al.13 showed that breast cancer cells extremely expressing GSTM1 and M4 in MCF7 breast cancer cells resisted to MTX treatment by reducing cytochrome C. Richter-Hintz et al.16 also showed that GSTM1 gene polymorphisms cause predisposition to psoriasis.”
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BackgroundInfluentialSoldevila‐Barreda, J. J., Fawibe, K. B., Azmanova, M., Rafols, L., Pitto‐Barry, A., Eke, U. B., & Barry, N. P. E. (2020) · Molecules · doi:10.3390/molecules25194540 · Cited by 24
“GSH is a well-known detoxifying agent and ROS scavenger that is found in millimolar concentrations within the cell [78,79].”
BackgroundEffects of C60 Fullerene on Thioacetamide-Induced Rat Liver Toxicity and Gut Microbiome Changes
Đurašević, S., Pejić, S., Grigorov, I., Nikolić, G., Mitić-Ćulafić, D., Dragićević, M. B., Đorđević, J., Todorović, N., Đorđević, N. O., Todorović, A., et al. (2021) · Antioxidants · doi:10.3390/antiox10060911 · Cited by 24
“Catalase and GPx are known to cooperate in H2O2 catabolism, complementing each other [54].”
BackgroundDietary Phytochemicals: As a Natural Source of Antioxidants
Makhaik, M. S., Shakya, A., & Kale, R. K. (2021) · IntechOpen eBooks · doi:10.5772/intechopen.99159 · Cited by 26
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“A rise in the level of glutathione may boost defense mechanisms of not only normal cells but likewise cancerous cells and can lead to cardiovascular diseases [116].”
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“Under oxidative stress, GSH reacts with ROS and is converted to GSSG by GSH-dependent peroxidases [17].”
BackgroundBayliak, M. M., Burdyliuk, N., & Lushchak, V. I. (2017) · International Journal of Microbiology · doi:10.1155/2017/5792192 · Cited by 24
“The low-molecular mass thiols are represented mainly by glutathione and increased level of LSH could result from either enhanced level of precursors of glutamine or enhanced expression of key enzymes of glutathione biosynthesis [38].”
Self-citationPoly(aspartic acid) hydrogels showing reversible volume change upon redox stimulus
Krisch, E., Gyarmati, B., Barczikai, D., Lapeyre, V., Szilágyi, B. Á., Ravaine, V., & Szilágyi, A. (2018) · European Polymer Journal · doi:10.1016/j.eurpolymj.2018.06.011 · Cited by 24
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“The antioxidant system comprises enzymes and low molecular weight antioxidant compounds, among which the main are glutathione peroxidase (GPX) and glutathione reductase (GR) which use the tripeptide glutathione in the reduced form (GSH) as electron donator (Lushchak 2012).”
BackgroundChaudhary, P., Janmeda, P., Setzer, W. N., Aldahish, A. A., Sharifi‐Rad, J., & Călina, D. C. (2023) · Chemical Papers · doi:10.1007/s11696-023-03197-1 · Cited by 23
“…are the secondary enzymes that carry out the ROS detoxification by reducing the level of peroxide or by maintaining a continuous flow of metabolic intermediates such as NADPH and glutathione, which are required for the optimum activity of primary antioxidant enzymes (Lushchak 2012).”
Role of Pseudomonas aeruginosa Glutathione Biosynthesis in Lung and Soft Tissue Infection
Michie, K. L., Dees, J. L., Fleming, D. F., Moustafa, D. A., Goldberg, J. B., Rumbaugh, K. P., & Whiteley, M. (2020) · Infection and Immunity · doi:10.1128/iai.00116-20 · Cited by 23
“Glutathione (GSH) is a major cellular regulator of redox homeostasis (7, 8).”
BackgroundInfluentialPharmacologic approaches to amino acid depletion for cancer therapy
Wilder, C. S., Chen, Z., & DiGiovanni, J. (2021) · Molecular Carcinogenesis · doi:10.1002/mc.23349 · Cited by 23
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“Thus, the GSH antioxidant pathway is one of the most important and well-represented components of the endogenous antioxidant system [1].”
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“Considering that GSH also serves as a substrate or cofactor of many NRF2-regulated detoxifying cellular enzymes [59], and NRF2 is critical for maintaining the GSH redox state via transcriptional regulation of glutathione reductase [60], it is likely that NAC (through increasing the total GSH content) contributed to th…”
BackgroundThe Hidden Notes of Redox Balance in Neurodegenerative Diseases
Piccirillo, S., Magi, S., Preziuso, A., Serfilippi, T., Cerqueni, G., Orciani, M., Amoroso, S., & Lariccia, V. (2022) · Antioxidants · doi:10.3390/antiox11081456 · Cited by 26
“Through the -SH group, GSH can exert its antioxidant function by directly interacting with ROS [79], by participating in the enzymatic oxidation reaction as an electron donor [80] or by complexing metal ions [81].”
BackgroundPokidova, O. V., Novikova, V. O., Emel’yanova, N. S., Kormukhina, A. Y., Куликов, А. В., Утенышев, А. Н., Lazarenko, V. A., Ovanesyan, N. S., Starostina, A. A., & Sanina, N. A. (2023) · Dalton Transactions · doi:10.1039/d2dt04047f · Cited by 23
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Kang, C., Ren, X., Lee, D., Ramesh, R., Nimmo, S., Yang‐Hartwich, Y., & Kim, D. (2023) · Journal of Controlled Release · doi:10.1016/j.jconrel.2023.11.031 · Cited by 25
Effects of titanium-based nanotube films on osteoblast behaviorin vitro
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“To test this hypothesis, we grew cells with or without an antibiotic or DFP or an antibiotic plus DFP in the presence or absence of two known antioxidants, glutathione (a small peptide) and ascorbate (a vitamin) (40, 41).”
Backgroundde Souza, L. K. M., Nicolau, L. A. D., Sousa, N. A., Araújo, T. S. L., Sousa, F. B. M., da Costa, D. S., Souza, F. M., Pacífico, D. M., Martins, C. S., Silva, R. O., et al. (2016) · Biochemical Pharmacology · doi:10.1016/j.bcp.2016.05.010 · Cited by 23
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Bayliak, M. M., Lylyk, M. P., Shmihel, H. V., Sorochynska, O. M., Semchyshyn, O. I., Storey, J. M., Storey, K. B., & Lushchak, V. I. (2016) · Comparative Biochemistry and Physiology Part A Molecular & Integrative Physiology · doi:10.1016/j.cbpa.2016.11.005 · Cited by 23
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Telahigue, K., Rabeh, I., Mhadhbi, L., Nechi, S., Chelbi, E., Ali, M. B., Hedfi, A., Al-Harbi, M. S., & Hajji, T. (2022) · Pesticide Biochemistry and Physiology · doi:10.1016/j.pestbp.2022.105099 · Cited by 22
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Exposure to sodium molybdate results in mild oxidative stress inDrosophila melanogaster
Perkhulyn, N. V., Rovenko, B. M., Lushchak, O. V., Storey, J. M., Storey, K. B., & Lushchak, V. I. (2017) · Redox Report · doi:10.1080/13510002.2017.1295898 · Cited by 22
“On the other hand, higher GST activities in females could be related to a more extensive metabolism of steroids in females where GST could play critical roles [44].”
BackgroundSelf-citationKumari, N., Agrawal, S., Kumari, R., Sharma, D., & Luthra, P. M. (2018) · Neuroscience Letters · doi:10.1016/j.neulet.2018.03.040 · Cited by 22
Maiti, P., Singha, T., Chakraborty, U., Roy, S. D., Karmakar, P., Dey, B., Hussain, S. A., Paul, S., & Paul, P. K. (2019) · Materials Chemistry and Physics · doi:10.1016/j.matchemphys.2019.06.001 · Cited by 22
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Maňoušek, J., Kala, P., Lokaj, P., Ondrúš, T., Helánová, K., Miklíková, M., Brázdil, V., Tomandlová, M., Pařenica, J., Goldbergová, M. P., et al. (2021) · Frontiers in Cardiovascular Medicine · doi:10.3389/fcvm.2021.732708 · Cited by 22
“These individuals may be at the risk due to reduced ability to maintain glutathione-mediated metabolic and detoxification pathways (36, 122).”
BackgroundInfluentialDine, F. M. M. B. E., Nabil, I., & Dwedar, F. (2017) · Egyptian Journal of Forensic Sciences · doi:10.1186/s41935-017-0012-z · Cited by 22
“Notice: (G); Golgi apparatus, (mv); microvilli, (bc); blood capillaries control by various processes and reduction in GSH leads to stress (Lushchak, 2012).”
BackgroundHatori, Y., Kubo, T., Sato, Y., Inouye, S., Akagi, R., & Seyama, T. (2020) · Antioxidants · doi:10.3390/antiox9020129 · Cited by 21
Ghosh, A., Mustafiz, A., Pareek, A., Sopory, S. K., & Singla-Pareek, S. L. (2022) · Physiologia Plantarum · doi:10.1111/ppl.13693 · Cited by 21
Bayliak, M. M., Vatashchuk, M., Gospodaryov, D. V., Hurza, V., Demianchuk, O., Ivanochko, M. V., Burdyliuk, N., Storey, K. B., Lushchak, O. V., & Lushchak, V. I. (2022) · Biochimica et Biophysica Acta (BBA) - General Subjects · doi:10.1016/j.bbagen.2022.130226 · Cited by 21
Self-citationPandi, P., Madhuvandhi, J., Priya, K., Raman, T., Gopalakrishnan, S. T., Elumalai, S., & Thilagam, H. (2022) · Frontiers in Marine Science · doi:10.3389/fmars.2022.990351 · Cited by 21
“As an antioxidant and second-phase detoxification enzyme, GST is crucial in the detoxification of a variety of electrophilic chemicals into hydrophilic molecules (Lushchak, 2012).”
BackgroundA microplate-based DCFH-DA assay for the evaluation of oxidative stress in whole semen
Benedetti, S., Catalani, S., Stefani, S. D., Primiterra, M., Fraternale, A., Palma, F., & Palini, S. (2022) · Heliyon · doi:10.1016/j.heliyon.2022.e10642 · Cited by 21
“GSH, present in millimolar concentrations inside cells, acts as an antioxidant, a free radical scavenger, and a detoxifying agent [34].”
BackgroundZhang, S., Tan, E., Wang, R., Gao, P., Wang, H., & Cheng, Y. (2022) · Nano Letters · doi:10.1021/acs.nanolett.2c02948 · Cited by 21
Exogenous L-Glutathione Improves Vitrification Outcomes in Murine Preimplantation Embryos
Rahman, N.-S. A., Khan, N. A. M. N., Eshak, Z., Sarbandi, M.-S., Kamal, A.-A. M., Malek, M. A., Abdullah, F., Abdullah, M. A., & Othman, F. (2022) · Antioxidants · doi:10.3390/antiox11112100 · Cited by 21
“Glutathione (GSH) is a tripeptide (L-γ-glutamyl-L-cysteinyl-glycine) with multiple functions in living organisms [35,36].”
BackgroundBrain CoA and Acetyl CoA Metabolism in Mechanisms of Neurodegeneration
Мойсеенок, А. Г., & Kanunnikova, N. P. (2023) · Biochemistry (Moscow) · doi:10.1134/s000629792304003x · Cited by 21
“Investigation of the functional link between the CoA and GSH systems in oxidative stress as a required factor in the development of neurodegenerative pathology is justified not only by the direct identification of the mixed disulfide of glutathione and CoA [20, 81], but also by pantothenate kinase de-inhibition via di…”
BackgroundMethodOsarenren, E. J., Omage, K., & Azeke, M. A. (2023) · Toxicology Reports · doi:10.1016/j.toxrep.2023.04.008 · Cited by 25
“GSH and GPX play an important role in the detoxification of potentially toxic compounds [66,67].”
BackgroundAn overview on the modulation of pesticide detoxification mechanism via salicylic acid in the plants
Kumar, A., Yadav, P. K., Singh, S., & Singh, A. (2023) · Environmental Pollutants and Bioavailability · doi:10.1080/26395940.2023.2242701 · Cited by 21
“The enzyme GST increases the rate of conjugation step of pesticide molecules with the GSH [47].”
BackgroundAmorim, R., Soares, P., Chavarria, D., Benfeito, S., Cagide, F., Teixeira, J., Oliveira, P. J., & Borges, F. (2024) · European Journal of Medicinal Chemistry · doi:10.1016/j.ejmech.2024.116723 · Cited by 21
Wang, M., Miura, Y., Tsuchihashi, K., Miyano, K., Nagano, O., Yoshikawa, M., Tanabe, A., Makino, J., Mochida, Y., Nishiyama, N., et al. (2016) · Journal of Controlled Release · doi:10.1016/j.jconrel.2016.03.038 · Cited by 21
“Moreover, tumors also present high levels of GSH, as well as glutathione-S-Sglutathione (GSSG) and GSH-conjugates in their interstitial fluid [44-47], which can be transferred intracellularly and provide the basis for the salvage cycle of recycling the excreted GSH and GSSG by the original cell or by other cells [44,4…”
BackgroundShi, Y., Acerson, M. J., Abdolvahabi, A., Mowery, R. A., & Shaw, B. F. (2016) · Journal of the American Chemical Society · doi:10.1021/jacs.6b01742 · Cited by 22
Jagetia, G. C., & Lalnuntluangi, V. (2016) · Biochemistry & Molecular Biology Journal · doi:10.21767/2471-8084.100018 · Cited by 21
Wojtal‐Frankiewicz, A., Bernasinska-Slomczewska, J., Frankiewicz, P., Gwoździński, K., & Jurczak, T. (2017) · Aquatic Ecology · doi:10.1007/s10452-017-9617-4 · Cited by 21
“The chosen biomarkers are one of the most acknowledged indicators of oxidative stress, what is justified by results of numerous studies (e.g. Mates 2000; Osman et al. 2007; Niki 2008; Lushchak 2012).”
BackgroundAnxiolytic effect of anacardic acids from cashew ( Anacardium occidentale ) nut shell in mice
Júnior, A. L. G., Tchekalarova, J. D., Machado, K. D. C., Moura, A. K. S., Paz, M. F. C. J., da Mata, A. M. O. F., Nogueira, T. R., Islam, M. T., Rios, M. A. D. S., Citó, A. M. D. G. L., et al. (2018) · IUBMB Life · doi:10.1002/iub.1738 · Cited by 21
“GSH is a tripeptide (c-glutamyl-cysteinyl-glycine) responsible for the direct removal of ROS and also acts as a cofactor for ROS-neutralizing enzyme glutathione peroxidase (42), while CAT is an enzyme responsible for the conversion of hydrogen peroxide (H2O2) into water (H2O) and oxygen (O2) (43).”
BackgroundAn Adverse Outcome Pathway (AOP) for forestomach tumors induced by non-genotoxic initiating events
Proctor, D. M., Suh, M., Chappell, G. A., Borghoff, S. J., Thompson, C. M., Wiench, K., Finch, L., & Ellis‐Hutchings, R. G. (2018) · Regulatory Toxicology and Pharmacology · doi:10.1016/j.yrtph.2018.04.016 · Cited by 21
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Araújo, A. M., Carvalho, M. C., Costa, V. M., Duarte, J. A., Dinis‐Oliveira, R. J., Bastos, M. D. L., de Pinho, P. G., & Carvalho, F. D. (2020) · Archives of Toxicology · doi:10.1007/s00204-020-02949-2 · Cited by 21
“However, its antioxidant potential is the most well-known property, providing cellular protection due to its ability to neutralize reactive oxygen and nitrogen species (ROS/RNS) and electrophiles and to act as a cofactor for several antioxidant enzymes (Lushchak 2012).”
BackgroundNandi, A. A., Wadhwani, N. S., & Joshi, S. (2017) · Medical Hypotheses · doi:10.1016/j.mehy.2017.01.009 · Cited by 21
Effects of simvastatin on the PXR signaling pathway and the liver histology in Mugilogobius abei
Wang, C., Ku, P., Nie, X., Bao, S., Wang, Z., & Li, K. (2018) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2018.09.133 · Cited by 21
Pérez, O. M. M., Flórez-Vargas, O., Cruz, G. R., González, F. R., Rocha-Muñoz, L. P., & Rodríguez, L. H. S. (2021) · Scientific Reports · doi:10.1038/s41598-021-88137-3 · Cited by 20
Alışık, M., Alışık, T., Nacir, B., Neşeli̇oğlu, S., Işık, İ. G., Koyuncu, P., & Erel, Ö. (2021) · Clinical Biochemistry · doi:10.1016/j.clinbiochem.2021.04.023 · Cited by 22
Valu, M.-V., Soare, L. C., DUCU, C. M., Moga, S. G., Negrea, D. A., Vamanu, E., Bălşeanu, T. A., Carradori, S., Hriţcu, L., & Boiangiu, R. Ş. (2021) · Journal of Fungi · doi:10.3390/jof7060477 · Cited by 21
“Glutathione is an essential component of the cellular antioxidant defense system and is directly involved in maintaining cellular redox homeostasis [52].”
BackgroundDesign of Nanoparticles in Cancer Therapy Based on Tumor Microenvironment Properties
Firouzabadi, B. M., Gigliobianco, M. R., Joseph, J. M., Censi, R., & Martino, P. D. (2022) · Pharmaceutics · doi:10.3390/pharmaceutics14122708 · Cited by 21
“Additionally, higher levels of ROS are connected to a higher level of antioxidants [96].”
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“Research has shown that environmental stresses that involve the osmotic regulation system can cause the formation of free radicals 57,96 .”
Lozinsky, O. V., Lushchak, O. V., Storey, J. M., Storey, K. B., & Lushchak, V. I. (2013) · Comparative Biochemistry and Physiology Part C Toxicology & Pharmacology · doi:10.1016/j.cbpc.2013.09.002 · Cited by 20
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EFFECTS OF HUMIC ACIDS ON POULTRY UNDER STRESS CONDITIONS
Vašková, J., Patlevič, P., Žatko, D., Marcinčák, S., Vaško, L., Krempaská, K., & Nagy, J. (2018) · Slovenian Veterinary Research · doi:10.26873/svr-469-2018 · Cited by 20
Vabeiryureilai, M., Lalrinzuali, K., & Jagetia, G. C. (2019) · Heliyon · doi:10.1016/j.heliyon.2019.e02521 · Cited by 20
“The GSH is a biological antioxidant present in high concentrations, and offers protection against oxidative damage [34, 45, 46].”
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Levels of glutathione-related antioxidants in some tissues of stressed Wistar rats
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“Several in vitro and in vivo studies have shown that NAC induces the intracellular biosynthesis of glutathione (GSH), a well-known direct antioxidant and substrate for several antioxidant enzymes [13].”
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The Role of Glutathione in Age-Related Macular Degeneration (AMD)
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“This isoform is present in every cell and also in the cytosol, mitochondria, and peroxysomes.”
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Enhanced radiation response in radioresistant MCF-7 cells by targeting peroxiredoxin II
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Effect of Thaumatococcus daniellii leaf rat-feed on potassium bromate induced testicular toxicity
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“Along with evidence of oxidative damage, we found impairment of the GSH-dependent system, which is critical in antioxidant response [71,72].”
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Endogenous regulation of the Akt pathway by the aryl hydrocarbon receptor (AhR) in lung fibroblasts
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Dual-Mode Tumor Imaging Using Probes That Are Responsive to Hypoxia-Induced Pathological Conditions
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“Glutathione (GSH) is an abundant thiol-containing compound in most cells, and is found in the millimolar range in the cytoplasm of healthy cells, making it an excellent candidate for GSH-triggered siRNA release [8].”
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“The protective capacity of this molecule is attributable in part to its abilities to directly neutralize reactive oxygen species and to serve as a cofactor for reactive oxygen species metabolizing enzymes [1].”
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“Actually glutathione not only protects the cell from such toxic agents as free radicals, but also determines the redox status of the intracellular environment generally (Anderson, 1998; Lushchak, 2012).”
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“GSH- PX serves as an intracytoplasmatic antioxidant and is predominantly located in the mitochondria (Batcioglu, Ozturk, Karagozler, & Karatas, 2002; Lushchak, 2012; Sunde & Hoekstra, 1980).”
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“Because the antioxidant glutathione conjugates with amino acids to form cysteinylglycine [19], reduced concentrations of cysteinylglycine in the feces of CKD cats consuming scFOS may suggest increased intestinal concentrations of glutathione, which is known to provide intestinal mucosal health benefits [20].”
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“The duration of hemolysis was unknown in these cases, so future studies should investigate the effect of acute vs chronic hemolysis on the plasma and RBC fractions of GSH.”
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Mechanisms of nitric oxide generation in living systems
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El‐Sherbiny, M., Fahmy, E. K., Eisa, N. H., Said, E., Elkattawy, H. A., Ebrahim, H. A., Elsherbiny, N. M., & Ghoneim, F. M. (2021) · Molecules · doi:10.3390/molecules26247684 · Cited by 20
“With regard to γ-GCS, reduced glutathione (GSH) is a ubiquitous tripeptide thiol, vital intracellular, and extracellular protective antioxidant, playing a crucial role in the detoxification of various xenobiotics [54].”
Background
Metadata
- Authors
- Lushchak, V. I.
- Affiliations
- Vasyl Stefanyk Carpathian National University (UA)
- Corresponding author
- Lushchak, Volodymyr I.
- Venue
- Journal of Amino Acids
- Publisher
- Wiley
- Published
- 2012-02-28
- Volume
- 2012
- Pages
- 1-26
- ISSN
- 2090-0104 (ISSN-L)
- 2090-0112
- PMC
- PMC3303626
- OpenAlex
- W2043037824
- Cited by
- 1,266
- References
- 283
- Citations by year
- 2026: 70 · 2025: 117 · 2024: 119 · 2023: 126 · 2022: 125 · 2021: 131 · 2020: 110 · 2019: 79 · 2018: 76 · 2017: 93 · 2016: 64 · 2015: 64 · 2014: 52 · 2013: 29 · 2012: 7
- FWCI
- 20.84
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Amino Acids (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- Ministry of Education and Science of Ukraine (0106U002245)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Biochemistry › Sulfur Compounds in Biology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Glutathione Transferases and Polymorphisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Keywords
- glutathione, glutathione homeostasis, reactive oxygen species, reactive nitrogen species, glutathione synthesis, glutathione metabolism, metal homeostasis, glutathionylation, sulfhydryl groups, phytochemicals, disease pathology
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