Glutathione and Related Molecules in Parkinsonism
Open accessAbstract
Glutathione (GSH) is the most abundant intrinsic antioxidant in the central nervous system, and its substrate cysteine readily becomes the oxidized dimeric cystine. Since neurons lack a cystine transport system, neuronal GSH synthesis depends on cystine uptake via the cystine/glutamate exchange transporter (xCT), GSH synthesis, and release in/from surrounding astrocytes. Transcription factor nuclear factor erythroid 2-related factor 2 (Nrf2), a detoxifying master transcription factor, is expressed mainly in astrocytes and activates the gene expression of various phase II drug-metabolizing enzymes or antioxidants including GSH-related molecules and metallothionein by binding to the antioxidant response element (ARE) of these genes. Accumulating evidence has shown the involvement of dysfunction of antioxidative molecules including GSH and its related molecules in the pathogenesis of Parkinson’s disease (PD) or parkinsonian models. Furthermore, we found several agents targeting GSH synthesis in the astrocytes that protect nigrostriatal dopaminergic neuronal loss in PD models. In this article, the neuroprotective effects of supplementation and enhancement of GSH and its related molecules in PD pathology are reviewed, along with introducing new experimental findings, especially targeting of the xCT-GSH synthetic system and Nrf2–ARE pathway in astrocytes.
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Astrocytes are considered to contain substantially higher GSH contents than neurons.
“As astrocytes are considered to contain substantially higher GSH contents than neurons (Asanuma and Miyazaki 2021; Dringen et al. 2015; McBean 2017; Sedlak et al. 2019; Vázquez‐Meza et al. 2023), it can be concluded that a substantial part of the total GSH determined in brain tissue represents astrocytic GSH.”
From Glutathione Metabolism of the Brain—The Role of Astrocytes (2025) · cites this paper as Asanuma and Miyazaki 2021
Section 2.1 (page unavailable) describes astrocytes synthesizing and releasing GSH that supports neuronal GSH synthesis. It does not say that astrocytes contain substantially more GSH than neurons; Section 4 discusses differences between astrocyte populations, not an astrocyte–neuron comparison. (LLM, conf=0.82)
Experimental — accuracy not yet measuredOxidative stress and alterations in the GSH metabolism of the brain have been connected with many neurological and neurodegenerative diseases.
“Oxidative stress and alterations in the GSH metabolism of the brain have been connected with many neurological and neurodegenerative diseases as recently summarized (Asanuma and Miyazaki 2021; Bell et al. 2024; Bjørklund et al. 2021, 2020; Bottino et al. 2021; Iskusnykh et al. 2022; Kim 2021; Murray et al. 2024).”
From Glutathione Metabolism of the Brain—The Role of Astrocytes (2025) · cites this paper as Asanuma and Miyazaki 2021
The Introduction links oxidative stress to neurodegenerative disorders and describes reduced brain GSH and dysfunction of GSH-related molecules in Parkinson’s disease. It does not establish altered brain GSH metabolism across the many neurological and neurodegenerative diseases named in the broader claim. The supplied passages have section labels but no page numbers. (LLM, conf=0.86)
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Vagotomy and subsequent risk of <scp>P</scp> arkinson's disease
Svensson, E., Horváth‐Puhó, E., Thomsen, R. W., Djurhuus, J. C., Pedersen, L., Borghammer, P., & Sørensen, H. T. (2015) · Annals of Neurology · doi:10.1002/ana.24448 · Cited by 806 · see citing works
The Gut-Brain Axis in Parkinson’s Disease: Possibilities for Food-Based Therapies
Perez-Pardo, P., Kliest, T., Dodiya, H. B., Broersen, L. M., Garssen, J., Keshavarzian, A., & Kraneveld, A. D. (2017) · European Journal of Pharmacology · doi:10.1016/j.ejphar.2017.05.042 · Cited by 203 · see citing works
Neuroprotective effects of the green tea components theanine and catechins
Kakuda, T. (2002) · Biological & Pharmaceutical Bulletin · doi:10.1248/bpb.25.1513 · Cited by 165 · see citing works
Randomized, double‐blind, pilot evaluation of intravenous glutathione in Parkinson's disease
Hauser, R. A., Lyons, K. E., McClain, T., Carter, S., & Perlmutter, D. (2009) · Movement Disorders · doi:10.1002/mds.22401 · Cited by 143 · see citing works
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Glutathione Metabolism of the Brain—The Role of Astrocytes
Dringen, R., & Arend, C. (2025) · Journal of Neurochemistry · doi:10.1111/jnc.70073 · Cited by 46 · see citing works
- Authors
- Asanuma, M., & Miyazaki, I.
- Affiliations
- Okayama University (JP)
- Corresponding author
- Asanuma, Masato
- Venue
- International Journal of Molecular Sciences
- Publisher
- MDPI AG
- Published
- 2021-08-13
- Volume
- 22
- Issue
- 16
- Pages
- 8689
- ISSN
- 1422-0067 (ISSN-L)
- PMC
- PMC8395390
- OpenAlex
- W3192020839
- Cited by
- 68
- References
- 6
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 13 · 2023: 17 · 2022: 12 · 2021: 1
- FWCI
- 1.37
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- International Journal of Molecular Sciences (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Institutional Repositories DataBase (IRDB) (acceptedVersion)
- Okayama University Scientific Achievement Repository (Okayama University) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Japan Society for the Promotion of Science (JP19K07993, JP21K07415)
- Japanese Society of Eucommia (Research grant)
- Okayama Medical Foundation (Research grant)
- All Japan Coffee Association (Research grant)
- Topics
- Health Sciences › Medicine › Neurology › Parkinson's Disease Mechanisms and Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Glutathione Transferases and Polymorphisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Genomics, phytochemicals, and oxidative stress
- Keywords
- glutathione, Parkinson's disease, parkinsonism, SLC7A11, Nrf2, antioxidant response element, astrocytes, neuroprotection, glutathione synthesis, metallothionein, dopaminergic neuron loss, oxidative stress, glutathione supplementation
- MeSH terms
- Animals, Astrocytes, Carboxylic Ester Hydrolases, Disease Models, Animal, Gene Expression Regulation, Glutathione, Humans, Signal Transduction, Oxidative Stress, Parkinsonian Disorders, Amino Acid Transport System y+, NF-E2-Related Factor 2
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