title: Glutathione cycle in stable chronic obstructive pulmonary disease.
abstract: Chronic obstructive pulmonary disease (COPD) is characterized by chronic inflammation and oxidant/antioxidant imbalance. Glutathione is the most abundant cellular low-molecular weight thiol and the glutathione redox cycle is the fundamental component of the cellular antioxidant defence system. Concentration of total glutathione and catalytic activities of glutathione peroxidase and glutathione reductase were determined in peripheral blood of patients (n = 109) and healthy subjects (n = 51). Concentration of total glutathione in patients was not changed in comparison to healthy controls. However, we found statistically significant difference between patients with moderate and severe disease stages. Glutathione reductase activity was increased, while glutathione proxidase activity was decreased in the patients with COPD, when compared to healthy controls. We found no significant difference in glutathione peroxidase and glutathione reductase activities between stages. Patients who smoked had lower concentration of total glutathione compared with former smokers and never-smoking patients. Lung function parameters were inversely associated with glutathione level. Evidence is presented for differential modulation of glutathione peroxidase and glutathione reductase activities in peripheral blood of patients with stable COPD. We suppose that in addition to glutathione biosynthesis, glutathione reductase-dependent regulation of the glutathione redox state is vital for protection against oxidative stress.
authors.affiliation: Department for Laboratory Medicine, University Clinic for Diabetes, Endocrinology and Metabolic Diseases Vuk Vrhovac, Zagreb, Croatia. vanja.radisic@gmail.com
authors.forename: Vanja Radisić
authors.initials: VR
authors.lastname: Biljak
authors.forename: Lada
authors.initials: L
authors.lastname: Rumora
authors.forename: Ivana
authors.initials: I
authors.lastname: Cepelak
authors.forename: Dolores
authors.initials: D
authors.lastname: Pancirov
authors.forename: Sanja
authors.initials: S
authors.lastname: Popović-Grle
authors.forename: Jasna
authors.initials: J
authors.lastname: Sorić
authors.forename: Tihana Zanić
authors.initials: TZ
authors.lastname: Grubisić
mesh_terms: D000368:Aged; D016022:Case-Control Studies; D005260:Female; D005978:Glutathione / Q000097:blood*; D005979:Glutathione Peroxidase / Q000097:blood; D005980:Glutathione Reductase / Q000097:blood; D006801:Humans; D008297:Male; D008875:Middle Aged; D010084:Oxidation-Reduction; D018384:Oxidative Stress; D029424:Pulmonary Disease, Chronic Obstructive / Q000097:blood* / Q000201:enzymology
chemical_list: D005979:Glutathione Peroxidase; D005980:Glutathione Reductase; D005978:Glutathione