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Glutathione

JoAnn Guest

Nov 08, 2003 09:48 PST

 

 

 

Glutathione

What does it do? Glutathione is a small protein composed of three

amino acids: cysteine, glutamic acid, and glycine. Glutathione is

involved in

detoxification—it binds to toxins, such as heavy metals, solvents,

and pesticides, and transforms them into a form that can be excreted

in urine or bile.

 

Glutathione is also an important antioxidant.

 

In preliminary research,

dietary glutathione intake from fruit and raw vegetables has been

associated with protection against some forms of cancer.

 

Glutathione has also inhibited cancer in test tube3 and animal

studies.4 In preliminary research, higher glutathione levels have

also

been associated with good health in older adults.

 

Glutathione supplements appear to be efficiently absorbed in rats.

However, the same may not be true for glutathione supplements in

humans.

 

For example, when seven healthy subjects were given a single

application of up to 3,000 mg of glutathione, there was no increase

in

blood glutathione levels.

 

The authors of the study concluded " it is not feasible to increase

circulating glutathione to a clinically beneficial extent by the

oral administrating of a single application of 3,000 mg of

glutathione. "

Absorption of glutathione may be better in rats because unlike the

gastrointestinal tract of rats,

the human gastrointestinal tract

contains significant amounts of an enzyme (gamma-

glutamyltranspeptidase)

that breaks down glutathione.

 

Very preliminary evidence has suggested that absorption of

glutathione

can occur in the mouth when glutathione tablets are placed between

the

teeth and the inner cheek.

 

Some researchers believe that supplements other than oral

glutathione

may be more effective in raising blood levels of glutathione.

 

 

For example, in one trial, blood glutathione levels rose nearly 50%

in healthy people taking 500 mg of vitamin C per day for only two

weeks.

 

Vitamin C raises glutathione by helping the body manufacture it.

In addition to vitamin C, other nutritional compounds that may,

according to preliminary research, help increase glutathione levels

include alpha lipoic acid, glutamine,12 methionine,13 S-adenosyl

methionine (SAMe).

 

Vitamin B6, riboflavin, and selenium are required in the manufacture

of

glutathione. The extent to which any of these nutrients effectively

increases glutathione levels in humans remains unclear.

 

Studies using intravenous or intramuscular glutathione have found it

to be useful for preventing clot formation during operations;16

reducing

the side effects and increasing the efficacy of chemotherapy drugs

(particularly cisplatin in women with ovarian cancer);17 18

treating Parkinson's disease;

reducing blood pressure in people with diabetes with high blood

pressure;20 and increasing sperm counts in men with low sperm counts.

 

 

A glutathione nasal spray has also reduced symptoms in people with

chronic rhinitis.

Whether oral preparations are also effective is unknown at this time.

A small study in eight patients with liver cancer using oral

glutathione showed modest benefits in women, but not in men, when

given

in a daily amount of 5,000 mg.

 

An unpublished preliminary study of eight colon cancer patients also

found that oral glutathione appeared to have anticancer activity.25

Nonetheless, because questions exist about the extent to which oral

glutathione can be absorbed, some doctors are concerned that oral

preparations may be either less effective than other forms or not

effective at all.

 

 

 

Where is it found? Dietary glutathione is found in fresh and frozen

fruits and vegetables,and fish.

 

Asparagus, avocado, and walnuts are particularly rich dietary

sources of glutathione.

 

 

 

Who is likely to be deficient? A deficiency can be the result of

diseases that increase the need for glutathione, deficiencies of the

amino acids needed for synthesis, or diseases that inhibit

glutathione

formation.

 

Examples of some health conditions that are associated with

glutathione deficiency include diabetes, low sperm counts, liver

disease, cataracts, and HIV infection, respiratory distress

syndrome,

cancer, and idiopathic pulmonary fibrosis. Cigarette smoking is also

associated with low glutathione levels because it increases the rate

of

utilization of glutathione.

 

 

 

How much is usually taken? There is very little evidence that taking

glutathione supplements provides any benefit, despite promising

evidence

about the effects of aerosol, intravenous, and intramuscular

glutathione, for people with a wide variety of conditions.

 

People who have a proven glutathione deficiency, which may require

administration of glutathione intravenously, intramuscularly, or by

aerosol, should be treated by a healthcare professional. All ovarian

cancer patients currently taking cisplatin (Platinol®) should

discuss

using intravenous glutathione with a healthcare professional.

 

 

 

Are there any side effects or interactions? No side effects or

interactions are known with oral administration of glutathione.

 

Are there any drug interactions? Certain medications may interact

with glutathione.

 

 

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-----------

 

References:

1. Sen CK. Nutritional biochemistry of cellular glutathione. Nutr

Biochem 1997;8:660–72.

 

2. Flagg EW, Coates RJ, Jones DP, et al. Dietary glutathione intake

and

the risk of oral and pharyngeal cancer. Am J Epidemiol 1994;139:453–

65.

 

3. Donnerstag B, Ohlenschläger, Cinatl J, et al. Reduced glutathione

and

S-acetylglutathione as selective apoptosis-inducing agents in cancer

therapy. Cancer Lett 1996;110:63–70.

 

4. Trickler D, Shklar G, Schwartz J. Inhibition of oral

carcinogenesis

by glutathione. Nutr Cancer 1993;20:139–44.

 

5. Julius M, Lang C, Gleiberman L, et al. Glutathione and morbidity

in a

community-based sample of elderly. J Clin Epidemiol 1994;47:1021–6.

 

6. Hagen TM, Wierzbicka GT, Sillau AH, et al. Fate of dietary

glutathione: disposition in the gastrointestinal tract. Am J Physiol

1990;259(4Pt1):G530–5.

 

7. Favilli F, Marraccini P, Iantomasis T, Vincenzini MT. Effect of

orally administered glutathione on glutathione levels in some organs

of

rats: role of specific transporters. Br J Nutr 1997;78:293–300.

 

8. Witschi A, Reddy S, Stofer B, Lauterburg BH. The systemic

availability of oral glutathione. Eur J Clin Pharmacol 1992;43:667–9.

 

9. Hunjan MK, Evered DF. Absorption of glutathione from the

gastro-intestinal tract. Biochim Biophys Acta 1985;815:184–8.

 

10. Johnston CS, Meyer CG, Srilakshmi JC. Vitamin C elevates red

blood

cell glutathione in healthy adults. Am J Clin Nutr 1993;58:103–5.

 

11. Bunin AIa, Filina AA, Erchev VP. A glutathione deficiency in

open-angle glaucoma and the approaches to its correction. Vestn

Oftalmol

1992;108:13–5 [in Russian].

 

12. Amores-Sanchez MI, Medina MA. Glutamine, as a precursor of

glutathione, and oxidative stress. Mol Genet Metab 1999;67:100–5.

 

13. Wang ST, Chen HW, Sheen LY, Lii CK. Methionine and cysteine

affect

glutathione level, glutathione-related enzyme activities and the

expression of glutathione S-transferase isozymes in rat hepatocytes.

J

Nutr 1997;127:2135–41.

 

14. Vendemiale G, Altomare E, Trizio T, et al. Effects of oral

S-adenosyl-L-methionine on hepatic glutathione in patients with

liver

disease. Scand J Gastroenterol 1989;24:407–15.

 

15. Bounous G, Gervais F, Amer V, et al. The influence of dietary

whey

protein on tissue glutathione and the diseases of aging. Clin Invest

Med

1989;12:343–9.

 

16. Molloy J, Martin JF, Baskerville PA, et al. S-nitrosoglutathione

reduces the rate of embolization in humans. Circulation 1998;98:1372–

5.

 

17. Smyth JF, Bowman A, Perren T, et al. Glutathione reduces the

toxicity and improves quality of life of women diagnosed with

ovarian

cancer treated with cisplatin: results of a double-blind, randomised

trial. Ann Oncol 1997;8:569–73.

 

18. Cascinu S, Cordella L, Del Ferro E, et al. Neuroprotective

effect of

reduced glutathione on cisplatin-based chemotherapy in advanced

gastric

cancer: a randomized double-blind placebo-controlled trial. J Clin

Oncol

1995;13:26–32.

 

19. Sechi G, Deledda MG, Bua G, et al. Reduced intravenous

glutathione

in the treatment of early Parkinson's disease. Prog

Neuropsychopharmacol

Biol Psychiatry 1996;20:1159–70.

 

20. Ceriello A, Giugliano D, Quatraro A, Lefebvre PJ. Anti-oxidants

show

an anti-hypertensive effect in diabetic and hypertensive subjects.

Clin

Sci 1991;81:739–42.

 

21. Lenzi A, Picardo M, Gandini L, et al. Glutathione treatment of

dyspermia: effect on the lipoperoxidation process. Hum Reprod

1994;9:2044–50.

 

22. Lenzi A, Culasso F, Gandini L, et al. Placebo-controlled,

double-blind, cross-over trial of glutathione therapy in male

infertility. Hum Reprod 1993;8:1657–62.

 

23. Testa B, Mesolella M, Testa D. Glutathione in the upper

respiratory

tract. Ann Otol Rhinol Laryngol 1995;104:117–9.

 

24. Dalhoff K, Ranek L, Mantoni M, Poulsen HE. Glutathione treatment

of

hepatocellular carcinoma. Liver 1992;12:341–3.

 

25. Garcia-Giralt E, Perdereau B, Brixy F, et al. Preliminary study

of

glutathione, L-cysteine and anthocyans (Recancostat Compositum™) in

metastatic colorectal carcinoma with malnutrition. Seventh

International

Congress on Anti-Cancer Treatment, February 3–6, 1996, Paris, France.

 

26. Jones DP, Coates RJ, Flagg EW, et al. Glutathione in foods

listed in

the National Cancer Institutes Health Habits and History Food

Frequency

Questionnaire. Nutr Cancer 1995;17:57–75.

 

27. White AC, Thannickal VJ, Fanburg BL. Glutathione deficiency in

human

disease. J Nutr Biochem 1994;5:218–26.

 

 

 

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2002 Healthnotes, Inc. All rights reserved.

www.healthnotes.com

 

Learn more about Healthnotes, the company.

 

Learn more about the authors of Healthnotes.

 

The information presented in Healthnotes is for informational

purposes

only. It is based on scientific studies (human, animal, or in

vitro),

clinical experience, or traditional usage as cited in each article.

The

results reported may not necessarily occur in all individuals. For

many

of the conditions discussed, treatment with prescription or

over-the-counter medication is also available. Consult your doctor,

practitioner, and/or pharmacist for any health problem and before

using

any supplements or before making any changes in prescribed

medications.

Information expires December 2003.

 

http://www.mothernature.com/Library/Ency/index.cfm?id=2857007

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