[The different aspects of the biological role of glutathione].

Glutathione plays a key role in maintaining a physiological balance between prooxidants and antioxidants, crucial for the life and death of a cell. Glutathione occurs in the human body in several redox forms, of which reduced glutathione (GSH), oxidized glutathione (GSSG), S-nitrosoglutathione (GSNO), and mixed disulfides of glutathione with proteins are the most important. There is a clear relationship between the levels of different redox forms of glutathione and the regulation of cellular metabolism in a broad sense. Therefore, each of these forms of glutathione can be beneficial or harmful to the organism depending on the cell type and its metabolic status. In such a situation, elevation of GSH level can constitute a very important factor aiding treatment. A rise in GSH level is beneficial in all pathological states, accompanied by lowered GSH content, while a lowering of GSH level is an indication to induce short-term immunosuppression required in organ transplantation and in tumor cells to selectively increase their sensitivity to chemo- and radiotherapy. GSH itself cannot be used as a therapeutic since it is not transported through plasma membranes. Cysteine, an amino acid which limits glutathione biosynthesis, also cannot be used in therapy due to its high neurotoxicity. For this reason, there is currently an intensive search for possibilities of modulating cellular glutathione and cysteine levels, and this problem can be the subject of interdisciplinary studies combining such scientific fields as biology, pharmacology, toxicology, and clinical medicine.