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. 1993 Feb;34(2):161–165. doi: 10.1136/gut.34.2.161

Glutathione prevents ethanol induced gastric mucosal damage and depletion of sulfhydryl compounds in humans.

C Loguercio 1, D Taranto 1, F Beneduce 1, C del Vecchio Blanco 1, A de Vincentiis 1, G Nardi 1, M Romano 1
PMCID: PMC1373962  PMID: 8432465

Abstract

Whether parenteral administration of reduced glutathione prevented ethanol induced damage to and depletion of sulfhydryl compounds in the human gastric mucosa was investigated. Ten healthy volunteers underwent endoscopy on three separate occasions. Gastric mucosal damage was induced by spraying 80% ethanol on to the gastric mucosa through the biopsy channel of the endoscope. The gastric mucosal score, total sulfhydryls, glutathione, and cysteine were evaluated in basal conditions and after ethanol administration with and without pretreatment with parenteral glutathione. Glutathione significantly decreased the extent of ethanol induced macroscopic injury to the mucosa of the gastric body and antrum. Glutathione's protective effect is associated with appreciable inhibition of ethanol induced depletion of gastric sulfhydryl compounds. This is the first report of protection against ethanol induced gastric mucosal damage by a sulfhydryl containing agent in humans.

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Selected References

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  1. Agrawal N. M., Godiwala T., Arimura A., Dajani E. Z. Comparative cytoprotective effects against alcohol insult. Misoprostol versus cimetidine. Dig Dis Sci. 1986 Feb;31(2 Suppl):142S–142S. doi: 10.1007/BF01309340. [DOI] [PubMed] [Google Scholar]
  2. Baraona E., DiPadova C., Tabasco J., Lieber C. S. Transport of acetaldehyde in red blood cells. Alcohol Alcohol Suppl. 1987;1:203–206. [PubMed] [Google Scholar]
  3. Boyd S. C., Sasame H. A., Boyd M. R. Gastric glutathione depletion and acute ulcerogenesis by diethylmaleate given subcutaneously to rats. Life Sci. 1981 Jun 29;28(26):2987–2992. doi: 10.1016/0024-3205(81)90276-9. [DOI] [PubMed] [Google Scholar]
  4. Dupuy D., Szabo S. Protection by metals against ethanol-induced gastric mucosal injury in the rat. Comparative biochemical and pharmacologic studies implicate protein sulfhydryls. Gastroenterology. 1986 Oct;91(4):966–974. doi: 10.1016/0016-5085(86)90701-8. [DOI] [PubMed] [Google Scholar]
  5. ELLMAN G. L. Tissue sulfhydryl groups. Arch Biochem Biophys. 1959 May;82(1):70–77. doi: 10.1016/0003-9861(59)90090-6. [DOI] [PubMed] [Google Scholar]
  6. Ghanayem B. I., Boor P. J., Ahmed A. E. Acrylonitrile-induced gastric mucosal necrosis: role of gastric glutathione. J Pharmacol Exp Ther. 1985 Feb;232(2):570–577. [PubMed] [Google Scholar]
  7. Gutiérrez-Cabano C. A. Probable role of both sulfhydryls and prostaglandins in gastric mucosal protection induced by S-adenosylmethionine. Scand J Gastroenterol. 1989 Oct;24(8):982–986. doi: 10.3109/00365528909089244. [DOI] [PubMed] [Google Scholar]
  8. Hagen T. M., Wierzbicka G. T., Sillau A. H., Bowman B. B., Jones D. P. Bioavailability of dietary glutathione: effect on plasma concentration. Am J Physiol. 1990 Oct;259(4 Pt 1):G524–G529. doi: 10.1152/ajpgi.1990.259.4.G524. [DOI] [PubMed] [Google Scholar]
  9. Hernández-Muñoz R., Caballeria J., Baraona E., Uppal R., Greenstein R., Lieber C. S. Human gastric alcohol dehydrogenase: its inhibition by H2-receptor antagonists, and its effect on the bioavailability of ethanol. Alcohol Clin Exp Res. 1990 Dec;14(6):946–950. doi: 10.1111/j.1530-0277.1990.tb01843.x. [DOI] [PubMed] [Google Scholar]
  10. Hiraishi H., Terano A., Ota S., Mutoh H., Sugimoto T., Razandi M., Ivey K. J. Antioxidant defenses of cultured gastric cells against oxygen metabolites: role of GSH redox cycle and endogenous catalase. Am J Physiol. 1991 Dec;261(6 Pt 1):G921–G928. doi: 10.1152/ajpgi.1991.261.6.G921. [DOI] [PubMed] [Google Scholar]
  11. Hirota M., Inoue M., Ando Y., Hirayama K., Morino Y., Sakamoto K., Mori K., Akagi M. Inhibition of stress-induced gastric injury in the rat by glutathione. Gastroenterology. 1989 Oct;97(4):853–859. doi: 10.1016/0016-5085(89)91488-1. [DOI] [PubMed] [Google Scholar]
  12. Lamont J. T., Ventola A. S., Maull E. A., Szabo S. Cysteamine and prostaglandin F2 beta stimulate rat gastric mucin release. Gastroenterology. 1983 Feb;84(2):306–313. [PubMed] [Google Scholar]
  13. Loguercio C., Romano M., Di Sapio M., Nardi G., Taranto D., Grella A., Del Vecchio Blanco C. Regional variations in total and nonprotein sulfhydryl compounds in the human gastric mucosa and effects of ethanol. Scand J Gastroenterol. 1991 Oct;26(10):1042–1048. doi: 10.3109/00365529109003954. [DOI] [PubMed] [Google Scholar]
  14. McCoy R. N., Hill K. E., Ayon M. A., Stein J. H., Burk R. F. Oxidant stress following renal ischemia: changes in the glutathione redox ratio. Kidney Int. 1988 Apr;33(4):812–817. doi: 10.1038/ki.1988.72. [DOI] [PubMed] [Google Scholar]
  15. Miller T. A., Li D., Kuo Y. J., Schmidt K. L., Shanbour L. L. Nonprotein sulfhydryl compounds in canine gastric mucosa: effects of PGE2 and ethanol. Am J Physiol. 1985 Jul;249(1 Pt 1):G137–G144. doi: 10.1152/ajpgi.1985.249.1.G137. [DOI] [PubMed] [Google Scholar]
  16. Mutoh H., Hiraishi H., Ota S., Yoshida H., Ivey K. J., Terano A., Sugimoto T. Protective role of intracellular glutathione against ethanol-induced damage in cultured rat gastric mucosal cells. Gastroenterology. 1990 Jun;98(6):1452–1459. doi: 10.1016/0016-5085(90)91075-h. [DOI] [PubMed] [Google Scholar]
  17. Newton G. L., Dorian R., Fahey R. C. Analysis of biological thiols: derivatization with monobromobimane and separation by reverse-phase high-performance liquid chromatography. Anal Biochem. 1981 Jul 1;114(2):383–387. doi: 10.1016/0003-2697(81)90498-x. [DOI] [PubMed] [Google Scholar]
  18. Pihan G., Regillo C., Szabo S. Free radicals and lipid peroxidation in ethanol- or aspirin-induced gastric mucosal injury. Dig Dis Sci. 1987 Dec;32(12):1395–1401. doi: 10.1007/BF01296666. [DOI] [PubMed] [Google Scholar]
  19. Robert A., Eberle D., Kaplowitz N. Role of glutathione in gastric mucosal cytoprotection. Am J Physiol. 1984 Sep;247(3 Pt 1):G296–G304. doi: 10.1152/ajpgi.1984.247.3.G296. [DOI] [PubMed] [Google Scholar]
  20. Rogers C., Brown A., Szabo S. Gastric mucosal protection by new aryl sulfhydryl drugs. Dig Dis Sci. 1988 Mar;33(3):324–329. doi: 10.1007/BF01535758. [DOI] [PubMed] [Google Scholar]
  21. Salim A. S. Sulfhydryls protect patients against complications of erosive gastritis. Dig Dis Sci. 1990 Nov;35(11):1436–1437. doi: 10.1007/BF01536754. [DOI] [PubMed] [Google Scholar]
  22. Shaw S., Herbert V., Colman N., Jayatilleke E. Effect of ethanol-generated free radicals on gastric intrinsic factor and glutathione. Alcohol. 1990 Mar-Apr;7(2):153–157. doi: 10.1016/0741-8329(90)90077-p. [DOI] [PubMed] [Google Scholar]
  23. Szabo S., Trier J. S., Brown A., Schnoor J. Early vascular injury and increased vascular permeability in gastric mucosal injury caused by ethanol in the rat. Gastroenterology. 1985 Jan;88(1 Pt 2):228–236. doi: 10.1016/s0016-5085(85)80176-1. [DOI] [PubMed] [Google Scholar]
  24. Szabo S., Trier J. S., Frankel P. W. Sulfhydryl compounds may mediate gastric cytoprotection. Science. 1981 Oct 9;214(4517):200–202. doi: 10.1126/science.7280691. [DOI] [PubMed] [Google Scholar]
  25. Szelenyi I., Brune K. Possible role of oxygen free radicals in ethanol-induced gastric mucosal damage in rats. Dig Dis Sci. 1988 Jul;33(7):865–871. doi: 10.1007/BF01550977. [DOI] [PubMed] [Google Scholar]
  26. Takeuchi K., Okada M., Niida H., Okabe S. Role of sulfhydryls in mucosal injury caused by ethanol: relation to microvascular permeability, gastric motility and cytoprotection. J Pharmacol Exp Ther. 1989 Feb;248(2):836–841. [PubMed] [Google Scholar]
  27. Turner F. P., Brum V. C., Bilodeau E. G. Incorporation of 35 S L-methionine by the rat with steriod ulceration. J Maine Med Assoc. 1977 Jul;68(7):227-31,243. [PubMed] [Google Scholar]
  28. Victor B. E., Schmidt K. L., Smith G. S., Miller T. A. Protection against ethanol injury in the canine stomach: role of mucosal glutathione. Am J Physiol. 1991 Dec;261(6 Pt 1):G966–G973. doi: 10.1152/ajpgi.1991.261.6.G966. [DOI] [PubMed] [Google Scholar]

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