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. 2020 Sep 23;11(9):789. doi: 10.1038/s41419-020-02994-w

Fig. 3. CySH/GSH cycle connecting intracellular and extracellular GSH and cysteine pools.

Fig. 3

Cysteine and cystine can be transported via Na+-dependent and Na+-independent transporters. Cystine imported by xCT and/or BAT1 is reduced in the intracellular milieu by GSH or thioredoxin. Alternatively, reduced form of cysteine can be directly imported or produced from homocysteine via the transsulfuration pathway. Cysteine is incorporated into GSH via the actions of γ-glutamylcysteine ligase (GCL) and glutathione synthetase (GS). Once oxidised, GSH is exported outside the cell via multidrug-resistance protein (MRP), where it is cleaved by the actions of GGT and a dipeptidase (DP). The cell can take each of the products of GSH cleavage, individually or as a dipeptide (γ-glutamyl cycle). Alternatively, GSH can be cleaved inside the cell by the action of CHAC and DP, that way serving as a cysteine intracellular pool. This figure was created using Servier Medical Art templates, which are licensed under a Creative Commons Attribution 3.0 Unported License; https://smart.servier.com.