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The rate of GSH synthesis is controlled largely by the expression and catalytic activity of the first enzyme in its biosynthesis, -glutamylcysteine ligase, and by the availability of cysteine (Dalton et al., 2004

Superoxide anion Approximately, 15% of molecular oxygen is converted into O by mitochondrial complexes during normal respiration (45)

Deficiency of amino acids, glutathione reductase or glutathione peroxidase) Follow Oxidative and nitrosative (NO) stress Energy shortage Thiol group deficit (-SH) Detoxification disorders Immunosuppression and susceptibility to infection Reperfusion injury, increased hemolysis rates neurological, psychomotor, cardiovascular, ocular and hepatic disorders Glutathione diagnostics Nutritional and lifestyle history Specific symptoms Laboratory test Total glutathione (erythrocytes): 1805-3600 mol/l GSH reduced (leukocytes or erythrocytes): 962-3329 mol/l GSH:GSSG ratio (serum): 99:1 to 90:10 (no information about the intracellular situation) Glutathione peroxidase: 4170-10880 U/L In cases of stress/illness, the GSH/GSSG ratio shifts first