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The glutathione metabolic pathway encompasses the synthesis, recycling, and utilization of glutathione (GSH), a tripeptide (γ-glutamyl-cysteinyl-glycine) pivotal for maintaining cellular redox homeostasis and detoxification capacity[7][4][1]. Glutathione is synthesized in a two-step process involving γ-glutamylcysteine synthetase and glutathione synthetase[4]. The pathway includes several key enzymes such as glutathione S-transferases (GSTs), which conjugate GSH to xenobiotics for detoxification[6][1]; glutathione peroxidases, which use GSH to neutralize peroxides[7][1]; glutathione reductase, which restores reduced GSH from the oxidized form (GSSG)[7]; and γ-glutamyl transferase (GGT), which modulates extracellular GSH recycling[5][9]. Dysregulation of the glutathione pathway is linked to increased drug resistance in cancer (due mainly to GSTs and GGT)[6][3][5][8][2], a variety of chronic diseases, and heightened susceptibility to oxidative injury[10][7][1]. Though the pathway itself is not a drug target, its component enzymes and metabolic fluxes are actively exploited or modulated by several classes of anticancer and cytoprotective drugs[3][1][5][9][6][8].
Scavenging of reactive oxygen species via glutathione peroxidase activity Detoxification of xenobiotics by conjugation (mainly via GST) Regeneration of reduced glutathione from oxidized form, catalyzed by glutathione reductase Cysteine/GSH pool maintenance via γ-glutamyl cycle enzymes
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