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Low-molecular-weight thiols (LMWTs)

Target
LMWTs
Molecular classification
Other
01

Overview

Low-molecular-weight thiols (LMWTs) are a diverse class of small, sulfur-containing molecules, such as glutathione, cysteine, and mycothiol, that are critical for maintaining the intracellular redox environment (Fahey, 2013). In humans, glutathione (GSH) is the predominant LMWT, serving as a major antioxidant and a cofactor for enzymes involved in the detoxification of reactive oxygen species and xenobiotics (Griffith, 1999). In various pathogenic bacteria, unique LMWTs like mycothiol or bacillithiol are essential for survival under host-induced oxidative stress, making their biosynthetic pathways promising targets for antimicrobial development (Newton et al., 2008). Therapeutically, LMWTs are modulated to either bolster antioxidant defenses, as seen with N-acetylcysteine in acetaminophen overdose, or to deplete cellular protections to enhance the efficacy of chemotherapy and radiation in cancer (Hand & Lozinsky, 2014). Because LMWTs are involved in a wide array of physiological processes, including signal transduction and metal chelation, their pharmacological manipulation requires careful calibration to avoid systemic toxicity (PubChem, 2024).

Other names
Small-molecule thiolsBiothiolsNon-protein thiolsNPSH
02

Mechanism of action

Drugs modulate LMWT levels by inhibiting biosynthetic enzymes (e.g., glutamate-cysteine ligase), acting as precursors for synthesis (e.g., NAC), or directly conjugating with the thiol group to facilitate excretion or depletion.

03

Biological functions

Redox homeostasisDetoxificationSignal transductionMetal ion chelationProtein protection (S-glutathionylation)Other
04

Disease associations

CancerInfectionNeurodegenerative diseaseCardiovascular diseaseAcetaminophen poisoningOther
05

Safety considerations

Systemic oxidative stress inductionPotential for hepatotoxicity upon excessive depletionInterference with normal cellular signaling pathwaysHypersensitivity reactions to thiol-containing drugs
06

Interacting drugs

N-acetylcysteine

5 more in the full profile.

07

Biomarkers

GSH:GSSG ratioPlasma homocysteine levelsCysteine levelsMalondialdehyde (MDA)Total antioxidant capacity (TAC)

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