Journal of Applied Physiology AJP: Endocrinology and Metabolism
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J Appl Physiol 82: 1424-1432, 1997;
8750-7587/97 $5.00
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Journal of Applied Physiology
Vol. 82, No. 5, pp. 1424-1432, May 1997
ENVIRONMENT

Release of glutathione from erythrocytes and other markers of oxidative stress in carbon monoxide poisoning

Stephen R. Thom1,2, Melissa Kang1, Donald Fisher1, and Harry Ischiropoulos1,3

1 Institute for Environmental Medicine, and Departments of 2 Emergency Medicine and 3 Biochemistry and Biophysics, The University of Pennsylvania, Philadelphia, Pennsylvania 19104-6068

Received 8 December 1995; accepted in final form 18 December 1996.

Thom, Stephen R., Melissa Kang, Donald Fisher, and Harry Ischiropoulos. Release of glutathione from erythrocytes and other markers of oxidative stress in carbon monoxide poisoning. J. Appl. Physiol. 82(5): 1424-1432, 1997.---Rats exposed to CO in a manner known to cause oxidative stress in brain exhibited a twofold increase in plasma levels of oxidized proteins, thiobarbituric acid-reactive substances (TBARS), oxidized glutathione (GSSG), and reduced glutathione (GSH). Changes were neither directly related to hypoxic stress from carboxyhemoglobin nor significantly influenced by circulating platelets or neutrophils. Treatment with the nitric oxide synthase inhibitor Nomega -nitro-L-arginine methyl ester inhibited elevations in GSH and GSSG but not changes in oxidized proteins or TBARS, suggesting that two oxidative mechanisms may be operating in this model and that GSH and GSSG elevations involved nitric oxide-derived oxidants. Elevations of blood GSH and GSSG occurred at different anatomic sites, indicating that no single organ was the source of the increased peptides. Animals that underwent exchange transfusion with a hemoglobin-containing saline solution did not exhibit elevations in GSH and GSSG, suggesting that blood-borne cells released these peptides in response to oxidative stress. In in vitro studies, erythrocytes, but not platelets and leukocytes, responded to oxidative stress from peroxynitrite by releasing GSH, whereas no release was observed in response to nitric oxide or superoxide. Glucose, maltose, and cytochalasin B, agents that protect extracellular components of the hexose transport protein complex from oxidative stress, prevented GSH release. The data indicate that nitric oxide-derived oxidants are involved in CO-mediated oxidative stress within the vascular compartment and that elevations of several compounds may be useful for identifying exposures to CO likely to precipitate brain injury.

peroxynitrite; nitric oxide; oxidized proteins; thiobarbituric acid reactive substances; hexose transport


0161-7567/97 $5.00 Copyright © 1997 the American Physiological Society




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