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Updated: Apr 25, 2026

Spectrophotometric Screening for Potential Inhibitors of Cytosolic Glutathione S-Transferases
Published on: October 10, 2020
Glutathione S-conjugates as prodrugs to target drug-resistant tumors
Emma E Ramsay1, Pierre J Dilda1
1Tumour Metabolism Group, Adult Cancer Program, Lowy Cancer Research Centre and Prince of Wales Clinical School, Faculty of Medicine, University of New South Wales Sydney, NSW, Australia.
Abstract:
Living organisms are continuously exposed to xenobiotics. The major phase of enzymatic detoxification in many species is the conjugation of activated xenobiotics to reduced glutathione (GSH) catalyzed by the glutathione-S-transferase (GST). It has been reported that some compounds, once transformed into glutathione S-conjugates, enter the mercapturic acid pathway whose end products are highly reactive and toxic for the cell responsible for their production. The cytotoxicity of these GSH conjugates depends essentially on GST and gamma-glutamyl transferases (γGT), the enzymes which initiate the mercapturic acid synthesis pathway. Numerous studies support the view that the expression of GST and γGT in cancer cells represents an important factor in the appearance of a more aggressive and resistant phenotype. High levels of tumor GST and γGT expression were employed to selectively target tumor with GST- or γGT-activated drugs. This strategy, explored over the last two decades, has recently been successful using GST-activated nitrogen mustard (TLK286) and γGT-activated arsenic-based (GSAO and Darinaparsin) prodrugs confirming the potential of GSH-conjugates as anticancer drugs.
Insights
Glutathione S-transferases (GST) and gamma-glutamyl transferases (γGT) are key enzymes in detoxifying foreign compounds. Targeting cancer cells using drugs activated by these enzymes shows promise for effective anticancer therapies.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- Organisms are exposed to xenobiotics, necessitating detoxification pathways.
- Glutathione S-transferases (GST) catalyze xenobiotic conjugation with glutathione (GSH).
- Mercapturic acid pathway end products can be cytotoxic, involving GST and gamma-glutamyl transferases (γGT).
Purpose of the Study:
- To explore the role of GST and γGT in cancer cell resistance and aggressiveness.
- To investigate the potential of targeting tumors using drugs activated by GST or γGT.
- To confirm the efficacy of glutathione S-conjugates as anticancer agents.
Main Methods:
- Review of studies on GST and γGT expression in cancer.
- Analysis of strategies employing GST- or γGT-activated prodrugs.
- Examination of clinical success of specific anticancer drugs like TLK286, GSAO, and Darinaparsin.
Main Results:
- Elevated GST and γGT expression correlates with aggressive and resistant cancer phenotypes.
- Selective tumor targeting using enzyme-activated prodrugs is a viable strategy.
- Recent successes with GST-activated (TLK286) and γGT-activated (GSAO, Darinaparsin) drugs validate this approach.
Conclusions:
- GST and γGT are crucial in cancer cell resistance and can be exploited for targeted therapy.
- GST- and γGT-activated prodrugs represent a promising class of anticancer drugs.
- The mercapturic acid pathway enzymes offer significant therapeutic targets in oncology.
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