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Updated: Aug 28, 2026

The Cell-based L-Glutathione Protection Assays to Study Endocytosis and Recycling of Plasma Membrane Proteins
Published on: December 13, 2013
Plasma glutathione concentration in patients with chronic hepatitis C virus infection
H L Lim1, B M Myers, B A Hamilton
1Section of Hepatobiliary Diseases, University of Florida College of Medicine, Gainesville, Florida, USA.
Insights
Plasma glutathione (GSH) levels are not decreased in chronic hepatitis C virus (HCV) infection. This study found higher GSH levels in HCV patients compared to healthy controls, challenging previous theories.
Area of Science:
- Hepatology
- Virology
- Biochemistry
Background:
- Glutathione (GSH) depletion has been hypothesized to contribute to viral persistence and interferon-alpha (IFN-alpha) resistance in chronic hepatitis C virus (HCV) infection.
- Investigating GSH levels is crucial for understanding HCV pathogenesis and treatment response.
Purpose of the Study:
- To compare plasma GSH levels between patients with chronic HCV infection and healthy controls.
- To correlate plasma GSH and glutathione peroxidase (GP) levels with liver histology and serum HCV RNA levels.
Main Methods:
- Prospective study of 24 patients with chronic hepatitis C and 27 healthy controls.
- Plasma GSH and GP levels measured spectrophotometrically.
- Serum HCV RNA quantified using branched chain DNA signal-amplification assay.
Main Results:
- Plasma GSH levels were significantly higher in HCV patients (1.62 +/- 0.11 µg/ml) than in controls (1.27 +/- 0.12 µg/ml).
- No significant difference in plasma GP activity was observed between groups.
- No correlation found between GSH or GP levels and ALT, AST, HCV RNA, or liver histology in HCV patients.
Conclusions:
- Chronic HCV infection does not lead to decreased plasma GSH levels.
- The proposed role of GSH depletion in HCV persistence and IFN-alpha resistance requires re-evaluation.
Abstract:
It has recently been proposed that a depletion of glutathione (GSH) may be a contributing factor to viral persistence and resistance to interferon-alpha (IFN-alpha) therapy in chronic hepatitis C virus (HC) infection. The aim of this study was: (1) to compare plasma GSH levels in patients with chronic HCV infection and normal healthy controls; and (2) to correlate GSH levels with liver histology and serum HCV RNA levels. Twenty-four patients with compensated chronic hepatitis C and 27 healthy subjects were studied. Serum and heparinized plasma were prospectively prepared and frozen within 1 h of collection. Plasma glutathione and glutathione peroxidase (GP) levels were measured spectrophotometrically. The serum HCV RNA level was quantitated by the branched chain DNA signal-amplification assay. Plasma GSH levels were not decreased in patients with chronic HCV infection but were actually greater than in controls (control 1.27 +/- 0.12 micrograms ml-1, HCV 1.62 +/- 0.11 micrograms ml-1, P < 0.05). There was also no difference in plasma GP activity between these two groups (control 0.233 +/- 0.007 U ml-1, HCV 0.230 +/- 0.007 U ml-1). Among the patients with chronic HCV infection, there was no correlation between either plasma GSH or GP levels and the serum alanine aminotransferase (ALT) or aspartate aminotransferase (AST), serum HCV RNA level, or liver histology. This study demonstrates that chronic HCV infection does not decrease the plasma GSH and GP levels.
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