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From the Department of Biochemical Pharmacology,*
Faculty of Biology, University of Konstanz, and Byk
Gulden,
Department of Biochemistry, Konstanz,
Germany; and the Department of Pathology,
University Hospital Zürich, Zürich, Switzerland
The activation of the death receptors, tumor necrosis
factor-receptor-1 (TNF-R1) or CD95, is a hallmark of
inflammatory or viral liver disease. In different murine in
vivo models, we found that livers depleted of
-glutamyl-cysteinyl-glycine (GSH) by endogenous enzymatic
conjugation after phorone treatment were resistant against death
receptor-elicited injury as assessed by transaminase release and
histopathology. In apoptotic models initiated by engagement of
CD95, or by injection of TNF or lipopolysaccharide into
galactosamine-sensitized mice, hepatic caspase-3-like proteases
were not activated in the GSH-depleted state. Under GSH
depletion, also caspase-independent, TNF-R1-mediated
injury (high-dose actinomycin D or
-amanitin), as well as
necrotic hepatotoxicity (high-dose lipopolysaccharide) were entirely
blocked. In the T-cell-dependent model of concanavalin A-induced
hepatotoxicity, GSH depletion resulted in a suppression of
interferon-
release, delay of systemic TNF release,
hepatic nuclear factor-
B activation, and an abrogation of
sinusoidal endothelial cell detachment as assessed by electron
microscopy. When GSH depletion was initiated 3 hours after concanavalin
A injection, ie, after the peak of early
pro-inflammatory cytokines, livers were still protected. We
conclude that sufficient hepatic GSH levels are a prerequisite for the
execution of death receptor-mediated hepatocyte
demise.
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