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Autism Studies and Related Medical Conditions, January 2009 - TACA

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Oxidative stress or other conditions that deplete GSH in the epithelium of the oral,<br />

nasal, <strong>and</strong> upper airway may, therefore, enhance susceptibility to influenza infection.<br />

Tylenol depletes GSH<br />

126. Slattery JT et al. Dose-dependent pharmacokinetics of acetaminophen: evidence of<br />

glutathione depletion in humans. Clin Pharmacol Ther 1987 41(4):413-8 PMID<br />

3829578<br />

127. Lauterburg BH, Mitchell JR. Therapeutic doses of acetaminophen stimulate the<br />

turnover of cysteine <strong>and</strong> glutathione in man. J Hepatol. 1987 Apr;4(2):206-11. PMID<br />

3584929<br />

"The data indicate that therapeutic doses of acetaminophen markedly stimulate the rate<br />

of turnover of the pool of cysteine available for the synthesis of GSH, most likely due to<br />

an increased rate of synthesis of GSH which is required to detoxify the toxic metabolite<br />

of acetaminophen. Patients who are not able to respond to a similar dem<strong>and</strong> on their<br />

stores of GSH by increasing the synthesis of GSH may be at higher risk of developing<br />

hepatic injury from drugs that require GSH for their detoxification."<br />

128. Spielberg SP. Acetaminophen toxicity in lymphocytes heterozygous for glutathione<br />

synthetase deficiency. Can J Physiol Pharmacol 1985 63(5):468-71 PMID 4041989<br />

Heterozygous cells failed to use N-acetylcysteine as efficiently to resynthesize<br />

glutathione, <strong>and</strong> the cells were not protected from acetaminophen toxicity.<br />

Heterozygotes may be at increased risk of toxicity from drugs whose metabolites are<br />

detoxified by glutathione conjugation."<br />

129. Depletion of hepatic glutathione in rats impairs phagocytosis in vivo. Arch Toxicol<br />

Suppl 1989;13:326-9 PMID 2774956<br />

GSH & thimerosal<br />

130. Homozygous gene deletions of the glutathione S-transferases M1 <strong>and</strong> T1 are<br />

associated with thimerosal sensitization. Int Arch Occup Environ Health 2000 73(6):384-<br />

8 PMID 11007341<br />

131. Muller M et al. Inhibition of the human erythrocytic glutathione-S-transferase T1<br />

(GST T1) by thimerosal. Int J Hyg Environ Health 2001 203(5-6):479-81. PMID<br />

11556154<br />

132. Corrales F et al. Inhibition of glutathione synthesis in the liver leads to S-adenosyl-<br />

L-methionine synthetase reduction. Hepatology 1991 14(3):528-33. PMID 1874498<br />

<strong>Autism</strong> <strong>Studies</strong> & <strong>Related</strong> <strong>Medical</strong> <strong>Conditions</strong> – <strong>TACA</strong> © Page 338

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