Depletion of liver glutathione potentiates the oxidative stress and decreases nitric oxide synthesis in a rat endotoxin shock model

OBJECTIVETo verify the effects of liver glutathione depletion on redox status and nitric oxide system in a rat endotoxic shock model. DESIGNProspective, randomized, controlled study on rats. SETTINGA cardiocirculatory research laboratory. SUBJECTSA total of 28 Sprague-Dawley male rats (200–250 g body weight) were divided into four experimental groups. INTERVENTIONSArterial blood, liver, and lung samples were taken from each animal under sodium pentobarbital (40 mg/kg ip) anesthesia 4 hrs after lipopolysaccharide (LPS group5 mg/kg ip; n = 7) or vehicle (control groupisotonic NaCl sterile solution ip; n = 7) treatments,. Phorone (250 mg/kg ip) was injected to deplete glutathione in another two experimental groups of rats 30 mins before LPS (phorone+LPS group; n = 7) or vehicle (phorone group; n = 7) treatments, and 4 hrs later the same samples as in LPS and control groups were taken under anesthesia. MEASUREMENTS AND MAIN RESULTSCompared with the control group, the LPS group presented higher plasma concentration of end products of nitric oxide metabolism nitrites/nitrates, higher lung activity of inducible nitric oxide synthase, and oxidative stress defined by increased plasma concentration of the lipid peroxides malonaldehyde and 4-hydroxynonenal, and decreased plasma total antioxidant capacity. Treatment with phorone depleted liver glutathione (80% to 90%). In the liver glutathione-depleted animals, the oxidative stress induced by LPS was potentiated and blunted the increases in inducible nitric oxide synthase and plasma nitrites/nitrates. CONCLUSIONThese results show that depletion of the liver glutathione increases the oxidative stress and decreases nitric oxide synthesis of LPS-induced shock in rats.