Content of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver Necrosis

1. The relationship between the content of hepatic reduced glutathione (GSH) and the length of abstinence was investigated in 45 chronic alcoholic patients. 2. Hepatic GSH levels were significantly correlated (r = 0.58; P<0.001) with the length of alcohol withdrawal in the whole group. According...

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Autores principales: Luis A. Videla, H Iturriaga, María Eugenia Pino, Daniel Bunout, Alfonso Valenzuela, G Ugarte
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Publicado: 1984
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_version_ 1881508963742121984
author Luis A. Videla
H Iturriaga
María Eugenia Pino
Daniel Bunout
Alfonso Valenzuela
G Ugarte
author_browse Alfonso Valenzuela
Daniel Bunout
G Ugarte
H Iturriaga
Luis A. Videla
María Eugenia Pino
author_facet Luis A. Videla
H Iturriaga
María Eugenia Pino
Daniel Bunout
Alfonso Valenzuela
G Ugarte
author_sort Luis A. Videla
collection Producción científica
description 1. The relationship between the content of hepatic reduced glutathione (GSH) and the length of abstinence was investigated in 45 chronic alcoholic patients. 2. Hepatic GSH levels were significantly correlated (r = 0.58; P<0.001) with the length of alcohol withdrawal in the whole group. According to liver histology patients were divided into two groups, with and without hepatic necrosis. Subjects without necrosis showed a significant positive correlation (r = 0.71; P<0.001) between GSH values and the length of abstinence; no correlation (r = −0.22; P<0.40) was observed in the group with necrosis. 3. According to the period of abstinence patients were separated into two groups, with a short (≪ 5 days) and a prolonged (> 5 days) alcohol withdrawal. Patients with and without necrosis exhibited comparable mean levels of liver GSH (2.04 ± sem 0.21 and 1.74 ± 0.23 μmol/g respectively; P<0.30) when studied after short periods of abstinence. Alcoholics without liver necrosis showed significantly higher hepatic GSH levels than those with necrosis (3.23 ± 0.30 and 1.60 ± 0.33 respectively; P < 0.01) after prolonged periods of alcohol withdrawal. Similar results were obtained when liver GSH levels were expressed as a function of the mean surface area of hepatocytes, which was not significantly different between patients with and without hepatic necrosis. 4. Parameters assessing the nutritional status of patients with and without necrosis were not significantly different. Steatosis, histologically scored and irrespective of the period of abstinence, was higher in patients with liver necrosis and it did not correlate with hepatic GSH (r = −0.17; not significant). Fibrosis was observed in 20 cases and it did not modify the positive correlation between liver GSH content and the period of abstinence (with fibrosis: r = 0.57; P < 0.01; without fibrosis: r = 0.58;P < 0.01). 5. The changes observed in liver GSH content might be of pathogenic importance in alcoholic liver disease through alterations in lipoperoxidative processes in the hepatocyte.
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spelling oai:cris.upeu.edu.pe:20.500.15037/16732026-10-30T16:16:26ZContent of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver NecrosisLuis A. VidelaH IturriagaMaría Eugenia PinoDaniel BunoutAlfonso ValenzuelaG UgarteAbstinenceNecrosisGlutathioneInternal medicineSteatosisEndocrinologyAlcoholic liver diseaseMedicineGastroenterologyCirrhosisChemistryBiochemistryPsychiatryEnzymeAbstinenceNecrosisGlutathioneInternal medicineSteatosisEndocrinologyAlcoholic liver diseaseMedicineGastroenterologyCirrhosisChemistryBiochemistryPsychiatryAdultAdultAdultAlcoholism metabolismAlcoholism metabolismAlcoholism metabolismAlcoholism pathologyAlcoholism pathologyAlcoholism pathologyAlcoholism therapyAlcoholism therapyAlcoholism therapyGlutathione metabolismGlutathione metabolismGlutathione metabolismHumansHumansHumansLiver metabolismLiver metabolismLiver metabolismLiver pathologyLiver pathologyLiver pathologyLiver Diseases, Alcoholic metabolismLiver Diseases, Alcoholic metabolismLiver Diseases, Alcoholic metabolismLiver Diseases, Alcoholic pathologyLiver Diseases, Alcoholic pathologyLiver Diseases, Alcoholic pathologyLiver Diseases, Alcoholic therapyLiver Diseases, Alcoholic therapyLiver Diseases, Alcoholic therapyMaleMaleMaleNecrosisNecrosisNecrosisNutritional Physiological PhenomenaNutritional Physiological PhenomenaNutritional Physiological PhenomenaOxidation-ReductionOxidation-ReductionOxidation-ReductionTime FactorsTime FactorsTime FactorsHealth Sciences Medicine Pathology and Forensic Medicine Alcohol Consumption and Health EffectsLife Sciences Biochemistry, Genetics and Molecular Biology Biochemistry Sulfur Compounds in BiologyHealth Sciences Medicine Epidemiology Liver Disease Diagnosis and Treatment1. The relationship between the content of hepatic reduced glutathione (GSH) and the length of abstinence was investigated in 45 chronic alcoholic patients. 2. Hepatic GSH levels were significantly correlated (r = 0.58; P<0.001) with the length of alcohol withdrawal in the whole group. According to liver histology patients were divided into two groups, with and without hepatic necrosis. Subjects without necrosis showed a significant positive correlation (r = 0.71; P<0.001) between GSH values and the length of abstinence; no correlation (r = −0.22; P<0.40) was observed in the group with necrosis. 3. According to the period of abstinence patients were separated into two groups, with a short (≪ 5 days) and a prolonged (> 5 days) alcohol withdrawal. Patients with and without necrosis exhibited comparable mean levels of liver GSH (2.04 ± sem 0.21 and 1.74 ± 0.23 μmol/g respectively; P<0.30) when studied after short periods of abstinence. Alcoholics without liver necrosis showed significantly higher hepatic GSH levels than those with necrosis (3.23 ± 0.30 and 1.60 ± 0.33 respectively; P < 0.01) after prolonged periods of alcohol withdrawal. Similar results were obtained when liver GSH levels were expressed as a function of the mean surface area of hepatocytes, which was not significantly different between patients with and without hepatic necrosis. 4. Parameters assessing the nutritional status of patients with and without necrosis were not significantly different. Steatosis, histologically scored and irrespective of the period of abstinence, was higher in patients with liver necrosis and it did not correlate with hepatic GSH (r = −0.17; not significant). Fibrosis was observed in 20 cases and it did not modify the positive correlation between liver GSH content and the period of abstinence (with fibrosis: r = 0.57; P < 0.01; without fibrosis: r = 0.58;P < 0.01). 5. The changes observed in liver GSH content might be of pathogenic importance in alcoholic liver disease through alterations in lipoperoxidative processes in the hepatocyte.Articlehttps://pubmed.ncbi.nlm.nih.gov/6692660http://repositorio.uchile.cl/handle/2250/16053410.1042/cs0660283https://hdl.handle.net/20.500.15037/1673W2423852222enClinical Science0143-52211470-87361984-03-012026-06-13T14:18:26Z2026-06-13T14:18:26Z
spellingShingle Abstinence
Necrosis
Glutathione
Internal medicine
Steatosis
Endocrinology
Alcoholic liver disease
Medicine
Gastroenterology
Cirrhosis
Chemistry
Biochemistry
Psychiatry
Enzyme
Abstinence
Necrosis
Glutathione
Internal medicine
Steatosis
Endocrinology
Alcoholic liver disease
Medicine
Gastroenterology
Cirrhosis
Chemistry
Biochemistry
Psychiatry
Adult
Adult
Adult
Alcoholism metabolism
Alcoholism metabolism
Alcoholism metabolism
Alcoholism pathology
Alcoholism pathology
Alcoholism pathology
Alcoholism therapy
Alcoholism therapy
Alcoholism therapy
Glutathione metabolism
Glutathione metabolism
Glutathione metabolism
Humans
Humans
Humans
Liver metabolism
Liver metabolism
Liver metabolism
Liver pathology
Liver pathology
Liver pathology
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic therapy
Liver Diseases, Alcoholic therapy
Liver Diseases, Alcoholic therapy
Male
Male
Male
Necrosis
Necrosis
Necrosis
Nutritional Physiological Phenomena
Nutritional Physiological Phenomena
Nutritional Physiological Phenomena
Oxidation-Reduction
Oxidation-Reduction
Oxidation-Reduction
Time Factors
Time Factors
Time Factors
Health Sciences Medicine Pathology and Forensic Medicine Alcohol Consumption and Health Effects
Life Sciences Biochemistry, Genetics and Molecular Biology Biochemistry Sulfur Compounds in Biology
Health Sciences Medicine Epidemiology Liver Disease Diagnosis and Treatment
Luis A. Videla
H Iturriaga
María Eugenia Pino
Daniel Bunout
Alfonso Valenzuela
G Ugarte
Content of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver Necrosis
title Content of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver Necrosis
title_full Content of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver Necrosis
title_fullStr Content of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver Necrosis
title_full_unstemmed Content of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver Necrosis
title_short Content of Hepatic Reduced Glutathione in Chronic Alcoholic Patients: Influence of the Length of Abstinence and Liver Necrosis
title_sort content of hepatic reduced glutathione in chronic alcoholic patients influence of the length of abstinence and liver necrosis
topic Abstinence
Necrosis
Glutathione
Internal medicine
Steatosis
Endocrinology
Alcoholic liver disease
Medicine
Gastroenterology
Cirrhosis
Chemistry
Biochemistry
Psychiatry
Enzyme
Abstinence
Necrosis
Glutathione
Internal medicine
Steatosis
Endocrinology
Alcoholic liver disease
Medicine
Gastroenterology
Cirrhosis
Chemistry
Biochemistry
Psychiatry
Adult
Adult
Adult
Alcoholism metabolism
Alcoholism metabolism
Alcoholism metabolism
Alcoholism pathology
Alcoholism pathology
Alcoholism pathology
Alcoholism therapy
Alcoholism therapy
Alcoholism therapy
Glutathione metabolism
Glutathione metabolism
Glutathione metabolism
Humans
Humans
Humans
Liver metabolism
Liver metabolism
Liver metabolism
Liver pathology
Liver pathology
Liver pathology
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic therapy
Liver Diseases, Alcoholic therapy
Liver Diseases, Alcoholic therapy
Male
Male
Male
Necrosis
Necrosis
Necrosis
Nutritional Physiological Phenomena
Nutritional Physiological Phenomena
Nutritional Physiological Phenomena
Oxidation-Reduction
Oxidation-Reduction
Oxidation-Reduction
Time Factors
Time Factors
Time Factors
Health Sciences Medicine Pathology and Forensic Medicine Alcohol Consumption and Health Effects
Life Sciences Biochemistry, Genetics and Molecular Biology Biochemistry Sulfur Compounds in Biology
Health Sciences Medicine Epidemiology Liver Disease Diagnosis and Treatment
topic_facet Abstinence
Necrosis
Glutathione
Internal medicine
Steatosis
Endocrinology
Alcoholic liver disease
Medicine
Gastroenterology
Cirrhosis
Chemistry
Biochemistry
Psychiatry
Enzyme
Abstinence
Necrosis
Glutathione
Internal medicine
Steatosis
Endocrinology
Alcoholic liver disease
Medicine
Gastroenterology
Cirrhosis
Chemistry
Biochemistry
Psychiatry
Adult
Adult
Adult
Alcoholism metabolism
Alcoholism metabolism
Alcoholism metabolism
Alcoholism pathology
Alcoholism pathology
Alcoholism pathology
Alcoholism therapy
Alcoholism therapy
Alcoholism therapy
Glutathione metabolism
Glutathione metabolism
Glutathione metabolism
Humans
Humans
Humans
Liver metabolism
Liver metabolism
Liver metabolism
Liver pathology
Liver pathology
Liver pathology
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic metabolism
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic pathology
Liver Diseases, Alcoholic therapy
Liver Diseases, Alcoholic therapy
Liver Diseases, Alcoholic therapy
Male
Male
Male
Necrosis
Necrosis
Necrosis
Nutritional Physiological Phenomena
Nutritional Physiological Phenomena
Nutritional Physiological Phenomena
Oxidation-Reduction
Oxidation-Reduction
Oxidation-Reduction
Time Factors
Time Factors
Time Factors
Health Sciences Medicine Pathology and Forensic Medicine Alcohol Consumption and Health Effects
Life Sciences Biochemistry, Genetics and Molecular Biology Biochemistry Sulfur Compounds in Biology
Health Sciences Medicine Epidemiology Liver Disease Diagnosis and Treatment
url https://pubmed.ncbi.nlm.nih.gov/6692660
http://repositorio.uchile.cl/handle/2250/160534
https://hdl.handle.net/20.500.15037/1673
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