GSH was covalently attached to dextran (T-40) by both the CNBr activation method and the NaIO
4, oxidation method. The conjugates, D-GSH (CNBr) and D-GSH (NaIO
4), were water-soluble powder containing 10 and 25 w/w% of GSH, respectively. Mice were depleted of GSH by treatment with buthionine sulfoximine, a potent inhibitor of
γ-glutamylcysteine synthetase. Intravenous administration of D-GSH (CNBr) led to a marked increase in the level of GSH. However, administration of D-GSH (NaIO
4)or free GSH had no significant effect on the hepatic GSH. In mice given a lethal dose of acetaminophen, the survival rate increased progressively with coadministration of D-GSH (CNBr), whereas little improvement was found when D-GSH (NaIO
4) or free GSH was given. This was due to the distinction of the linkage structure between the conjugates ; D-GSH(NaIO
4) was too stable to release free GSH. The conjugate was transported into hepatic cells and, in the case of D-GSH (CNBr), was intracellulary hydrolyzed to free form, which protected mice from hepatotoxicity of acetaminophen. These results suggested that the linkage structure would be the most critical in the delivery of GSH, as a dextran conjugate, into the liver.
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