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Hinweise auf einen Glutathionmangel bei Krebserkrankungen

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Oxidativer Stress in der Kinderheilkunde
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Zusammenfassung

Patienten mit fortgeschrittenen Tumoren leiden vielfach unter einem fortschreitenden Verlust an Körperzellmasse (Kachexie), der für einen hohen Prozentsatz dieser Patienten als eigentliche Todesursache angesehen werden kann (Heymsfield et al. 1982; Grunfeld 1991). Außerdem zeigen Krebspatienten vielfach eine verminderte immunologische Reaktivität und eine damit verbundene erhöhte Gefährdung durch lebensbedrohende Infektionen (Nixon et al. 1988; Arbeit et al. 1984; Dröge et al. 1988a, b; Richner et al. 1991). Die Kombination von progressiver Kachexie und verminderter immunologischer Reaktivität findet sich auch bei anderen Erkrankungen mit völlig unterschiedlicher Ätiologie, wie z. B. bei der HIV-Infektion (Kotler et al. 1985, 1989, 1991; Rosenberg u. Fauci 1989). Die Mechanismen dieser immunpathologischen und kachektischen Prozesse sind noch nicht im Detail bekannt. In beiden Fällen aber, d. h. sowohl bei Kresberkrankungen als auch bei HIV-Infektionen, ist ein erhöhter Plasma-Glutamat-Spiegel festgestellt worden (Dröge et al. 1988a, b; Eck et al. 1989b). Der vorliegende Bericht beschreibt die Zusammenhänge zwischen der erhöhten extrazellulären Glutamatkonzentration und der Zysteinversorgung bzw. dem intrazellulären Glutathionspiegel.

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Literatur

  • Arbeit JM, Lees DE, Corsey R, Brennan MF (1984) Resting energy expenditure in controls and cancer patients with localized and diffuse disease. Ann Surg 199:292–298

    Article  PubMed  CAS  Google Scholar 

  • Bannai S, Tateishi N (1986) Role of membrane transport in metabolism and function of glutathione in mammals. J Membrane Biol 89:1–8

    Article  CAS  Google Scholar 

  • Beaton JR, McGanity WJ, McHenry EW (1951) Plasma glutamic acid levels in malignancy. Can Med Assoc J 65:219–221

    PubMed  CAS  Google Scholar 

  • Dröge W, Eck H-P, Betzler M et al. (1988a) Plasma glutamate concentration and lymphocyte activity. J Cancer Res Clin Oncol 114:124–128

    Article  PubMed  Google Scholar 

  • Dröge W, Eck H-P, Näher H et al. (1988b) Abnormal amino acid concentrations in the blood of patients with acquired immunodeficiency syndrome (AIDS) may contribute to the immunological defect. Biol Chem Hoppe-Seyler 369:143–148

    Article  PubMed  Google Scholar 

  • Dröge W, Schulze-Osthoff K, Mihm S et al. (1994) Functions of glutathione and glutathione disulfide in immunology and immunopathology. FASEB J 8:1131–1138

    PubMed  Google Scholar 

  • Eck H-P, Dröge W (1989) Influence of the extracellular glutamate concentration on the intracellular cyst(e)ine concentration in macrophages and on the capacity to release cysteine. Biol Chem Hoppe-Seyler 370:109–113

    Article  PubMed  CAS  Google Scholar 

  • Eck H-P, Drings P, Dröge W (1989a) Plasma glutamate levels, lymphocyte reactivity and death rate in patients with bronchial carcinoma. J Cancer Res Clin Oncol 115:571–574

    Article  PubMed  CAS  Google Scholar 

  • Eck H-P, Gmünder H, Hartmann M et al. (1989b) Low concentrations of acid-soluble thiol (cysteine) in the blood plasma of HIV-1 infected patients. Biol Chem Hoppe-Seyler 370:101–108

    Article  PubMed  CAS  Google Scholar 

  • Eck H-P, Betzler M, Schlag P, Dröge W (1990) Partial recovery of lymphocyte activity in patients with colorectal carcinoma after curative surgical treatment and return of plasma glutamate concentrations to normal levels. J Cancer Res Clin Oncol 116:648–650

    Article  PubMed  CAS  Google Scholar 

  • Eck H-P, Mertens T, Rasokat H et al. (1992) T4+ cell numbers are correlated with plasma glutamate and cystine levels: association of hyperglutama-taemia with immunodeficiency in diseases with different etiologies. Int Immunol 4:7–13

    Article  PubMed  CAS  Google Scholar 

  • Fürst P, Bergström J, Hellström B et al. (1981) Amino acid metabolism in cancer. In: Kluthe R, Löhr GW (eds) Nutrition and metabolism in cancer. Thieme, Stuttgart, pp 75–89

    Google Scholar 

  • Galter D, Mihm S, Dröge W (1994) Distinct effects of glutathione disulphide on the nuclear transcription factors kB and the activator protein-i. Eur J Biochem 221:639–648

    Article  PubMed  CAS  Google Scholar 

  • Gmünder H, Eck H-P, Benninghoff B et al. (1990) Macrophages regulate intracellular glutathione levels of lymphocytes. Evidence for an immunoregulatory role of cysteine. Cell Immunol 129:32–46

    Article  PubMed  Google Scholar 

  • Gmünder H, Eck H-P, Dröge W (1991) Low membrane transport activity for cystine in resting and mitogenically stimulated human lymphocyte preparations and human T cell clones. Eur J Biochem 201:113–117

    Article  PubMed  Google Scholar 

  • Grunfeld C (1991) Mechanisms of wasting in infection and cancer: An approach to cachexia in AIDS. In: Kotler DP (ed) Gastrointestinal and nutritional manifestations of AIDS. Raven Press, New York, pp 207–229

    Google Scholar 

  • Heymsfield SB, McManus C, Smith J et al. (1982) Anthropometric measurement of muscle mass: revised equations for calculating bone-free arm muscle area. Am J Clin Nutr 36:680–690

    PubMed  CAS  Google Scholar 

  • Kinscherf R, Fischbach T, Mihm S et al. (1994) Effect of glutathione depletion and oral N-acetyl-cysteine treatment on CD4+ and CD8+ cells. FASEB J 8:448–451

    PubMed  CAS  Google Scholar 

  • Kluthe R, Adam G, Billmann U et al. (1981) Serum amino acids and proteins in Hodgkin’s disease. In: Kluthe R, Löhr GW (eds) Nutrition and metabolism in cancer. Thieme, Stuttgart, pp 95–100

    Google Scholar 

  • Knauff HG, Leweling H (1981) Amino acid metabolism and supplementation in cancer. In: Kluthe R, Löhr GW (eds) Nutrition and metabolism in cancer. Thieme, Stuttgart, pp 101–110

    Google Scholar 

  • Kotier DP, Wang J, Pierson R (1985) Body composition in patients with the acquired immunodeficiency syndrome. Am J Clin Nutr 42:1255–1265

    Google Scholar 

  • Kotler DP, Tierney AR, Wang J, Pierson RN jr (1989) Magnitude of body-cell-mass depletion and the timing of death from wasting in AIDS. Am J Clin Nutr 50:444–447

    PubMed  CAS  Google Scholar 

  • Kotier DP, Wang J, Pierson RN jr (1991) Studies of nutritional status in patients with AIDS. In: Kotler DP (ed) Gastrointestinal and nutritional manifestations of AIDS. Raven Press, New York, pp 231–242

    Google Scholar 

  • Lim J-S, Eck H-P, Gmünder H, Dröge W (1992) Expression of increased immunogenicity by thiol-releasing tumor variants. Cell Immunol 140:345–356

    Article  PubMed  CAS  Google Scholar 

  • Meister A (1983) Selective modification of glutathione metabolism. Science 220:471–477

    Article  Google Scholar 

  • Meister A, Anderson ME (1983) Glutathione. Annu Rev Biochem 52:711–760

    Article  PubMed  CAS  Google Scholar 

  • Mihm S, Ennen J, Pessara U et al. (1991) Inhibition of HIV-1 replication and NF-kB activity by cysteine and cysteine derivatives. AIDS 5:497-503

    Article  PubMed  CAS  Google Scholar 

  • Mihm S, Galter D, Dröge W (1995) Modulation of transcription factor NFkB activity by intracellular glutathione levels and variations of the extracellular cysteine supply. FASEB J 9:246–252

    PubMed  Google Scholar 

  • Nixon DW, Kutner M, Heymsfield S et al. (1988) Resting energy expenditure in lung and colon cancer. Metabolism 37:1059–1064

    Article  PubMed  CAS  Google Scholar 

  • Richner J, Ambinder EP, Hoffmann K et al. (1991) Number of helper T cells and phytohemagglutinin stimulation correlate in cancer patients. Cancer Immunol Immunother 34:138–142

    Article  PubMed  CAS  Google Scholar 

  • Rosenberg ZF, Fauci AS (1989) The immunopathogenesis of HIV infection. Adv Immunol 47:377–431

    Article  PubMed  CAS  Google Scholar 

  • Roth E, Lenzhofer R, Ollenschläger G, Funovics J (1984) Influence of parenteral nutrion on plasma amino acid levels of mammary carcinoma patients. Nutr 8:408–411

    Google Scholar 

  • Watanabe H, Bannai S (1987) Induction of cystine transport activity in mouse peritoneal macrophages. J Exp Med 165:628–640

    Article  PubMed  CAS  Google Scholar 

  • White JM, Beaton JR, McHenry EW (1952) Observations on plasma glutamic acid. J Lab Clin Med 40:703–706

    PubMed  CAS  Google Scholar 

  • White JM, Ozawa G, Ross GAL, McHenry EW (1954) An effect of neoplasms on glutamic acid metabolism in the host. Cancer Res 14:508–512

    PubMed  CAS  Google Scholar 

  • Wu C, Bauer JM (1960) A study of free amino acids and of glutamine synthesis in tumor-bearing rats. Cancer Res 20:848–857

    PubMed  CAS  Google Scholar 

  • Zenz M, Hilfrich J, Neuhaus R (1981) Gyneocologic cancer and amino acid metabolism. In: Kluthe R, Löhr GW (eds) Nutrition and metabolism in cancer. Thieme, Stuttgart, pp 90–94

    Google Scholar 

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© 1995 Springer-Verlag Berlin Heidelberg

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Dröge, W., Kinscherf, R., Hack, V., Bockstette, M., Eck, HP. (1995). Hinweise auf einen Glutathionmangel bei Krebserkrankungen. In: Böhles, H. (eds) Oxidativer Stress in der Kinderheilkunde. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-79748-4_16

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  • DOI: https://doi.org/10.1007/978-3-642-79748-4_16

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-59256-3

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