Depletion of glutathione, a key antioxidant, accelerates lung injury. Glutathione concentrations are reduced significantly
in premature infants with respiratory distress syndrome, leaving them at greater risk of bronchopulmonary dysplasia. A study
was designed to verify if the increased glutathione synthetic activity observed in oxygen-dependent and ventilated newborn
infants was caused by their postsurgical state. Our objective was to evaluate the role of a general surgical procedure as
a factor affecting lung glutathione. One-day-old guinea pig pups, a well characterized animal model for the study of neonatal
lung disease, were divided between those undergoing a standardized surgical procedure and those that did not. The pups were
fed by their mother. After 4 days the lungs were sampled to determine total glutathione content, activities of γ-glutamyltranspeptidase,
glutathione peroxidase, and reductase as well as the glutathione synthetic activity. The surgical procedure was associated
with a specific stimulatory effect limited to glutathione synthetic activity (
p < 0.02) leading to an increased (
p < 0.02) pulmonary glutathione content. Glutathione concentration was significantly correlated (
r
2= 0.67) with the synthetic activity. We concluded that in this animal model an invasive procedure such as a general surgical
procedure affects lung glutathione metabolism in a fashion similar to that of hyperoxia. In the lungs, the synthetic activity
is a stronger determinant of glutathione concentrations than the activities of the other enzymes involved in maintaining glutathione
levels.
Key words: Chronic lung disease—Glutathione synthesis—Guinea pig—Newborn.
Accepted for publication: 21 May 1998