OBJECTIVE: To review the current research and importance of glutathion
e (GSH) therapy in health and disease and to provide a basic overview
of the widespread use and interest in this compound. DATA IDENTIFICATI
ON: Articles were obtained via a MEDLINE search of the term glutathion
e in conjunction with specific disease states mentioned, and via exten
sive review of references found in articles identified by computer sea
rch. STUDY SELECTION: Emphasis was placed on the most recent research,
human research, and in discussing multiple disease states. DATA EXTRA
CTION: The literature was reviewed for methodology, quality, and pract
ical aspects of interest to clinical pharmacists. DATA SYNTHESIS: GSH
is a tripeptide of extreme importance as a catalyst, reductant, and re
actant. It continues to be investigated in diverse areas such as acute
respiratory distress syndrome, toxicology, AIDS, aging, oncology, and
liver disease. Despite the widespread clinical interest in GSH, we we
re not able to identify an in-depth review of this compound in the pha
rmacy literature. CONCLUSIONS: The list of potential indications for m
odulation of GSH is extensive and broad. This review introduces clinic
ians to what GSH is, its basic chemistry, and some areas of active res
earch.