Reduced glutathinone (tau-glutamylcysteinglycine, GSH) is a scavenger
for oxygen radicals and plays in important role in protection of cells
from ischemia and from the harmful effects of free oxygen radicals. F
ree oxygen radicals due to cerebral vasospasm increase in both vasospa
sm and proliferative vasculopathy. This experiment was performed to de
termine whether GSH plays a role in cerebral vasospasm after subarachn
oid hemorrhage by preventing the harmful effects of free oxygen radica
ls. In this study, GSH was administered intraarterially and intraciste
rnally following vasospasm of the canine basilar artery. Less vasospas
m was observed in the group treated with GSH intraarterially following
subarachnoid hemorrhage than in the one treated with GSH intracistern
ally and in the control group. The arterial wall was investigated ultr
astructurally. We evaluated the effect of the anti-oxidating substance
through the activity of superoxide dismutase in the arterial wall. We
compared the effect of glutathione reductase in the two groups treate
d with GSH intraarterially and intracisternally. Arterial degeneration
was more prominent in the group in which GSH was used intracisternall
y, while the superoxide dismutase levels were low. In contrast, arteri
al degeneration was less in the other group in which GSH was used intr
aarterially, while the superoxide dismutase levels were high.