Glutathione (GSH), a major extracellular antioxidant, has been found i
n high concentrations in the epithelial lining fluid of the lower resp
iratory tract. The GSH concentrations in nasal fluid, in normal and pa
thologic conditions, were investigated and found to be very low. A GSH
aerosol (600 mg daily for 10 days) increased GSH levels in the nasal
mucosa and induced a statistically significant improvement in nasal ob
struction, rhinorrhoea, and ear fullness. Thus, GSH administered by ae
rosol could be a means of defending the epithelial respiratory cells a
gainst a toxic oxidant.