Buthionine sulfoximine (BSO), a selective inhibitor of glutathione (GS
H) synthesis, has a dual effect on proliferation of human lung carcino
ma A549 cells, i.e., at low concentrations it stimulates and at higher
concentrations it inhibits A549 cell proliferation. This study was un
dertaken to test the hypothesis that BSO, by inhibiting the synthesis
of GSH, spares its constituent amino acids, particularly glutamate, an
d thereby stimulates cell proliferation. Treatment of A549 cells with
BSO significantly increased intracellular glutamate levels, while it d
ecreased cellular GSH levels. To determine whether the increased gluta
mate level is responsible for the BSO-stimulated cell proliferation, A
549 cells were cultured in glutamine-deficient Dulbecco's modified Eag
le's medium. These cells did not proliferate in this medium unless glu
tamine (4 mM) was supplemented. When glutamine was replaced by glutama
te in the medium the cells were also stimulated to proliferate, althou
gh this stimulation was not as effective as that of glutamine. Cystein
e and its cellular delivery system L-2-oxothiazolidine-4-carboxylate d
id not stimulate cell proliferation even though BSO would also increas
e cellular cysteine levels. The results obtained suggest that the BSO-
increased cellular glutamate level is likely responsible for the BSO g
rowth-stimulating effect.