Depletion of glutathione, a key antioxidant, accelerates lung injury. Gluta
thione concentrations are reduced significantly in premature infants with r
espiratory distress syndrome, leaving them at greater risk of bronchopulmon
ary dysplasia. A study was designed to verify if the increased glutathione
synthetic activity observed in oxygen-dependent and ventilated newborn infa
nts was caused by their postsurgical state. Our objective was to evaluate t
he role of a general surgical procedure as a factor affecting lung glutathi
one. One-day-old guinea pig pups, a well characterized animal model for the
study of neonatal lung disease, were divided between those undergoing a st
andardized surgical procedure and those that did not. The pups were fed by
their mother. After 4 days the lungs were sampled to determine total glutat
hione content, activities of gamma-glutamyltranspeptidase, glutathione pero
xidase, and reductase as well as the glutathione synthetic activity. The su
rgical 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 significa
ntly correlated (r(2) = 0.67) with the synthetic activity. We concluded tha
t in this animal model an invasive procedure such as a general surgical pro
cedure affects lung glutathione metabolism in a fashion similar to that of
hyperoxia. In the lungs, the synthetic activity is a stronger determinant o
f glutathione concentrations than the activities of the ether enzymes invol
ved in maintaining glutathione levels.