In addition to its well-known antioxidant effects, glutathione apparently h
as an additional double role in the central nervous system as a neurotransm
itter and neuromodulator. A number of recent neurochemical, neuropharmacolo
gical and electrophysiological studies have yielded evidence on both functi
ons. As an excitatory neurotransmitter, glutathione depolarizes neurons by
acting as ionotropic receptors of its own which are different from any othe
r excitatory amino acid receptors. As a neuromodulator, it displaces ionotr
opic glutamate receptor ligands from their binding sites and regulates calc
ium influx through N-methyl-D-asyartate receptor-governed ionophores. In br
ain slices glutathione has been shown to regulate the release of other tran
smitters, e.g., gamma-aminobutyrate and dopamine, mediated by N-methyl-D-as
partate receptors. In the present article, we review recent findings on the
neuromodulatory actions of glutathione and discuss possible physiological
and pathophysiological consequences. (C) 2000 Elsevier Science Ltd. All rig
hts reserved.