The loci encoding the glutathione-S-transferase (GST) enzymes comprise a la
rge supergene family located on at least seven chromosomes. The function of
the GST enzymes has traditionally been considered to be the detoxication o
f electrophiles by glutathione conjugation. A wide variety of endogenous (e
.g. by-products of reactive oxygen species activity) and exogenous (e.g. po
lycyclic aromatic hydrocarbons) electrophilic substrates have been identifi
ed. Interestingly, recent data has suggested a role, at least for the pi cl
ass gene product, in jun kinase inhibition. Since many GST genes are polymo
rphic, there has been considerable interest in determining whether particul
ar allelic variants are associated with altered risk (or outcome) of a vari
ety of diseases. We describe recent studies in patients with asthma and cut
aneous basal cell carcinoma that demonstrate associations between GSTP1 and
GSTT1 genotypes and disease phenotypes. Thus, GSTP1val(105)/val(105) was p
rotective against asthma symptoms and GSTT1 null was associated with a subg
roup of basal cell carcinoma patients who develop large numbers of primary
tumours in clusters. Importantly, these associations were characterised by
relatively large odds ratios (0.11 and 7.4, respectively) implying that the
allelic variants exert a substantial biological effect. These and other da
ta indicate the importance of GST polymorphism in determining disease pheno
type. (C) 2001 Elsevier Science B.V. All rights reserved.