“…It has also been suggested that in solution the mercaptide radicals can easily dimerize to form the disulfide and thus dissociate from the complexes [76] Similar thiol-binding to ferric CYP3A4 complexes accounts for its functionally relevant interactions with glutathione (GSH) [80], an important intracellular γ-glutamylcysteine-glycine tripeptide that serves as the cofactor for various detoxifying enzymes (peroxidases, GSH-transferases), as well as a nucleophilic antioxidant that traps and thus detoxifies reactive O 2 species (ROS), including free radicals and peroxides, and reactive electrophilic metabolites Because of this very property, and the assumption that GSH was not only far too large, but also too hydrophilic a molecule to enter the lipophilic P450 active sites, it has been often used in the past as a diagnos-tic probe to trap reactive metabolites that escape the P450 active site, and thus as an indicator of chemical reactivity external to the P450 active site However, it appears that some quite large and promiscuous P450 active sites such as that of CYP3A4 (and possibly that of CYP2C8), can accommodate GSH, as determined by the telltale split Soret UV-Vis difference spectrum characteristic of thiol interactions with the sixth ligand of the P450 heme iron [80; K K Korsmeyer & M A Correia, unpublished observations, 1995] Furthermore, this GSH-CYP3A4 binding exhibits positive homotropic cooperativity (Hill equation exhibiting an S 50 of 86 mM and a Hill coefficient of 22), thereby revealing an additional allosteric effector site for GSH-binding within the CYP3A4 active site [80] At physiologically relevant GSH concentrations, such GSH-CYP3A4 binding disrupts the substrate homotropic cooperativity assayed via the CYP3A4-dependent O-debenzylation of 7-benzyloxy-4-(trifluoromethyl)-coumarin (7-BFC) and 7-benzyloxyquinoline, as well as that monitored through spectrally detectable substrate binding [80] However, not all substrate-effector interactions were similarly affected For instance, GSH increased CYP3A4 binding of 1-pyrenebutanol (1-PB) monitored as its high-spin spectral (type I) complex, but had little effect on the CYP3A4 binding of either α-naphthoflavone or testosterone [80]Given that GSH is routinely included in CYP3A4 reconstitution assays at relatively high concentrations [81], it is to be underscored, that the CYP3A4-hemeiron-GSH interactions detected at 1-10 mM concentrations, while decreasing 1-PB and 7-BFC homotropic cooperativity, failed to competitively inhibit these substrates, and if at all increased their binding affinity (1-PB) and/or their activity (7-BFC) [80] Such failure of GSH (unlike that of the organic lipophilic thiols and sulfide agents discussed above) to effectively compete out other substrates in functionally reconstituted CYP3A4 systems, may be due to its relatively lower lipophilicity and consequently lower affinity for the lipophilic CYP3A4 active site, coupled with the expected dissociation that ensues from the P450 heme iron upon CPR-mediated reduction and subsequent competition with O 2 binding…”