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Reduced And Oxidized Glutathione: Understanding The Differences

Files Download Poster (2.5 MB) Description Background: Methemoglobin (MetHb) is formed when the iron moiety of hemoglobin (Hgb) is oxidized from ferrous (Fe 2+ ) to ferric (Fe 3+ ) state à impaired O 2 delivery to tissues Acetaminophen Metabolism: ~90% is metabolized in liver via sulfation and glucuronidation remainder is metabolized via CYP450 to a toxic oxidizing agent, N-acetyl-p-benzoquinone imine (NAPQI), which is detoxified via glutathione 1 Acute Acetaminophen Overdose: saturates sulfation and glucuronidation pathways depletes glutathione stores leads to excess NAPQI à oxidative stress à methemoglobinemia 1 MetHb Reduction Pathway: cytochrome b5 reductase removes 95% to 99% of endogenous MetHb nicotinamide adenine dinucleotide phosphate (NADPH Publication Date 2-24-2016 Keywords Methemoglobinemia in Acetaminophen Overdose and Glucose-6-phosphate Dehydrogenase Deficiency Disciplines Pharmacy and Pharmaceutical Sciences Comments Poster presented at: Society of Critical Care Medicine at Orange County California

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doi: 10.1016/j.clnu.2014.09.020