Randomized controlled trial of oral glutathione supplementation on body stores of glutathione.
Richie JP Jr, Nichenametla S, Neidig W, Calcagnotto A, Haley JS, Schell TD, Muscat JE., European Journal of Nutrition, 2015;54(2):251-263
published
Six-month randomised, double-blinded, placebo-controlled trial in 54 non-smoking adults. Glutathione was given in one of two study arms, and glutathione was measured in blood, erythrocytes, plasma, lymphocytes and exfoliated buccal mucosal cells. A one-month washout period followed. Secondary outcomes in a subset of participants were a battery of immune markers.
- Glutathione concentrations in blood were higher than baseline at 1, 3 and 6 months at both amounts. At 6 months, mean glutathione was 30-35 % higher in erythrocytes, plasma and lymphocytes and 260 % higher in buccal cells in the higher-amount group (P < 0.05), and 17 % and 29 % higher in blood and erythrocytes respectively in the lower-amount group (P < 0.05). The increases were in most cases dependent on the amount given and on time, and concentrations returned to baseline after the one-month washout. The authors state that these findings show, for the first time, that consumption of glutathione supplements increased body-compartment stores of glutathione.
- The ratio of oxidised to reduced glutathione in whole blood decreased in both glutathione groups after 6 months.
- Natural-killer cell cytotoxicity was more than twofold higher in the higher-amount group than in the placebo group at 3 months (P < 0.05). The abstract describes the immune markers as secondary outcomes measured in a subset of participants, and gives neither the size of that subset nor a figure for the lower-amount group.
The three studies in healthy volunteers on this page were not asking the same question, and their answers cannot simply be added up. The 1992 study followed plasma for 270 minutes after one amount and found nothing measurable. The 4-week trial measured two urinary biomarkers of oxidative stress and erythrocyte glutathione status, and found no change in any of them. The 6-month trial measured glutathione itself in five compartments and reports higher concentrations. Longer, larger amounts and different things measured — so what the page establishes is that the question of what an amount of glutathione does depends on which measurement and which timescale, not that one study is right and another is wrong.
