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The resulting oxidized form of GSH (GSSG), characterized by a disulfide bond between two molecules of GSH is efficiently reduced back to GSH by the NADPH-dependent catalysis of the flavoenzyme GSH reductase

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Among the compounds that the enzyme reduces there are phospholipids, fatty acids and DNA hydroperoxides produced by lipid peroxidation and oxidative damage to DNA 1

Numerous data indicate the importance of GSH and the GSH/GSSG ratio in the regulation of tumor cell viability, in the initiation of tumor development, progression, and drug resistance