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Among them one by GSH, an abundant tripeptidyl molecule, contributes to the body and lung health status ( Resistance to viral diseases positively correlates with the extent of GSH stores ( Interestingly, preventive supplementation of NAC significantly reduced the incidence of clinically apparent influenza, especially in higher risk elderly population ( The deficiency of GSH in the alveolar fluid in ARDS patients was found to correlate with the increased ROS-mediated lung cell injury and inflammation ( GSH levels positively correlate with those of active vitamin D ( GSH deficiency results in the activation of von Willebrand Factor ( Notably, low GSH plasma levels have been identified along with three other clinical indicators (age, CD3 ratio, and total protein) as a predictor of the severe/critical symptoms of COVID-19 infected patients ( All the above evidences seem to have a clinical relevance: Polonikov, studying four moderate-severe COVID-19 cases, found that while the three patients with normal/high plasma levels of GSH recovered rapidly, the one with low GSH levels, high plasma ROS and ROS/GSH ratio experienced the most severe illness and, at the date of publication, was still sick ( Figure 1 )

10.1016/j.jchromb.2023.123688 J

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