GSH is a tripeptide synthesized from cysteine, glutamate, and glycine by the sequential actions of the enzymes γ-glutamylcysteine synthetase and glutathione synthetase.
5 7 Cysteine has been identified as the rate-limiting substrate for GSH biosynthesis in the brain, liver, and pancreas.
8 9 In the lens, low levels of GSH synthesis are associated with a concomitant decrease in the cytoplasmic cysteine levels. Cysteine levels in the lens are controlled via the transsulfuration pathway
10 and via direct uptake from the aqueous humor.
11 12 Although the transsulfuration pathway has been recently defined in the lens, little is known about the molecular identity of cysteine uptake. A close relationship between cysteine and glutamate uptake has been identified in the brain through the actions of the cyst(e)ine/glutamate exchanger (X
C −) and the high-affinity glutamate transporter family (X
AG)
13 (Fig. 1) . By a combination of immunolocalization and inhibitor-based studies, these two systems have been demonstrated to work together to mediate cysteine uptake for GSH synthesis in the brain.
13 14 The driving force behind the accumulation of cysteine in the brain is the X
C − exchanger. The X
C − system mediates the Na
+-independent exchange of extracellular cystine (the oxidized form of cysteine) for intracellular glutamate.
15 The accumulated cystine is rapidly reduced to cysteine which is incorporated into proteins or glutathione.
16 In the lens, free cysteine has also been proposed to act as a powerful low-molecular-mass antioxidant.
2 X
C − is a heterodimeric exchanger consisting of a heavy and a light chain subunit. The light chain, known as xCT, confers substrate specificity; whereas the heavy chain, formed by the cell surface antigen 4F2hc interacts with different light chains to form other heterodimeric amino acid transporter systems.
17