Fig. 2From: Use of thiols and implications for the use of inhaled corticosteroids in the presence of oxidative stress in COPDRole of glutathione in oxidative stress. During oxidative stress there is an increase in oxidants (ROS) and a decrease in antioxidants such as GSH (the reduced form of glutathione). ROS activate transcription factors nuclear factor kappaB (NF-κB) and activator-protein-1 (AP-1), signal transduction pathways and release of pro-inflammatory mediators. GSH inhibits angiotensin-converting enzyme (ACE) activity, neutralizes (reduces) ROS and decreases activation of NF-κB and AP-1 [red lines]. ROS reactive oxygen species, GSSG oxidized glutathioneBack to article page