G6PD Deficiency Features - 4
Function of glutathione:
In the presence of glutathione peroxidase it converts H2O2 to H2O
Result of G6PD  deficiency:
NADPH is not produced or is at low levels
Reduced glutathione is not produced or at low levels
H2O2 levels increase (accelerated with oxidative drugs)
Hemoglobin is denatured and precipitates forming Heinz bodies
Heinz body containing red cells have bites taken out by macrophages resulting in “bite cells”.
Heinz body containing red cells have shortened survival time resulting in anemia.
K+ and Na+ leak rates increase also