GSTs catalyze the conjugation of glutathione (GSH) to electrophilic substrates, facilitating the detoxification of carcinogens, environmental toxins, and oxidative stress byproducts . The cytosolic GST family is divided into eight classes, with Alpha, Mu, Pi, and Theta being the most studied:
GST antibodies enable precise localization and quantification of GST isoforms in tissues. For example:
GSTP1 antibodies detect elevated levels in gastric cancers compared to normal tissues .
GSTA1 antibodies (e.g., TA308419) are used in Western blotting (1:1,000–10,000 dilution) and immunohistochemistry to study drug metabolism pathways .
Anti-GST autoantibodies are implicated in glaucoma (52% of patients) and autoimmune hepatitis (16% of patients), correlating with severe disease progression .
In autoimmune hepatitis, anti-GSTA1-1 antibodies are markers of poor prognosis, with patients showing higher rates of liver failure .
Anti-GSTT1 antibodies (MFI ≥8,031) are linked to antibody-mediated rejection (ABMR) and graft loss in kidney transplants. Alloimmunization occurs in 64.5% of at-risk patients, often preceding HLA donor-specific antibodies .
GSTAlpha levels decrease in gastric tumors, while GSTPi increases, suggesting isoform-specific roles in carcinogenesis .
GST overexpression in cancers contributes to chemoresistance by detoxifying agents like cisplatin and cyclophosphamide .
GSTT1-null genotype recipients are prone to developing anti-GSTT1 alloantibodies post-transplant, with median peak MFI levels of 6,142 vs. 1,952 for autoantibodies .
In kidney transplants, intragraft GSTT1 antibodies are detected in ABMR biopsies, independent of HLA antibodies .