Journal of Lipid Research Volume 55, 2014 2041GSH is the major antioxidant in the body responsible for maintaining the intracellular redox balance. Aging is accompanied by a progressive decline in the levels of GSH in humans ( 1-3 ) and rodents ( 4-7 ), as well as in senescent cells in culture ( 8 ), resulting in elevated reactive oxygen species (ROS) and a state of chronic oxidative stress. Dietary GSH supplementation has been considered as a potential treatment for various aging-related diseases that are linked to oxidative stress, including metabolic, cardiovascular, and Alzheimer's diseases, as well as various types of cancers ( 9-11 ). The direct delivery of GSH, however, is ineffi cient and could even be toxic; therefore, various precursors of GSH synthesis have been widely used instead ( 12 ).The availability of L -cysteine is the rate-limiting factor for GSH synthesis. Several cysteine pro-drugs, including L-2-oxothiazolidine-4-carboxylic acid (OTC), have been successfully used to elevate GSH levels ( 13 ). Administration of OTC has been shown to effectively elevate hepatic GSH concentration in healthy guinea pigs ( 14 ), as well as in rats and mice with experimentally induced GSH defi ciency due to acetaminophen and alcohol consumption ( 7,15,16 ). In humans, OTC supplementation leads to a significant increase in blood GSH in healthy volunteers ( 17, 18 ), as well as in dialysis and HIV patients ( 19-21 ). Typically, dietary OTC supplementation has benefi cial effects and protects against acetaminophen-, alcohol-, or thioacetamideinduced hepatic damage ( 15,16,22,23 ).Abstract In hepatocytes, aging-associated decline in GSH has been linked to activation of neutral SMase (nSMase), accumulation of bioactive ceramide, and infl ammation. In this study, we seek to test whether dietary supplementation with the cysteine precursor, L-2-oxothiazolidine-4-carboxylic acid (OTC), would correct the aging-associated differences in hepatic GSH, nSMase, and ceramide. Young and aged mice were placed on a diet that either lacked sulfurcontaining amino acids (SAAs) or had 0.5% OTC for 4 weeks. Mice fed standard chow were used as an additional control. SAA-defi cient mice exhibited signifi cant aging-associated differences in hepatic GSH, GSH/GSSG, ceramide, and nSMase. C24:1 ceramide, the major ceramide species in liver, was affected the most by aging, followed by the less abundant C16:0 ceramide. OTC supplementation eliminated the aging-associated differences in hepatic GSH and GSH/GSSG ratio. Surprisingly, however, instead of decreasing, the nSMase activity and ceramide increased in the OTC-fed mice irrespective of their age. These effects were due to elevated nSMase-2 mRNA and protein and appeared to be direct. Similar increases were seen in HepG2 cells following treatment with OTC. The OTC-fed aged mice also exhibited hepatic steatosis and triacylglyceride accumulation. These results suggest that OTC is a potent stimulant of nSMase-2 expression and that there may be unanticipated complications of OTC supplementation. ...