All cells except erythrocytes have an alternative source of NADPH production, e.g., NADP+-dependent Malate Dehydrogenase L-Malate + NADP+ -> Pyruvate + CO2 + NADPH
Erythrocytes have no nucleus or ribosomes to produce more enzyme & must survive on enzymes they have
Under severe oxidative stress, erythrocytes will consume all reduced glutathione. If G6PDH is mutated than NADPH cannot be produced & thus glutathione will not be reduced -> Lysis