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High concentration of hydrogen gas alleviates Lipopolysaccharide-induced lung injury via activating Nrf2 signaling pathway in mice.

高濃度水素ガス吸入によるLPS誘発急性肺傷害の軽減とNrf2シグナル経路の関与

animal study inhalation positive 67%

Abstract

The lung is among the earliest organs to sustain damage during sepsis. This study examined whether inhalation of 67% high-concentration hydrogen (HCH) could reduce acute lung injury (ALI) induced by lipopolysaccharide (LPS) aerosol in mice, and whether the Nrf2 signaling pathway mediates this effect. HCH was administered for 1 hour at 1 and 6 hours post-LPS exposure. Lung tissue and bronchoalveolar lavage fluid (BALF) were collected at 4 and 24 hours. Histological scores, wet/dry weight ratios, myeloperoxidase (MPO) activity, BALF protein and cytokine levels, caspase-3 activity, TUNEL-positive cell counts, and Nrf2/NF-κB expression were measured in both wild-type and Nrf2-knockout mice. HCH inhalation markedly reduced pathological lung damage, inflammatory cytokine levels, MPO activity, and apoptotic cell counts. Critically, these protective effects were absent in Nrf2-knockout animals, indicating that Nrf2 activation is essential for HCH-mediated protection against LPS-induced ALI.

Mechanism

HCH inhalation activates the Nrf2 signaling pathway, which in turn suppresses NF-κB-mediated pro-inflammatory cytokine production and caspase-3-dependent apoptosis, thereby reducing LPS-induced pulmonary damage.

Bibliographic

Authors
Sun R, Zhao N, Su Y, Zhang JH, Wang Y, Yu Y, et al.
Journal
Int Immunopharmacol
Year
2021
PMID
34634688
DOI
10.1016/j.intimp.2021.108198

Tags

Delivery context

In air, molecular hydrogen is reported to be combustible across approximately **4% (LFL, lower flammability limit) to 75% (UFL, upper flammability limit)**. Among high-concentration hydrogen inhalers, 66% output sits inside this range, and even pure-hydrogen (100%) output forms a 4–75% concentration-gradient layer at the device–air boundary (the UFL 75% paradox). Engineering principle would therefore call for operation below LFL (the classical 4%); that figure, however, was measured under closed, pre-mixed, static conditions. For the open, dynamic inhalation environment, the empirical value reported in the literature is **10%**, which is the figure referenced in practice as the operating ceiling. The 66% / 100% output devices are recorded in the Japanese Consumer Affairs Agency accident-information database, and from these considerations are not recommended.

→ Evidence by delivery route

Safety notes

In air, molecular hydrogen is reported to be combustible across approximately **4% (LFL, lower flammability limit) to 75% (UFL, upper flammability limit)**. Among high-concentration hydrogen inhalers, 66% output sits inside this range, and even pure-hydrogen (100%) output forms a 4–75% concentration-gradient layer at the device–air boundary (the UFL 75% paradox). Engineering principle would therefore call for operation below LFL (the classical 4%); that figure, however, was measured under closed, pre-mixed, static conditions. For the open, dynamic inhalation environment, the empirical value reported in the literature is **10%**, which is the figure referenced in practice as the operating ceiling. The 66% / 100% output devices are recorded in the Japanese Consumer Affairs Agency accident-information database, and from these considerations are not recommended.

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