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Combating Oxidative Stress and Inflammation in COVID-19 by Molecular Hydrogen Therapy: Mechanisms and Perspectives.

分子状水素によるCOVID-19の酸化ストレスおよび炎症への対応:作用機序と展望

review mixed routes not assessed

Abstract

COVID-19, caused by SARS-CoV-2 infection targeting alveolar type II pneumocytes, triggers pathological cascades including heightened inflammation, oxidative stress, and apoptosis, ultimately leading to impaired gas exchange and multiorgan failure. This review systematically examines the antioxidative, anti-inflammatory, and antiapoptotic properties of molecular hydrogen (H2) as a candidate intervention for COVID-19-related complications. Due to its small size and nonpolar nature, H2 readily crosses cell membranes and reaches intracellular organelles. Evidence indicates that H2 suppresses NF-κB-mediated inflammatory signaling while activating the Nrf2/Keap1 antioxidant pathway, and also supports mitochondrial function and cellular bioenergetics. Although preclinical and clinical data across multiple disease contexts, including COVID-19, suggest beneficial outcomes, the precise primary mechanisms and definitive clinical efficacy remain to be fully established, underscoring the need for further rigorous investigation.

Mechanism

H2 penetrates cell membranes and organelles due to its small size and nonpolarity, suppresses NF-κB inflammatory signaling, activates the Nrf2/Keap1 antioxidant pathway, and improves mitochondrial function and cellular bioenergetics.

Bibliographic

Authors
Alwazeer D, Liu FT, Wu XB, LeBaron TW
Journal
Oxid Med Cell Longev
Year
2021
PMID
34646423
DOI
10.1155/2021/5513868
PMC
PMC8505069

Tags

Disease:COVID-19 Mechanism:アポトーシス抑制 免疫調節 炎症抑制 ミトコンドリア Nrf2 経路 酸化ストレス 活性酸素種

Delivery context

This study combines multiple delivery routes. As a general principle, the most efficient route for routine hydrogen intake is inhalation. Inhalation carries explosion risk (empirical LFL of 10%; high-concentration devices are documented in the Consumer Affairs Agency accident database and are not recommended).

Safety notes

This study combines multiple delivery routes. As a general principle, the most efficient route for routine hydrogen intake is inhalation. Inhalation carries explosion risk (empirical LFL of 10%; high-concentration devices are documented in the Consumer Affairs Agency accident database and are not recommended).

See also:

Other papers on the same disease / condition

Cite as: H2 Papers — PMID 34646423. https://h2-papers.org/en/papers/34646423
Source: PubMed PMID 34646423