The combination of hydrogen gas and hydrogen-rich solution does not protect against ischemic spinal cord injury in rabbits

PURPOSE

This study aimed to determine whether the combination of H2 gas inhalation and administration of hydrogen-rich acetated Ringer's solution (HS) could protect against ischemic spinal cord injury in rabbits.

METHODS

In Experiment 1, rabbits were randomly assigned to a 1.2% H2 gas group, HS group, 1.2% H2 gas + HS group (combination group), or control group (n = 6 per group). The H2 concentration of HS was 0.65 mM. H2 was inhaled for 60 min, starting 5 min before reperfusion. HS (20 mL/kg) was divided into six bolus injections at 10-min intervals, starting 5 min before reperfusion. Spinal cord ischemia was produced by occluding the abdominal aorta for 15 min. Neurologic and histopathologic evaluations were performed 7 days after reperfusion. In Experiment 2, H2 concentrations in spinal cord tissue according to the administration of 1.2% H2 gas or HS were compared by measuring the electric current through a platinum needle electrode (n = 2). In Experiment 3, rabbits were assigned to a 2% H2 gas group or control group (n = 6 per group). Spinal cord ischemia was produced and neurologic and histopathologic evaluations were performed as in Experiment 1.

RESULTS

There were no significant differences among the groups in the neurologic and histopathologic outcomes in Experiments 1 and 3. Bolus administration of HS (10 mL) transiently increased the current to only 1/30th and 1/27th of the plateau current with 1.2% H2 gas inhalation in two animals.

CONCLUSION

These results suggest that the combination of 1.2% H2 gas inhalation and administration of a hydrogen-rich solution does not protect against ischemic spinal cord injury and that the increase in H2 concentration in spinal cord tissue after administration of HS is very low compared to 1.2% H2 gas inhalation.

Inhibition of retinal ischemia-reperfusion injury in rats by inhalation of low-concentration hydrogen gas

PURPOSE

To investigate the inhibitory effect of hydrogen gas inhalation on retinal ischemia reperfusion (I/R) injury using a rat model.

METHODS

Six-week-old male Sprague-Dawley rats were used. A 27G needle connected by a tube to a saline bottle placed 200 cm above the eye was inserted into the anterior eye chamber to create a rat retinal I/R model. In the ischemia-plus-hydrogen-gas group (H2( +) group), the ischemia time was set to 90 min, and 1.8% hydrogen was added to the air delivered by the anesthesia mask simultaneously with the start of ischemia. In the non-hydrogen-treatment ischemia group (H2( -) group), I/R injury was created similarly, but only air was inhaled. ERGs were measured; after removal of the eyes, the retina was examined for histological, immunostaining, and molecular biological analyses.

RESULTS

The mean thickness of the inner retinal layer in the H2( +) group was 107.2 ± 16.0 μm (n = 5), significantly greater than that in the H2( -) group (60.8 ± 6.7 μm). Immunostaining for Iba1 in the H2( -) group showed increased numbers of microglia and microglial infiltration into the subretinal space, while there was no increase in microglia in the H2( +) group. B-wave amplitudes in the H2( +) group were significantly higher than in the H2( -) group. In the membrane antibody array, levels of interleukin-6, monocyte chemotactic protein 1, and tumor necrosis factor alpha were significantly lower in the H2( +) group than in the H2( -) group.

CONCLUSION

Inhalation of 1.8% hydrogen gas inhibited the induction of inflammation, morphological/structural changes, and glial cell increase caused by retinal I/R injury.

Molecular hydrogen attenuates sepsis-induced cardiomyopathy in mice by promoting autophagy

BACKGROUND

Approximately 40 to 60% of patients with sepsis develop sepsis-induced cardiomyopathy (SIC), which is associated with a substantial increase in mortality. We have found that molecular hydrogen (H2) inhalation improved the survival rate and cardiac injury in septic mice. However, the mechanism remains unclear. This study aimed to explore the regulatory mechanism by which hydrogen modulates autophagy and its role in hydrogen protection of SIC.

METHODS

Cecal ligation and puncture (CLP) was used to induce sepsis in adult C57BL/6J male mice. The mice were randomly divided into 4 groups: Sham, Sham + 2% hydrogen inhalation (H2), CLP, and CLP + H2 group. The 7-day survival rate was recorded. Myocardial pathological scores were calculated. Myocardial troponin I (cTnI) levels in serum were detected, and the levels of autophagy- and mitophagy-related proteins in myocardial tissue were measured. Another four groups of mice were also studied: CLP, CLP + Bafilomycin A1 (BafA1), CLP + H2, and CLP + H2 + BafA1 group. Mice in the BafA1 group received an intraperitoneal injection of the autophagy inhibitor BafA1 1 mg/kg 1 h after operation. The detection indicators remained the same as before.

RESULTS

The survival rate of septic mice treated with H2 was significantly improved, myocardial tissue inflammation was improved, serum cTnI level was decreased, autophagy flux was increased, and mitophagy protein content was decreased (P < 0.05). Compared to the CLP + H2 group, the CLP + H2 + BafA1 group showed a decrease in autophagy level and 7-day survival rate, an increase in myocardial tissue injury and cTnI level, which reversed the protective effect of hydrogen (P < 0.05).

CONCLUSION

Hydrogen exerts protective effect against SIC, which may be achieved through the promotion of autophagy and mitophagy.

Enhanced chromium removal from tannery wastewater through electrocoagulation with iron electrodes: Leveraging the Box-Behnken design for optimization

This study is focused on reducing total chromium level in tannery wastewater through the electrocoagulation process, in order to comply with the maximum permissible limits (MPL) and to determine the effects from its main operating factors. For this purpose, a batch electrocoagulation reactor was manufactured using iron electrodes. Next, the response surface methodology was applied in the experimental design using a Box-Behnken design (BBD) with three factors: current intensity, treatment time, and p H level. In addition, the total chromium removal percentage was taken as a response variable. The corresponding statistical analysis revealed that the treatment time, current intensity, and p H level variables were significant at a confidence level of P - v a l u e < 0.05 . Obtained in this study for a 99 % total chromium removal were: current intensity ( I ) = 2.9 A , time ( t ) = 18.1 min , and p H = 5.6 . Our results indicated that the electrocoagulation process effectively removes total chromium from tannery effluents up to MPL values.

Determination of hydrogen gas by 1,4-bis(phenylethynyl)benzene hydrogenation coupled with gas chromatography-mass spectrometry

Knowing the H2 concentration released from polymer materials is essential to understand the degradation degree of polymer materials. In this study, a novel strategy of 1,4-bis(phenylethynyl)benzene (DEB) hydrogenation in combination with gas chromatography - mass spectrometry (GC-MS) determination of hydrogen gas (H2) was developed. In this strategy, DEB was utilized to react with H2 for establishing the quantitative analysis method of H2. A H2 analysis platform that could accurately control H2 concentration was designed and fabricated to be used to establish the quantitative method of H2. The linear regression curve was established between the H2 standard and the MS signal of the reaction products on GC-MS. Finally, the H2 released from polyethylene under gamma radiation was detected by this method. This method could be a powerful auxiliary tool for studying the content changes of H2.

H2 generated by fermentation in the human gut microbiome influences metabolism and competitive fitness of gut butyrate producers

BACKGROUND

Hydrogen gas (H2) is a common product of carbohydrate fermentation in the human gut microbiome and its accumulation can modulate fermentation. Concentrations of colonic H2 vary between individuals, raising the possibility that H2 concentration may be an important factor differentiating individual microbiomes and their metabolites. Butyrate-producing bacteria (butyrogens) in the human gut usually produce some combination of butyrate, lactate, formate, acetate, and H2 in branched fermentation pathways to manage reducing power generated during the oxidation of glucose to acetate and carbon dioxide. We predicted that a high concentration of intestinal H2 would favor the production of butyrate, lactate, and formate by the butyrogens at the expense of acetate, H2, and CO2. Regulation of butyrate production in the human gut is of particular interest due to its role as a mediator of colonic health through anti-inflammatory and anti-carcinogenic properties.

RESULTS

For butyrogens that contained a hydrogenase, growth under a high H2 atmosphere or in the presence of the hydrogenase inhibitor CO stimulated production of organic fermentation products that accommodate reducing power generated during glycolysis, specifically butyrate, lactate, and formate. Also as expected, production of fermentation products in cultures of Faecalibacterium prausnitzii strain A2-165, which does not contain a hydrogenase, was unaffected by H2 or CO. In a synthetic gut microbial community, addition of the H2-consuming human gut methanogen Methanobrevibacter smithii decreased butyrate production alongside H2 concentration. Consistent with this observation, M. smithii metabolic activity in a large human cohort was associated with decreased fecal butyrate, but only during consumption of a resistant starch dietary supplement, suggesting the effect may be most prominent when H2 production in the gut is especially high. Addition of M. smithii to the synthetic communities also facilitated the growth of E. rectale, resulting in decreased relative competitive fitness of F. prausnitzii.

CONCLUSIONS

H2 is a regulator of fermentation in the human gut microbiome. In particular, high H2 concentration stimulates production of the anti-inflammatory metabolite butyrate. By consuming H2, gut methanogenesis can decrease butyrate production. These shifts in butyrate production may also impact the competitive fitness of butyrate producers in the gut microbiome. Video Abstract.

Hydrogen gas ameliorates acute alcoholic liver injury via anti-inflammatory and antioxidant effects and regulation of intestinal microbiota

Alcoholic liver disease (ALD) is a globally prevalent liver-related disorder characterized by severe oxidative stress and inflammatory liver damage, for which no effective treatment is currently available. Hydrogen gas (H₂) has been demonstrated to be an efficient antioxidant in various diseases in animals as well as humans. However, the protective effects of H₂ on ALD and its underlying mechanisms remain to be elucidated. The present study demonstrated that H₂ inhalation ameliorated liver injury, and attenuated liver oxidative stress, inflammation, and steatosis in an ALD mouse model. Moreover, H₂ inhalation improved gut microbiota, including increasing the abundance of Lachnospiraceae and Clostridia, and decreasing the abundance of Prevotellaceae and Muribaculaceae, and also improved intestinal barrier integrity. Mechanistically, H₂ inhalation blocked activation of the LPS/TLR4/NF-κB pathway in liver. Notably, it was further demonstrated that the reshaped gut microbiota may accelerate alcohol metabolism, regulate lipid homeostasis and maintain immune balance by bacterial functional potential prediction (PICRUSt). Fecal microbiota transplantation from mice that had undergone H₂ inhalation significantly alleviated acute alcoholic liver injury. In summary, the present study showed that H₂ inhalation alleviated liver injury by reducing oxidative stress and inflammation, while also improving intestinal flora and enhancing the intestinal barrier. H₂ inhalation may serve as an effective intervention for preventing and treating ALD in a clinical context.

Molecular hydrogen positively influences lateral root formation by regulating hydrogen peroxide signaling

Although a previous study discovered that exogenous molecular hydrogen (H₂) supplied with hydrogen-rich water (HRW) can mediate lateral root (LR) development, whether or how endogenous H₂ influences LR formation is still elusive. In this report, mimicking the induction responses in tomato seedlings achieved by HRW or exogenous hydrogen peroxide (H₂O₂; a positive control), transgenic Arabidopsis that overexpressed the hydrogenase1 gene (CrHYD1) from Chlamydomonas reinhardtii not only stimulated endogenous hydrogen peroxide (H₂O₂) production, but also markedly promoted LR formation. Above H₂ and H₂O₂ responses were abolished by the removal of endogenous H₂O₂. Moreover, the changes in transcriptional patterns of representative cell cycle genes and auxin signaling-related genes during LR development in both tomato and transgenic Arabidopsis thaliana matched with above phenotypes. The alternations in the levels of GUS transcripts driven by the CYCB1 promoter and expression of PIN1 protein further indicated that H₂O₂ synthesis was tightly linked to LR formation achieved by endogenous H₂, and cell cycle regulation and auxin-dependent pathway might be their targets. There results might provide a reference for molecular mechanism underlying the regulation of root morphogenesis by H₂.

The effects of hydrogen treatment in a cigarette smoke solution-induced chronic obstructive pulmonary disease-like changes in an animal model

Background

Molecular hydrogen, with its antioxidant and anti-inflammatory properties, may be suitable for the prevention and treatment of chronic obstructive pulmonary disease (COPD). This study aims to investigate the therapeutic efficacy of hydrogen-oxygen (H₂/O₂) treatment in cigarette smoke solution (CSS)-induced COPD-like injury in a female BALB/c mouse model.

Methods

Thirty mice were randomly assigned to three groups: Control (n=8), COPD (n=10), and COPD + H₂/O₂ (n=12). CSS was administered by intraperitoneal (IP) injection twice weekly for 6 weeks during the COPD induction phase. Simultaneously, the COPD + H₂/O₂ group started received 75 minutes of inhalation therapy (42% H₂) delivered by the Oxy-Hydrogen Generator twice daily for 9 weeks. Mice body weights and survival were measured throughout the study period. Neutrophil elastase (NE) activity and lung histopathological changes were also evaluated.

Results

The results showed a higher survival rate in the COPD + H₂/O₂ group compared to the COPD group (100% vs. 80%) during the induction phase. Slight decreases in body weight gains were observed in the COPD and COPD + H₂/O₂ groups during the first 15 days of the induction phase, but there was no significant difference in mean body weights among the three groups throughout the study period. NE activity was numerically lower in the COPD + H₂/O₂ group compared to the COPD group. The histopathological evaluation showed significant improvements in the H₂/O₂-treated mice with respect to mean linear intercept (MLI) and lesion (inflammation and emphysema) scores. Improvements in goblet cell hypertrophy and hyperplasia of airway epithelium were not significant.

Conclusions

A 9-week H_2/O₂ inhalation therapy delivered by the Oxy-Hydrogen Generator to CSS-induced COPD-like injury in mice showed improvement in survival rate, alveolar structural changes, and histopathological lesion scores of the lung.

Biocompatibility evaluation of peo-treated magnesium alloy implants placed in rabbit femur condyle notches and paravertebral muscles

BACKGROUND

Magnesium alloys have been receiving much attention for use in biodegradable metal implants because of their excellent mechanical properties and biocompatibility. However, their rapid breakdown and low bioactivity can cause the implant to lose mechanical integrity before the bone is completely healed. Moreover, hydrogen gas released during degradation can significantly delay the tissue regeneration process. To solve the instability of magnesium alloys, Zn and Ca can be added to improve the mechanical properties and biocompatibility. One other way to improve the mechanical properties of Mg is plasma electrolytic oxidation (PEO), which provides a dense, thick ceramic-like coating on the Mg surface. In this study, high-purity Mg was selected as the control, and Mg-1wt%Zn-0.1wt%Ca alloy and PEO-treated Mg-1wt%Zn-0.1wt%Ca alloy were selected as the test materials; the results of radiographic and histological analyses of their biocompatibility are reported herein.

MATERIALS AND METHOD

Nineteen New Zealand white rabbits were used in the study. Rod-bars (Ø2.7 × 13.6 mm) were placed on both paravertebral muscles, and cannulated screws (Ø2.7x10mm) were placed on both femur condyle notches. Each animal was implanted in all four sites. X-rays were taken at 0, 2, 4, 8, and 12 weeks, micro-CT, and live-CT were taken at 4, 8, and 12 weeks. At weeks 4, 8, and 12, individuals representing each group were selected and sacrificed to prepare specimens for histopathological examination.

RESULT

The results confirm that in vivo, Mg-1wt%Zn-0.1wt%Ca alloy had higher corrosion resistance than high-purity Mg and safely degraded over time without causing possible side effects (foreign body or inflammatory reactions, etc.). In addition, PEO treatment of Mg-1wt%Zn-0.1wt%Ca alloy had a positive effect on fracture recovery by increasing the bonding area with bone.

CONCLUSION

Our results suggest that PEO treatment of Mg-1wt%Zn-0.1wt%Ca alloy can be a promising biomaterials in the field of various clinical situations such as orthopedic and maxillofacial surgerys.

Analytical study to determine the optical properties of gold nanoparticles in the visible solar spectrum

In this work the optical properties of the formed gold nanoparticles, that obtained upon reducing the gold(I):6-thioguanosine hydrogel by dimethylamine borane (DMAB) have been studied. The analytical measurements to calculate the optical band gap showed a significant narrowing in the optical band gap value (E_g). Tauc plot was used to estimate the optical band gap (Eg) with the direct and indirect allowed transitions, before and after the reducing process. Narrowing the band gap is very important to increase the efficiency of the semiconductor material as it leads to absorbing in the visible region of the solar spectrum.

Hydrogen inhalation promotes recovery of a patient in persistent vegetative state from intracerebral hemorrhage: A case report and literature review

BACKGROUND

Persistent vegetative state (PVS) is a devastating and long-lasting clinical condition with high morbidity and mortality; currently, there are no available effective interventions.

CASE SUMMARY

We report the case of an 11-year-old boy with PVS caused by severe intracerebral bleeding in the left hemisphere following anticoagulation treatment. The patient’s PVS severity showed no notable improvement after 2-mo neuroprotective treatment and rehabilitation, including nerve growth factor and baclofen, hyperbaric oxygen, and comprehensive bedside rehabilitation therapies. Daily inhalation treatment (4-6 h) of high-concentration hydrogen (H₂) gas (66.6% H₂ + 33.3% O₂) was provided. Surprisingly, the patient’s orientation, consciousness, ability to speak, facial expressions, and locomotor function were significantly restored, along with improvements in essential general health status, after H₂ gas inhalation treatment, which was consistent with stabilized neuropathology in the left hemisphere and increased Hounsfield unit values of computed tomography in the right hemisphere. The patient finally recovered to a near normal conscious state with a Coma Recovery Scale-Revised Score of 22 from his previous score of 3.

CONCLUSION

Phase 1 clinical trials are needed to explore the safety and efficacy of H₂ gas inhalation in patients with PVS.

Magnesium hydride confers copper tolerance in alfalfa via regulating nitric oxide signaling

Magnesium hydride (MgH₂) as a solid-state hydrogen source might be potentially applied in industry and medicine. However, its biological function in plants has not yet been fully discovered. In this report, it was observed that MgH₂ administration could relieve copper (Cu) toxicity in alfalfa that was confirmed by a reduction in root growth inhibition. By using old MgH₂ as a negative control, it was concluded that above MgH₂ function was primarily derived from the releasing of molecular hydrogen (H₂), but not caused by either magnesium metabolites or pH alteration. Further results revealed that Cu-triggered nitric oxide (NO) production was intensified by MgH₂. Subsequent pharmacological and biochemical experiments suggested that nitrate reductase might be mainly responsible for NO production during above processes. Cu accumulation in the root tissues was also obviously reduced in the presence of MgH₂. Meanwhile, increased non-protein thiols (NPTs) content and the deposition of Cu in cell wall of seedling roots could be used to explain the mechanism underlying MgH₂-alleviated Cu toxicity via NO signaling. Further, the plant redox balance was reestablished since the Cu stress-modulated antioxidant enzymes activities, reactive oxygen species (ROS) accumulation, and oxidative injury detected by in vivo histochemical and biochemical analyses, were differentially abolished by MgH₂. The above responses could be blocked by the removal of endogenous NO after the addition of its scavenger. Taken together, these results clearly suggested that MgH₂ control of plant tolerance against Cu toxicity might be mediated by NO signaling, which might open a new window for the application of solid-state hydrogen materials in agriculture.

Gender-based differences in neuroprotective effects of hydrogen gas against intracerebral hemorrhage-induced depression

BACKGROUND

Post-stroke depression (PSD) severely affects recovery in patients with intracerebral hemorrhage (ICH). Although hydrogen gas (H₂) exerts excellent neuroprotective effects in patients with ICH, there are sex-based differences in H₂ efficacy in several diseases. Herein, we determined whether estrogen increases susceptibility to the neuroprotective effects of H₂ in males with ICH-induced depression.

METHODS

A rodent model of ICH in the basal ganglia was established using autologous blood injection (30 μL). Mice were treated with 2.9% H₂ for 2 h daily for 3 days post-ICH. Estrogen (1 mg/kg) was administered by subcutaneous injection daily for 3 days to male mice post-ICH. Thirty days post-ICH, PSD was evaluated by sucrose preference, forced swimming, and 3-chamber social tests. Following the completion of behavioral tests, levels of superoxide dismutase (SOD) and reactive oxygen species (ROS), astrocytic activation, phosphorylated (p)-NF-κB-positive astrocytes, p-NF-κB, p-IKKβ, IL-1β, and IL-6 expression were determined.

RESULTS

Compared with female mice, H₂ administration post-ICH exhibited fewer neuroprotective effects, including decreased sucrose consumption and time spent sniffing a novel mouse, increased immobility time, downregulated total SOD content, upregulated ROS content and p-NF-κB levels, and elevated astrocyte branches, whereas estrogen enhanced the neuroprotective effects of H₂ in male mice. A reduced number of p-NF-κB-positive astrocytes, downregulated expression of p-NF-κB, p-IKKβ, IL-1β, and IL-6 in the amygdala were demonstrated in ICH-males treated with estrogen plus H₂.

CONCLUSIONS

Estrogen was responsible for increased H₂ sensitivity in male mice with ICH. The underlying mechanism may be associated with the suppression of NF-κB signaling in astrocytes.

Enhancement of methane production by anaerobic digestion of corn straw with hydrogen-nanobubble water

Hydrogen-nanobubble water was proposed to enhance methane production by anaerobic digestion (AD) with corn straw. The effects of H₂-nanobubble water (H₂-NBW) amounts (0%, 20%, 40%, 60%, 80%, and 100%) on methane production characteristics of corn straw were explored. The results showed that the methane yields were increased by 11.54%∼25.29% compared with the control group(CK), and the maximum cumulative methane production reached to 254.36 mL·g-VS^-1 when the H₂-NBW addition was of 60%. Interestingly, the maximum methane concentration increased by 4.37% compared with CK. H₂-NBW addition can destroy the cellulose structure of corn straw, reduce the crystallinity of cellulose, and promote the hydrolysis. The degradation rate of cellulose and hemicellulose were increased by 20%∼33% and 13% ∼25.7% respectively, and the removal rate of TS and VS were increased by 6.82%-27.93% and 8.52%-21.47%, respectively. The modified Gompertz equation fitted the cumulative methane production curves very well, with high correlation coefficients (R² > 0.992).

Effective orthophosphate removal from surface water using hydrogen-oxidizing bacteria: Moving towards applicability

Effective orthophosphate removal strategies are needed to counteract eutrophication and guarantee water quality. Previously, we established that hydrogen-oxidizing bacteria (HOB) have the ability to remove orthophosphate from artificial surface water. In the present study, we expand the application of the HOB orthophosphate removal strategy (1) to treat artificial surface water with low initial orthophosphate concentrations, (2) to treat real surface water and real wastewater effluent, and (3) to remove orthophosphate continuously. For synthetic surface water, irrespective of the initial concentration of 0.7, 0.5, 0.3, and 0.1 mg PO₄^3--P/L, ultra-low concentrations (0.0058 ± 0.0028 mg PO₄^3--P/L) were obtained. When artificial surface water was replaced by real surface water, without added nutrients or other chemicals, it was shown that over 90% orthophosphate could be removed within 30 min of operation in a batch configuration (0.031 ± 0.023 mg PO₄^3--P/L). In continuous operation, orthophosphate removal from surface water left an average concentration of 0.040 ± 0.036 for 60 days, and the lowest orthophosphate concentration measured was 0.013 mg PO₄^3-/L. Simultaneously, nitrate was continuously removed for 60 days below 0.1 mg/L. The ability to remove orthophosphate even under nitrogen limiting conditions might be related to the ability of HOB to fix nitrogen. This study brings valuable insights into the potential use of HOB biofilms for nutrient remediation and recovery.

Glutathione produced by γ-glutamyl cysteine synthetase acts downstream of hydrogen to positively influence lateral root branching

Hydrogen gas (H₂) mediation of lateral root (LR) branching was previously described. However, related signaling pathway is largely unexplored. In this study, we discovered that application with H₂ using hydrogen-rich water, mimicking the responses of exogenous glutathione (GSH), not only enhanced GSH synthesis, but also induced tomato LR development. The changes in the transcripts of auxin signaling-related genes and cell cycle regulatory genes were matched with above phenotypes. The addition of H₂ could trigger higher transcript levels of SlGSH1 and SlGSH2, encoding γ-glutamylcysteine synthetase (γ-ECS) and glutathione synthetase (GS), confirming the stimulation of GSH synthesis. These responses were greatly abolished when the inhibitor of γ-ECS was applied. The inhibition in lateral root primordium development, especially in emergence stage, was also observed. Genetic evidence revealed that the defects in GSH production and lateral rooting in Arabidopsis cad2-1, a γ-ECS defective mutant, were obviously abolished in the presence of GSH compared to those in the presence of H₂. Further evidence revealed that mRNA levels of target genes elicited by H₂ in wild-type, were differentially impaired in mutant plants. Together, above data clearly demonstrated that γ-ECS-dependent GSH production might be closely associated with H₂ control of LR branching.

The conundrum of waste cooking oil: Transforming hazard into energy

Waste cooking oil (WCO) is considered as one of the hazardous wastes because improper disposal of WCO can cause significant environmental problems such as blockages of drains and sewers as well as water or soil pollution. In this review, the physical and chemical properties of WCO are evaluated along with its regulations and policies in different countries to promote WCO refined biofuels. Blended WCO can be an auxiliary fuel for municipal solid waste incinerators while the heat produced is able to form superheated steam and subsequently generate electricity via combined heat and power system. Also, WCO contains high ratio of hydrogen atoms compared to carbon and oxygen atoms, making it able to be catalytically cracked, synthesizing hydrogen gas. WCO-based biodiesel has been traditionally produced by transesterification in order to substitute petroleum-based diesel which has non-degradability as well as non-renewable features. Hence, the potentials of hazardous WCO as a green alternative energy source for electricity generation, hydrogen gas as well as biofuels production (e.g. biodiesel, biogas, biojet fuel) are critically discussed due to its attractive psychochemical properties as well as its economic feasibility. Challenges of the WCO utilization as a source of energy are also reported while highlighting its future prospects.

Randomized double-blind placebo-controlled trial of hydrogen inhalation for Parkinson's disease: a pilot study

BACKGROUND

Oxidative stress is involved in the progression of Parkinson's disease (PD). Recent studies have confirmed that molecular hydrogen (H₂) functions as a highly effective antioxidant in animal models of PD. A placebo-controlled, randomized, double-blind, parallel-group clinical pilot study was conducted to assess the efficacy of hydrogen gas inhalation in Japanese patients with PD on treatment with levodopa.

METHODS

Twenty participants fulfilling the Movement Disorder Society criteria were enrolled. Participants inhaled 6.5 (0.1) vol% hydrogen gas in 2 L/min of mixed air or placebo air for 16 weeks, twice a day for 1 h.

RESULTS

Five participants were excluded due to deviation from the protocol of the total duration of inhalation < 112 h. No significant differences were seen in the change in the total Movement Disorder Society Unified Parkinson's Disease Rating Scale score from baseline to the 16^th week between the group that inhaled hydrogen gas and the group that inhaled placebo air (Mann-Whitney U test, p > 0.05). No adverse events were seen. The compliance to the protocol-based duration of inhalation time in all participants decreased with the elderly participants, the higher daily dose of levodopa, and the higher PDQ-39 items on emotions (n = 20, p < 0.05).

CONCLUSION

This pilot study revealed that the inhalation of molecular hydrogen gas was safe, but did not show any beneficial effects in patients with PD.

TRIAL REGISTRATION

UMIN ID: 000,039,217 (October 6, 2018).

Protective Effect of Hydrogen Gas on Mouse Hind Limb Ischemia-Reperfusion Injury

BACKGROUND

The aim of this study was to investigate the mechanism of hydrogen gas on hind limb IR injury.

METHODS

Male C57BL/6 mice were randomly divided into three groups: sham group (Sham), ischemia-reperfusion group (IR), IR plus H₂ inhalation group (IR + H₂). IR was induced by interrupting hind limb blood flow for 3h, followed by 4h of reperfusion, and H₂ was administered by inhalation throughout the reperfusion process. Our data show that H₂ inhalation could significantly decrease the infarct-affected tissue volume (P < 0.05), attenuate the degree of morphological injury (P < 0.05), and suppress the level of oxidative stress damage (P < 0.05), compared with the IR group. In exploring the underlying mechanisms, we found that hydrogen could markedly mitigate the degree of IR-induced ER stress and apoptosis (P < 0.05). Additionally, hydrogen could markedly inhibit the IR injury by modulating the phosphorylated c-Jun N-terminal kinase (JNK) signaling pathway (P < 0.05).

CONCLUSIONS

Taken together, these results revealed the protective effect of hydrogen gas on hind limb ischemia reperfusion injury on mice by attenuating oxidative stress, impairing ER stress and apoptosis, and its ability to modulate JNK signaling pathway.

Neuroprotective and Preventative Effects of Molecular Hydrogen

One of the beneficial effects of molecular hydrogen (H₂, hydrogen gas) is neuroprotection and prevention of neurological disorders. It is important and useful if taking H₂ every day can prevent or ameliorate the progression of neurodegenerative disorders, such as Parkinson's disease or Alzheimer's disease, both lacking specific therapeutic drugs. There are several mechanisms of how H₂ protects neuronal damage. Anti-oxidative, anti-inflammatory, and the regulation of the endocrine system via stomach-brain connection seem to play an important role. At the cellular and tissue level, H₂ appears to prevent the production of reactive oxygen species (ROS), and not only hydroxy radical (•OH) but also superoxide. In Parkinson's disease model mice, chronic intake of H₂ causes the release of ghrelin from the stomach. In Alzheimer's disease model mice, sex-different neuroprotection is observed by chronic intake of H₂. In female mice, declines of estrogen and estrogen receptor-β (ERβ) are prevented by H₂, upregulating brain-derived neurotrophic factor (BDNF) and its receptor, tyrosine kinase receptor B (TrkB). The question of how drinking H₂ upregulates the release of ghrelin or attenuates the decline of estrogen remains to be investigated and the mechanism of how H₂ modulates endocrine systems and the fundamental question of what or where is the target of H₂ needs to be elucidated for a better understanding of the effects of H₂.

Hydrogen Commonly Applicable from Medicine to Agriculture: From Molecular Mechanisms to the Field

The emerging field of hydrogen biology has to date mainly been applied in medicine. However, hydrogen biology can also enable positive outcomes in agriculture. Agriculture faces significant challenges resulting from a growing population, climate change, natural disasters, environmental pollution, and food safety issues. In fact, hydrogen agriculture is a practical application of hydrogen biology, which may assist in addressing many of these challenges. It has been demonstrated that hydrogen gas (H₂) may enhance plant tolerance towards abiotic and biotic stresses, regulate plant growth and development, increase nutritional values, prolong the shelf life, and decrease the nitrite accumulation during the storage of vegetables, as well as increase the resilience of livestock to pathogens. Our field trials show that H₂ may have a promising potential to increase yield and improve the quality of agricultural products. This review aims to elucidate mechanisms for a novel agricultural application of H₂ in China. Future development of hydrogen agriculture is proposed as well. Obviously, hydrogen agriculture belongs to a low carbon economy, and has great potential to provide "safe, tasty, healthy, and high-yield" agricultural products so that it may improve the sustainability of agriculture.

Semidry acid hydrolysis of cellulose sustained by autoclaving for production of reducing sugars for bacterial biohydrogen generation from various cellulose feedstock

Cellulosic biowastes are one of the cheapest and most abundant renewable organic materials on earth that can be, subsequent to hydrolysis, utilized as an organic carbon source for several fermentation biotechnologies. This study was devoted to explore a semidry acid hydrolysis of cellulose for decreasing the cost and ionic strength of the hydrolysate. For semidry acid hydrolysis, cellulose was just wetted with HCl (0 to 7 M) and subjected to autoclaving. The optimum molar concentration of HCl and period of autoclaving for semidry acid hydrolysis of cellulose were 6 M and 50 min respectively. Subsequent to the semidry acid hydrolysis with a minimum volume of 6 M HCl sustained by autoclaving, the hydrolysate was diluted with distilled water and neutralized with NaOH (0.5 M). The reducing sugars produced from the semidry acid hydrolysis of cellulose was further used for dark fermentation biohydrogen production by Escherichia coli as a representative of most hydrogen producing eubacteria which cannot utilize non-hydrolyzed cellulose. An isolated E. coli TFYM was used where this bacterium was morphologically and biochemically characterized and further identified by phylogenetic 16S rRNA encoding gene sequence analysis. The reducing sugars produced by semidry acid hydrolysis could be efficiently utilized by E. coli producing 0.4 mol H₂ mol^-1 hexose with a maximum rate of hydrogen gas production of 23.3 ml H₂ h^-1 L^-1 and an estimated hydrogen yield of 20.5 (L H₂ kg^-1 dry biomass). The cheap cellulosic biowastes of wheat bran, sawdust and sugarcane bagasse could be hydrolyzed by semidry acid hydrolysis where the estimated hydrogen yield per kg of its dry biomass were 36, 18 and 32 (L H₂ kg^-1 dry biomass) respectively indicating a good feasibility of hydrogen production from reducing sugars prepared by semidry acid hydrolysis of these cellulosic biowastes. Semidry acid hydrolysis could also be effectively used for hydrolyzing non-cellulosic polysaccharides of dry cyanobacterial biomass. The described semidry acid hydrolysis of cellulosic biowastes in this study might be applicable not only for bacterial biohydrogen production but also for various hydrolyzed cellulose-based fermentation biotechnologies.

Small Intestinal Bacterial Overgrowth Syndrome: A Guide for the Appropriate Use of Breath Testing

The increased availability of noninvasive breath tests, each with limitations, has led to widespread testing for small intestinal bacterial overgrowth (SIBO) in patients with non-specific gastrointestinal complaints. The lactulose breath test (LBT) is based upon an incorrect premise and therefore incorrect interpretations which has resulted in the over-diagnosis of SIBO and the excessive use of antibiotics in clinical practice. Despite limitations, the glucose breath test (GBT) should be exclusively employed when considering SIBO in appropriately chosen patients. This review suggests guidelines for the optimal use and appropriate interpretation of the GBT for suspected SIBO. The LBT should be discarded from future use, and the literature based upon the LBT should be discounted accordingly.

Genetic elucidation of hydrogen signaling in plant osmotic tolerance and stomatal closure via hydrogen sulfide

Although ample evidence showed that exogenous hydrogen gas (H₂) controls a diverse range of physiological functions in both animals and plants, the selective antioxidant mechanism, in some cases, is questioned. Importantly, most of the experiments on the function of H₂ in plants were based on pharmacological approaches due to the synthesis pathway(s) in plants are still unclear. Here, we observed that the seedling growth inhibition of Arabidopsis caused by low doses of mannitol could progressively recover by recuperation, accompanied with the increased hydrogenase activity and H₂ synthesis. To investigate the functions of endogenous H₂, a hydrogenase gene (CrHYD1) for H₂ biosynthesis from Chlamydomonas reinhardtii was expressed in Arabidopsis. Transgenic plants could intensify higher H₂ synthesis compared with wild type and Arabidopsis transformed with the empty vector, and exhibited enhanced osmotic tolerance in both germination and post-germination stages. In response to mannitol, transgenic plants enhanced _L-Cys desulfhydrase (DES)-dependent hydrogen sulfide (H₂S) synthesis in guard cells and thereafter stomatal closure. The application of des mutant further highlights H₂S acting as a downstream molecule of endogenous H₂ control of stomatal closure. These results thus open a new window for increasing plant tolerance to osmotic stress.

Effects of hydrogen gas production, trapping and bubble-facilitated transport during nanoscale zero-valent iron (nZVI) injection in porous media

The injection of nanoscale zero-valent iron (nZVI) can be an effective technique for the treatment of groundwater contaminants, including chlorinated solvents. However, its effectiveness can be limited by natural reductant demand (NRD) reactions, including the reduction of water resulting in the production of hydrogen gas. This study presents results from a series of laboratory experiments to investigate gas production and mobilization following the injection of nZVI solutions, along with sodium borohydride (NaBH₄) that is used for nZVI synthesis. Experiments were performed in a thin, two-dimensional flow cell (22 × 34 × 1 cm³) to measure hydrogen gas volumes and local gas saturations, and to investigate the distribution of gas within and above the injection zone. An additional experiment was conducted in a larger flow cell (150 × 150 × 2 cm³) containing dissolved trichloroethene (TCE) to assess changes in aqueous flow pathways and enhanced vertical transport of TCE by mobilized gas. The results showed substantial gas production (60% to 740% of the injected solution volume) resulting in gas mobilization as a network of gas channels above the injection zone, with more gas produced from greater excess NaBH₄ used during nZVI synthesis. Trapped gas saturations were sufficient to cause the diversion of aqueous flow around the nZVI injection zone. In addition, gas production and mobilization resulted in the bubble-facilitated transport of TCE, and detectable concentrations of TCE and reaction products (ethane and ethene) above the target treatment zone.

Low-Flow Nasal Cannula Hydrogen Therapy

Background

Molecular hydrogen (H₂) is a biologically active gas that is widely used in the healthcare sector. In recent years, on-site H₂ gas generators, which produce high-purity H₂ by water electrolysis, have begun to be introduced in hospitals, clinics, beauty salons, and fitness clubs because of their ease of use. In general, these generators produce H₂ at a low-flow rate, so physicians are concerned that an effective blood concentration of H₂ may not be ensured when the gas is delivered through a nasal cannula. Therefore, this study aimed to evaluate blood concentrations of H₂ delivered from an H₂ gas generator via a nasal cannula.

Methods

We administered 100% H₂, produced by an H₂ gas generator, at a low-flow rate of 250 mL/min via a nasal cannula to three spontaneously breathing micro miniature pigs. An oxygen mask was placed over the nasal cannula to administer oxygen while minimizing H₂ leakage, and a catheter was inserted into the carotid artery to monitor the arterial blood H₂ concentration.

Results

During the first hour of H₂ inhalation, the mean (standard error (SE)) H₂ concentrations and saturations in the arterial blood of the three pigs were 1,560 (413) nL/mL and 8.85% (2.34%); 1,190 (102) nL/mL and 6.74% (0.58%); and 1,740 (181) nL/mL and 9.88% (1.03%), respectively. These values are comparable to the concentration one would expect if 100% of the H₂ released from the H₂ gas generator is taken up by the body.

Conclusions

Inhalation of 100% H₂ produced by an H₂ gas generator, even at low-flow rates, can increase blood H₂ concentrations to levels that previous non-clinical and clinical studies demonstrated to be therapeutically effective. The combination of a nasal cannula and an oxygen mask is a convenient way to reduce H₂ leakage while maintaining oxygenation.

NO is involved in H2-induced adventitious rooting in cucumber by regulating the expression and interaction of plasma membrane H+-ATPase and 14-3-3

NO was involved in H₂-induced adventitious rooting by regulating the protein and gene expressions of PM H⁺-ATPase and 14-3-3. Simultaneously, the interaction of PM H⁺-ATPase and 14-3-3 protein was also involved in this process. Hydrogen gas (H₂) and nitric oxide (NO) have been shown to be involved in plant growth and development. The results in this study revealed that NO was involved in H₂-induced adventitious root formation. Western blot (WB) analysis showed that the protein abundances of plasma membrane H⁺-ATPase (PM H⁺-ATPase) and 14-3-3 protein were increased after H₂, NO, H₂ plus NO treatments, whereas their protein abundances were down regulated when NO scavenger carboxy-2-(4-carboxyphenyl)-4,4,5,5-tetramethylimidazoline-1-oxyl-3-oxide (cPTI O) was added. Moreover, the mRNA abundances of the HA3 and 14-3-3(7) gene as well as the activities of PM H⁺-ATPase (EC 3.6.1.35) and H⁺ pump were in full agreement with the changes of protein abundance. Phosphorylation of PM H⁺-ATPase and the interaction of PM H⁺-ATPase and 14-3-3 protein were detected by co-immunoprecipitation analysis. H₂ and NO significantly up regulated the phosphorylation of PM H⁺-ATPase and the interaction of PM H⁺-ATPase and 14-3-3 protein. Conversely, the stimulation of PM H⁺-ATPase phosphorylation and protein interaction were significantly diminished by cPTIO. Protein interaction activator fusicoccin (FC) and inhibitor adenosine monophosphate (AMP) of PM H⁺-ATPase and 14-3-3 were used in this study, and the results showed that FC significantly increased the abundances of PM H⁺-ATPase and 14-3-3, while AMP showed opposite trends. We further proved the critical roles of PM H⁺-ATPase and 14-3-3 protein interaction in NO-H₂-induced adventitious root formation. Taken together, our results suggested that NO might be involved in H₂-induced adventitious rooting by regulating the expression and the interaction of PM H⁺-ATPase and 14-3-3 protein.

iTRAQ-based quantitative proteomic analysis of the therapeutic effects of 2% hydrogen gas inhalation on brain injury in septic mice

Sepsis encephalopathy (SAE) has a high incidence and mortality rate in patients with sepsis; however, there is currently no effective treatment. Our previous studies have reported that 2% hydrogen (H₂) gas inhalation had a protective effect on sepsis and SAE; however, the specific mechanism have not been fully elucidated. In the current study, male Institute of Cancer Research mice were either used to create the cecal ligation and puncture (CLP) model or for sham surgery, followed by 2% H₂ gas inhalation for 60 min beginning at 1 and 6 h following sham or CLP surgeries. The isobaric tags for relative and absolute quantitation (iTRAQ)-based quantitative proteomics combined with liquid chromatography-tandem mass spectrometry (LC-MS/MS) analysis, hematoxylin and eosin (H&E) staining, Nissl staining, and western blot analysis were used to investigate the effects of H₂ on brain injury in mice with sepsis. The results of the H&E, and Nissl staining indicated that the CLP mice had a significant brain injury, which was characterized by aggravated pathological damage and was alleviated by 2% H₂ inhalation. Quantitative proteomics based on iTRAQ combined with LC-MS/MS analysis quantified a total of 5317 proteins, of which 39 were connected with the protective mechanism of H₂. In addition, H₂ could regulate the immune and the coagulation systems. Furthermore, western blot analysis revealed that H₂ decreased SAE in septic mice by downregulating the protein expression levels of SMAD4, DPYS, PTGDS and upregulating the expression level of CUL4A. These results provide insights into the mechanism of the positive effect of H₂ on SAE and contribute to the clinical application of H₂ in patients with sepsis.

The role and proteomic analysis of ethylene in hydrogen gas-induced adventitious rooting development in cucumber (Cucumis sativus L.) explants

Previous studies have shown that both hydrogen gas (H₂) and ethylene (ETH) play positive roles in plant adventitious rooting. However, the relationship between H₂and ETH during this process has not been explored and remains insufficiently understood. In this study, cucumber (Cucumis sativus L.) was used to explore the proteomic changes in ETH-H₂-induced rooting. Our results show that hydrogen-rich water (HRW) and ethylene-releasing compound (ethephon) at proper concentrations promote adventitious rooting, with maximal biological responses occurring at 50% HRW or 0.5 µM ethephon. ETH inhibitors aminoethoxyvinylglycine (AVG) and AgNO₃ cause partial inhibition of adventitious rooting induced by H₂, suggesting that ETH might be involved in H₂-induced adventitious rooting. According to two-dimensional electrophoresis (2-DE) and mass spectrometric analyses, compared with the control, 9 proteins were up-regulated while 15 proteins were down-regulated in HRW treatment; four proteins were up-regulated while 10 proteins were down-regulated in ethephon treatment; and one protein was up-regulated while nine proteins were down-regulated in HRW+AVG treatment. Six of these differentially accumulated proteins were further analyzed, including photosynthesis -related proteins (ribulose-1,5-bisphosphate carall boxylase smsubunit (Rubisco), sedoheptulose-1,7-bisphosphatase (SBPase), oxygen-evolving enhancer protein (OEE1)), amino and metabolism-related protein (threonine dehydratase (TDH)), stress response-related protein (cytosolic ascorbate peroxidase (CAPX)), and folding, modification and degradation-related protein (protein disulfide-isomerase (PDI)). Moreover, the results of real-time PCR about the mRNA levels of these genes in various treatments were consistent with the 2-DE results. Therefore, ETH may be the downstream signaling molecule during H₂- induced adventitious rooting and proteins Rubisco, SBPase, OEE1, TDH, CAPX and PDI may play important roles during the process.

Methods for the Addition of Redox Compounds

Often in redox biology experiments there is a need to add compounds which impinge on the redox of the cellular environment cell. Such compounds may include reactive oxygen species (ROS), such as hydrogen peroxide (H₂O₂), reactive nitrogen species such as nitric oxide (NO), hydrogen sulfide (H₂S), or even hydrogen gas (H₂). It is not always easy or obvious how such compounds should be used. Gases may be supplied and used in the gaseous form, but this is often not convenient. Alternative methods may involve donor molecules that release into solution the relevant compound, but the actual compound released needs to be considered, along with the kinetics of that release and the by-products that might be remain. Therefore, the method of delivery of redox active compounds needs to have careful consideration before more complex experiments are undertaken. This chapter covers some of the more common methods employed and discusses some of the pros and cons of such methods.

Simultaneous hydrogen production and pollutant removal from olive mill wastewaters using electrohydrolysis process

Management of olive mill wastewaters is one of the most challenging environmental issue in Mediterranean countries due to its high organic load, color, presence of phenolic compounds and need for high energy cost. Performance of electrohydrolysis (EH) process in terms of removal of organic compounds, detoxification and discoloration of olive mill wastewater (OMW) with simultaneous energy production in the hydrogen gas form has been investigated using aluminum electrodes. Different reaction times and electric potential gradients have been tested in order to determine the most effective conditions for removal of pollutants. The optimum reaction time and current were determined as 8 h and 8 V, respectively. Under these conditions, removal efficiencies for tCOD, suspended solids, color and phenol were obtained as 73%, 84%, 91% and 75%, respectively. At the end of the operating period of 8 h, 1037 ml hydrogen gas was obtained. The results show that electrohydrolysis process can be used as an alternative solution for the management of OMW and the process can be upgraded with a better reactor design or combined with different treatment processes to achieve a better effluent quality to meet discharge standards.

Hydrogen gas therapy induced shrinkage of metastatic gallbladder cancer: A case report

BACKGROUND

We present the case of a 72-year-old female patient with gallbladder cancer (GBC) who developed in situ recurrence and liver metastases 9 mo after irreversible electroporation ablation and oral tegafur (a fluoropyrimidine derivative) chemotherapy, which failed to control the progression of the disease. The patient further developed metastases in the lymph nodes around the head of the pancreas. The patient had severe anemia, requiring weekly blood transfusions. The gallbladder tumor invaded the descending part of the duodenum, causing intestinal leakage and hepatic colonic adhesion.

CASE SUMMARY

The patient refused other treatments and began daily hydrogen inhalation therapy. After 1 mo of treatment, the gallbladder and liver tumors continued to progress, and intestinal obstruction occurred. After continuous hydrogen therapy and symptomatic treatments including gastrointestinal decompression and intravenous nutrition support, the intestinal obstruction was gradually relieved. Three months after hydrogen therapy, the metastases in the abdominal cavity gradually reduced in size, her anemia and hypoalbuminemia were corrected, lymphocyte and tumor marker levels returned to normal, and the patient was able to resume normal life.

CONCLUSION

This is the first report of an efficacy and safety study about hydrogen therapy in patient with metastatic GBC and a critical general condition, who has remained stable for more than 4 months.

Hydrogen gas alleviates toxic effects of cadmium in Brassica campestris seedlings through up-regulation of the antioxidant capacities: Possible involvement of nitric oxide

Hydrogen gas (H₂) has been shown as an important factor in plant tolerance to abiotic stresses, but the underlying mechanisms remain unclear. In the present study, the effects of H₂ and its interaction with nitric oxide (NO) on alleviating cadmium (Cd) stress in Brassica campestris seedlings were investigated. NO donor (SNP) or hydrogen-rich water (HRW) treatment showed a significant improvement in growth of Cd-stressed seedlings. Cd treatment upregulated both endogenous NO and H₂ (36% and 66%, respectively), and the increase of H₂ was prior to NO increase. When treated with NO scavenger (PTIO) or NO biosynthesis enzyme inhibitors (L-NAME and Gln), HRW-induced alleviation under Cd stress was prevented. Under Cd stress, HRW pretreatment significantly enhanced the NO accumulation, and together up-regulated the activity of NR (nitrate reductase) and expression of NR. HRW induced lower reactive oxygen species (ROS), higher AsA content, enhanced activity of POD (peroxidase) and SOD (superoxide dismutase) in seedling roots were inhibited by PTIO, L-NAME and Gln. Through proteomic analysis, the level of 29 proteins were changed in response to H₂ and NO-induced amelioration of Cd stress. Nearly half of them were involved in oxidation-reduction processes (about 20%) or antioxidant enzymes (approximately 20%). These results strongly indicate that in Cd-stressed seedlings, pretreatment with HRW induces the accumulation of H₂ (biosynthesized or permeated), which further stimulates the biosynthesis of NO through the NR pathway. Finally, H₂ and NO together enhance the antioxidant capabilities of seedlings in response to Cd toxicity.

Hydrogen gas inhalation enhances alveolar macrophage phagocytosis in an ovalbumin-induced asthma model

BACKGROUND

Maintaining an airway clear of bacteria, foreign particles and apoptotic cells by alveolar macrophages is very essential for lung homeostasis. In asthma, the phagocytic capacity of alveolar macrophages is significantly reduced, which is thought to be associated with increased oxidative stress. Hydrogen (H₂) has been shown to exert potent antioxidant and anti-inflammatory effects, yet its effects on phagocytosis of alveolar macrophages are unknown. This study is aimed to evaluate the beneficial effects of hydrogen gas inhalation on alveolar macrophage phagocytosis in an ovalbumin (OVA)-induced murine asthma model.

METHODS

Female C57BL/6 mice were intraperitoneally sensitized with OVA before they were subject to airway challenge with aerosolized OVA. Hydrogen gas was delivered to the mice through inhalation twice a day (2 h once) for 7 consecutive days. Phagocytic function of alveolar macrophages isolated from bronchoalveolar lavage fluid was assessed by fluorescence-labeled Escherichia coli as well as flow cytometry.

RESULTS

Alveolar macrophages isolated from OVA-induced asthmatic mice showed decreased phagocytic capacity to Escherichia coli when compared with those of control mice. Defective phagocytosis in asthmatic mice was reversed by hydrogen gas inhalation. Hydrogen gas inhalation significantly alleviated OVA-induced airway hyperresponsiveness, inflammation and goblet cell hyperplasia, diminished T_H2 response and decreased IL-4 as well as IgE levels, reduced malondialdehyde (MDA) production and increased superoxide dismutase (SOD) activity. Concomitantly, hydrogen gas inhalation inhibited NF-κB activation and markedly activated Nrf2 pathway in OVA-induced asthmatic mice.

CONCLUSIONS

Our findings demonstrated that hydrogen gas inhalation enhanced alveolar macrophage phagocytosis in OVA-induced asthmatic mice, which may be associated with the antioxidant effects of hydrogen gas and the activation of the Nrf2 pathway.

Protective effects of hydrogen gas in a rat model of branch retinal vein occlusion via decreasing VEGF-α expression

Background

Oxidative stress (OS) is an essential factor in the pathogenesis of branch retinal vein occlusion (BRVO). Studies have demonstrated the role of hydrogen gas in the regulation of OS. This study was designed to evaluate the efficacy of hydrogen gas on the BRVO rat model.

Methods

Twenty-four BRVO rats were randomly divided into two groups: the hydrogen gas (H) group (42% H₂, 21% O₂, 37% N₂) and the model (M) group (21% O₂, 79% N₂). Rats in the H group inhaled hydrogen gas for 8 h every day up to 30 d post-occlusion. Twelve age-matched healthy rats served as the control (C) group. Retinal function and morphology were detected at 1, 7, 14 and 30 d post-occlusion. Furthermore, the expression of vascular endothelial growth factor (VEGF-α) was detected by immunofluorescent staining.

Results

Full-field electroretinography (ffERG) revealed that the amplitude of the b-wave (dark-adaptation 3.0 response), the amplitude of the OPs2 wave and the light-adapted flicker response in the H group were all higher than those in the M group at 7 d post-occlusion (all p < 0.05). The reopen time of occlusive retinal vessels in the H group was 2.235 ± 1.128 d, which was shorter than that in the M group (4.234 ± 2.236 d, p < 0.05). The rats in the H group had a thinner IPL + GCL + NFL and an increased total retina compared with those in the M group at 3 d post-occlusion (p < 0.05), while the rats in the H group had a thicker INL, IPL + GCL + NFL and total retina compared with those at 7, 14 and 30 d post-occlusion (p < 0.05). Moreover, the flow velocity of ear vein blood was increased in the H group compared with that in the M group (p < 0.05). The expression of VEGF-α in the H group was dramatically decreased compared with that in the M group at 1, 7 and 14 d post-occlusion (p < 0.05), while the expression kept in similar level at 30 d post-occlusion (p > 0.05).

Conclusions

Our findings demonstrate that inhalation of hydrogen gas could alleviate retinal oedema, shorten reopen time and improve retinal function, and the potential mechanism might be related to a decrease in VEGF-α expression.

Radiographic and histologic effects of bone morphogenetic protein-2/hydroxyapatite within bioabsorbable magnesium screws in a rabbit model

Background

Hydrogen gas formed by magnesium (Mg) screw corrosion can accumulate around the implant and create bone cysts, long-term osteolysis lesions, and bone healing delay. Thus, several authors currently do not recommend Mg implants for clinical use. In contrast, bone morphogenetic proteins (BMP)-2 have a very strong osteoinductive activity. The purpose of this study was to evaluate the effect of rhBMP-2/hydroxyapatite (HA) inside specially designed Mg cannulated screws in a rabbit femur model for hydrogen gas formation avoidance.

Methods

Fifteen rabbits underwent randomly different cannulated Mg screw implantation in both distal femora; 30 femora were divided into three groups depending on the materials fill in the cannulated Mg screw: control group (Mg screw with no treatment), HA group (Mg screw with HA), and BMP-2/HA group (Mg screw with a composite BMP-2/HA). Plain radiography, micro-CT, and histological analysis were accomplished, and the ability to release BMP-2 of the screws was evaluated by immersion of both the screw with no treatment and screw with a composite BMP-2/HA into the SBF for up to 7 days.

Results

X-ray assessment found the gas shadow around the implant was slightly smaller in the BMP-2/HA group than the HA and control groups at 8 weeks. Micro-CT analysis demonstrated statistically significant higher new bone formation in the BMP-2/HA group than the other groups, respectively, which also correlated with a decreased gas volume. Histological analysis showed higher osteointegration between implants and host femurs in the BMP-2/HA group than the HA and control groups at 12 weeks.

Conclusions

This study indicates that the combination of BMP-2/HA within Mg screws enhances new bone formation and therefore has the potential to decrease the complications of hydrogen gas formation around these implants.

Immunoassay for pathogenic bacteria using platinum nanoparticles and a hand-held hydrogen detector as transducer. Application to the detection of Escherichia coli O157:H7

An innovative approach is presented for portable and sensitive detection of pathogenic bacteria. A novel synthetic hybrid nanocomposite encapsulating platinum nanoparticles, as a highly efficient catalyst, catalyzes the hydrolysis of the ammonia-borane complex to generate hydrogen gas. The nanocomposites are used as a label for immunoassays. A portable hand-held hydrogen detector combined with nanocomposite-induced signal conversion was applied for point-of-care testing of pathogenic bacteria. A hand-held hydrogen detector was used as the transducer. Escherichia coli O157:H7 (E. coli O157: H7), as detection target, formed a sandwich structure with magnetic beads and hybrid nanocomposites. Magnetic beads were used for separation of the sandwich structure, and hybrid nanocomposites as catalysts to catalyze the generation of hydrogen from ammonia-borane. The generated hydrogen was detected by a hydrogen detector using an electrochemical method. E. coli O157:H7 has a detection limit of 10 CFU·mL^-1. The immunosensor made the hand-held hydrogen detector a point-of-care meter to be used outdoors for the detection and quantification of targets beyond hydrogen. Graphical abstract Schematic presentation of one-pot synthetic peptide-Cu₃(PO₄)₂ hybrid nanocomposites embedded PtNPs (PPNs), encapsulating many Pt particles. The PPNs acts as an ideal immunoprobe for hand-held H₂ detector signal readouts, by transforming pathogenic bacteria recognition events into H₂ signals.

Effect of induction hydroxy and hydrogen along with algal biodiesel blend in a CI engine: a comparison of performance and emission characteristics

Gaseous fuel as a combustion enhancer with a pilot fuel offers significant benefits in improving engine efficiency. Hydrogen and hydroxy are the two most common gaseous fuels that have been widely investigated in the CI engine but which one performs best is still inconvenient. In this study, hydrogen and hydroxy were injected with BD40 (v/v) separately in a common diesel engine to compare the performance and emission characteristics of these fuels. Engine performance parameters include brake thermal efficiency (BTE) and brake-specific energy consumption (BSEC), and exhaust emissions include hydrocarbon (HC), CO, CO₂, NOx, and smoke opacity. The induction of both hydroxy and hydrogen with BD40 has a positive effect on engine performance and emissions except NOx when compared to neat diesel fuel and BD40. The BTE of hydroxy-rich BD40 increased by 7.2% while BSEC reduced by 7.6% as compared to BD40 with hydrogen. The CO, HC, and smoke opacity of hydroxy-operated engine was found to be better than hydrogen-inducted engine. The NOx emission increased with the induction of both gaseous fuels and hydroxy-enriched BD40 produced 12.5% more emission than hydrogen-operated BD40 engine. Thus, more concisely, hydroxy-operated biodiesel engine performed better than hydrogen engine in terms of BTE, BSEC, CO, HC, and smoke opacity.

Hydrogen gas reduces HMGB1 release in lung tissues of septic mice in an Nrf2/HO-1-dependent pathway

BACKGROUND

Lung injury is a vital contributor of mortality in septic patients. Our previous studies have found that molecular hydrogen (H₂), which has anti-oxidant, anti-inflammatory, and anti-apoptosis effects, had a therapeutic effect on a septic animal model through increasing expression of nuclear factor-erythroid 2-related factor 2 (Nrf2). The aim of this research was to investigate the effects of 2% H₂ gas inhalation on sepsis-induced lung injury and its underlying mechanisms.

METHODS

Male wild-type (WT) and Nrf2-knockout (Nrf2-KO) ICR mice underwent sham or cecal ligation and puncture (CLP) operation. Two percent of H₂ gas was inhaled for 60 min beginning at both 1 h and 6 h after sham or CLP surgery. To assess the severity of septic lung injury, the 7-day survival rate, wet/dry (W/D) weight ratio of lung tissue, lung histopathologic score, pro-inflammatory cytokines (tumor necrosis factor alpha (TNF-α), interleukin 6 (IL-6), high-mobility group box 1 (HMGB1)), anti-inflammatory cytokine (interleukin 10 (IL-10)), antioxidant enzymes (superoxide dismutase (SOD), catalase (CAT), and heme oxygenase 1 (HO-1)), and an oxidative product (malondialdehyde (MDA)) were detected after sham or CLP operation. The histopathologic changes were observed in lung tissues by hematoxylin and eosin (HE) staining, and pro-inflammatory cytokines (TNF-α and IL-6), anti-inflammatory cytokine (IL-10), antioxidant enzymes (SOD and CAT), and MDA were detected in lung tissues by an enzyme-linked immunosorbent assay (ELISA).

RESULTS

The results indicated that 2% H₂ gas treatment increased the survival rates, decreased the W/D weight ratio and the lung injury score, alleviated the injuries caused by oxidative stress and inflammation, and induced HO-1 level but reduced HMGB1 level in WT but not Krf2-KO mice. These data reveal that H₂ gas could suppress lung injury in septic mice through regulation of HO-1 and HMGB1 expression and that Nrf2 plays a main role in the protective effects of H₂ gas on lung damage caused by sepsis.

Removal of phosphate from River water using a new baffle plates electrochemical reactor

During the last 50 years, the human activities have significantly altered the natural cycle of phosphate in this planet, causing phosphate to accumulate in the freshwater ecosystems of some countries to at least 75% greater than preindustrial levels, which indicates an urgent need to develop efficient phosphate treatment methods. Therefore, the current study investigates the removal of phosphate from river water using a new electrochemical cell (PBPR). This new cell utilises perforated baffle plates as a water mixer rather than magnetic stirrers that require power to work. This study investigates the influence of key operational parameters such as initial pH (ipH), current density (Ј), inter-electrode distance (ID), detention time (t) and initial phosphate concentration (IC) on the removal efficiency, and influence of the electrocoagulation process on the morphology of the surface of electrodes.

Overall, the results showed that the new reactor was efficient enough to reduce the concentration of phosphate to the permissible limits. Additionally, SEM images showed that the Al anode became rough and nonuniform due to the production of aluminium hydroxides. The main advantages of the electrocoagulation technique are:

•

The EC method does not produce secondary pollutants as it does not required chemical additives, while other traditional treatment methods required either chemical or biological additives [[1], [2], [3], [4]].

•

It has a large treatment capacity and a relatively short treatment time in comparison with other treatment methods, such as the biological methods [1,[5], [6], [7]].

•

The EC method produces less sludge than traditional treatment traditional chemical and biological treatment methods [8,9].

EC technology, like any other treatment method, has some drawbacks that could limit its performance. For instance, it still has a clear deficiency in the variety of reactor design, and the electrodes should be periodically replaced as they dissolve into the solution due to the oxidation process [2,10].

Post-reperfusion hydrogen gas treatment ameliorates ischemia reperfusion injury in rat livers from donors after cardiac death: a preliminary study

BACKGROUND AND PURPOSE

We reported previously that hydrogen gas (H₂) reduced hepatic ischemia and reperfusion injury (IRI) after prolonged cold storage (CS) of livers retrieved from heart-beating donors. The present study was designed to assess whether H₂ reduced hepatic IRI during donation of a cardiac death (DCD) graft with subsequent CS.

METHODS

Rat livers were harvested after 30-min cardiac arrest and stored for 4 h in University of Wisconsin solution. The graft was reperfused with oxygenated buffer, with or without H₂ (H₂ or NT groups, respectively), at 37° for 90 min on isolated perfused rat liver apparatus.

RESULTS

In the NT group, liver enzyme leakage, apoptosis, necrosis, energy depletion, redox status, impaired microcirculation, and bile production were indicative of severe IRI, whereas in the H₂ group these impairments were significantly suppressed. The phosphorylation of cytoplasmic MKK4 and JNK were enhanced in the NT group and suppressed in the H₂ group. NFkB-p65 and c-Fos in the nucleus were unexpectedly unchanged by IRI regardless of H₂ treatment, indicating the absence of inflammation in this model.

CONCLUSION

H₂ was observed to ameliorate IRI in the DCD liver by maintaining microcirculation, mitochondrial functions, and redox status, as well as suppressing the cytoplasmic MKK4-JNK-mediated cellular death pathway.

Hydrogen gas inhalation protects against cigarette smoke-induced COPD development in mice

Background

Chronic obstructive pulmonary disease (COPD) is a chronic lung disease with limited treatment options. Hydrogen (H₂) has been shown to be anti-oxidative and anti-inflammatory. This study aimed to evaluate the beneficial effects of H₂ inhalation on COPD development in mice.

Methods

A COPD mouse model was established in male C57BL mice by cigarette smoke (CS) exposure. The H₂ intervention was administered by atomisation inhalation. Lung functions were assessed by using Buxco lung function measurement system. The inflammatory cells were counted and the levels of IL-6 and KC in BALF were assayed with ELISA. The lung tissue was subjected to H&E or PAS or Masson's trichrome stain. Furthermore, 16HBE cells were used to evaluate the effects of H₂ on signaling change caused by hydrogen peroxide (H₂O₂). H₂O₂ was used to treat 16HBE cells with or without H₂ pretreatment. The IL-6 and IL-8 levels in cell culture medium were measured. The levels of phosphorylated ERK1/2 and nucleic NF-κB in lungs and 16HBE cells were determined.

Results

H₂ ameliorated CS-induced lung function decline, emphysema, inflammatory cell infiltration, small-airway remodelling, goblet-cell hyperplasia in tracheal epithelium and activated ERK1/2 and NF-κB in mouse lung. In 16HBE airway cells, H₂O₂ increased IL-6 and IL-8 secretion in conjunction with ERK1/2 and NF-κB activation. These changes were reduced by H₂ treatment.

Conclusions

These findings demonstrated that H₂ inhalation could inhibit CS-induced COPD development in mice, which is associated with reduced ERK1/2 and NF-κB-dependent inflammatory responses.

Hydrogen gas inhibits lung cancer progression through targeting SMC3

Lung cancer is one of the most common lethal malignancies in the globe. The patients' prognoses are dim due to its high metastatic potential and drug resistance. Therefore, in the present study, we aim to find a more potent therapeutic approach for lung cancer. We mainly explored the function of hydrogen gas (H₂) on cell viability, apoptosis, migration and invasion in lung cancer cell lines A549 and H1975 by CCK-8, flow cytometry, wound healing and transwell assays, respectively. We used RNA-seq, qPCR and western blotting to detect the different expression genes (DEGs) between H₂ group and control group to find the gene related to chromosome condensation. Besides, we confirmed the structural maintenance of chromosomes 3 (SMC3) and H₂ on the progression of lung cancer in vitro and vivo. Results showed that H₂ inhibited cell viability, migration and invasion, and catalyzed cell apoptosis and H₂ induced A549 and H1975 cells G2/M arrest. Besides, H₂ down-regulated the expression of NIBPL, SMC3, SMC5 and SMC6, and also reduced the expression of Cyclin D1, CDK4 and CDK6. H₂ translocated the subcellular location of SMC3 during cell division and decreased its stability and increased its ubiquitination in both A549 and H1975 cells. In addition, inhibition of the proliferation, migration and invasion and promotion of the apoptosis of A549 and H1975 cells induced by H₂ were all abolished when overexpressed SMC3 in the presence of H₂. Animal experimental assay demonstrated that the tumor weight in H₂ group was significantly smaller than that in control group, but was bigger than cis-platinum group. The expression of Ki-67, VEGF and SMC3 were decreased when mice were treated with H₂ or cis-platinum, especially for cis-platinum. All data suggested that H₂ inhibited lung cancer progression through down-regulating SMC3, a regulator for chromosome condensation, which provided a new method for the treatment of lung cancer.

Hydrogen-rich water alleviates the toxicities of different stresses to mycelial growth in Hypsizygus marmoreus

In plants, hydrogen gas (H₂) enhances tolerance to several abiotic stresses, including salinity and heavy metals. However, the effect of H₂ on fungal growth under different stresses remains largely unclear. In this study, hydrogen-rich water (HRW) was employed to characterize physiological roles and molecular mechanisms of H₂ in the alleviation of three different stresses in basidiomycete Hypsizygus marmoreus. Our results showed that HRW treatment, of which the H₂ concentration was 0.8 mM, significantly reduced the toxicities of CdCl₂, NaCl and H₂O₂, leading to significantly improved mycelial growth and biomass. These beneficial effects could be attributed to a significantly decreased formation of malondialdehyde (MDA). Besides, HRW treatment significantly increased the activities of antioxidants (SOD, CAT and GR) as well as the gene expressions of these antioxidants (SOD, CAT, and GR) at the mRNA level. In vivo detection of reactive oxygen species (ROS), including H₂O₂ and O₂⁻, as well as lipid peroxidation provided further evidence that HRW could significantly improve tolerances of CdCl₂, NaCl and H₂O₂. Furthermore, pyruvate kinase was activated in the mycelia treated with HRW, along with its induced gene expression, suggesting that HRW treatment enhanced the glucose metabolism. Taken together, our findings suggested that the usage of HRW could be an effective approach for contaminant detoxification in H. marmoreus, which was similar with the effects of HRW in plants, and such effects could be also beneficial in entire agricultural system.

Linking hydrogen-enhanced rice aluminum tolerance with the reestablishment of GA/ABA balance and miRNA-modulated gene expression: A case study on germination

Although previous results showed that exogenous hydrogen (H₂) alleviated aluminum (Al) toxicity, the detailed mechanism remains unclear. Here, we reported that the exposure of germinating rice seeds to Al triggered H₂ production, followed by a decrease of GA/ABA ratio and seed germination inhibition. Compared to inert gas (argon), H₂ pretreatment not only strengthened H₂ production and alleviated Al-induced germination inhibition, but also partially reestablished the balance between GA and ABA. By contrast, a GA biosynthesis inhibitor paclobutrazol (PAC) could block the H₂-alleviated germination inhibition. The expression of GA biosynthesis genes (GA20ox1 and GA20ox2) and ABA catabolism genes (ABA8ox1 and ABA8ox2), was also induced by H₂. Above results indicated that GA/ABA might be partially involved in H₂ responses. Subsequent results revealed that compared with Al alone, transcripts of miR398a and miR159a were decreased by H₂, and expression levels of their target genes OsSOD2 and OsGAMYB were up-regulated. Whereas, miR528 and miR160a transcripts were increased differentially, and contrasting tendencies were observed in the changes of their target genes (OsAO and OsARF10). The transcripts of Al-tolerant gene OsSTAR1/OsSTAR2 and OsFRDL4 were up-regulated. Above results were consistent with the anti-oxidant defense, decreased Al accumulation, and enhanced citrate efflux. Together, our results provided insight into the mechanism underlying H₂-triggered Al tolerance in plants.

Energy efficient electrocoagulation using a new flow column reactor to remove nitrate from drinking water - Experimental, statistical, and economic approach

In this investigation, a new bench-scale electrocoagulation reactor (FCER) has been applied for drinking water denitrification. FCER utilises the concepts of flow column to mix and aerate the water. The water being treated flows through the perforated aluminium disks electrodes, thereby efficiently mixing and aerating the water. As a result, FCER reduces the need for external stirring and aerating devices, which until now have been widely used in the electrocoagulation reactors. Therefore, FCER could be a promising cost-effective alternative to the traditional lab-scale EC reactors. A comprehensive study has been commenced to investigate the performance of the new reactor. This includes the application of FCER to remove nitrate from drinking water. Estimation of the produced amount of H₂ gas and the yieldable energy from it, an estimation of its preliminary operating cost, and a SEM (scanning electron microscope) investigation of the influence of the EC process on the morphology of the surface of electrodes. Additionally, an empirical model was developed to reproduce the nitrate removal performance of the FCER. The results obtained indicated that the FCER reduced the nitrate concentration from 100 to 15 mg/L (World Health Organization limitations for infants) after 55 min of electrolysing at initial pH of 7, GBE of 5 mm, CD of 2 mA/cm², and at operating cost of 0.455 US $/m³. Additionally, it was found that FCER emits H₂ gas enough to generate a power of 1.36 kW/m³. Statistically, the relationship between the operating parameters and nitrate removal could be modelled with R² of 0.848. The obtained SEM images showed a large number dents on anode's surface due to the production of aluminium hydroxides.

Hydrogen Gas Inhalation Treatment in Acute Cerebral Infarction: A Randomized Controlled Clinical Study on Safety and Neuroprotection

BACKGROUND

Molecular hydrogen (H₂) acts as a therapeutic antioxidant. Inhalation of H₂ gas (1-4%) was effective for the improvement of cerebral infarction in multiple animal experiments. Thus, for actual applications, a randomized controlled clinical study is desired to evaluate the effects of inhalation of H₂ gas. Here, we evaluate the H₂ treatment on acute cerebral infarction.

METHODS

Through this randomized controlled clinical study, we assessed the safety and effectiveness of H₂ treatment in patients with cerebral infarction in an acute stage with mild- to moderate-severity National Institute of Health Stroke Scale (NIHSS) scores (NIHSS = 2-6). We enrolled 50 patients (25 each in the H₂ group and the control group) with a therapeutic time window of 6 to 24 hours. The H₂ group inhaled 3% H₂ gas (1 hour twice a day), and the control group received conventional intravenous medications for the initial 7 days. The evaluations included daily vital signs, NIHSS scores, physical therapy indices, weekly blood chemistry, and brain magnetic resonance imaging (MRI) scans over the 2-week study period.

RESULTS

The H₂ group showed no significant adverse effects with improvements in oxygen saturation. The following significant effects were found: the relative signal intensity of MRI, which indicated the severity of the infarction site, NIHSS scores for clinically quantifying stroke severity, and physical therapy evaluation, as judged by the Barthel Index.

CONCLUSIONS

H₂ treatment was safe and effective in patients with acute cerebral infarction. These results suggested a potential for widespread and general application of H₂ gas.

Image-Guided Hydrogen Gas Delivery for Protection from Myocardial Ischemia-Reperfusion Injury via Microbubbles

Cardiomyocyte death induced by ischemia-reperfusion is a major cause of morbidity and mortality worldwide. Hydrogen (H₂), as an antioxidant, has been shown to have great potential in preventive and therapeutic applications against lethal injury that occurs from ischemia-reperfusion. However, H₂ is sparingly soluble in water, resulting in its poor bioavailability in blood and damaged tissues. Here, we have developed an ultrasound-visible H₂ delivery system by loading H₂ inside microbubbles (H₂-MBs) to prevent myocardial ischemia-reperfusion injury. Using this system, the concentration of H₂ in unit volume can be greatly improved under normal temperature and pressure conditions. H₂-MBs can be visually tracked with ultrasound imaging systems and can effectively release their therapeutic gas. In vivo systemic delivery of H₂-MBs in myocardial ischemic rats at the start of reperfusion resulted in a significant reduction of infarct size and pathological remodeling. Further analysis showed that this approach markedly inhibited cardiomyocyte apoptosis and reduced myocardial inflammation and oxidant damage in myocardial ischemia-reperfusion rats. These results indicate that H₂-MBs are a promising visual delivery system for H₂-based therapeutic applications.

Hydrogen Gas Ameliorates Hepatic Reperfusion Injury After Prolonged Cold Preservation in Isolated Perfused Rat Liver

Hydrogen gas reduces ischemia and reperfusion injury (IRI) in the liver and other organs. However, the precise mechanism remains elusive. We investigated whether hydrogen gas ameliorated hepatic I/R injury after cold preservation. Rat liver was subjected to 48-h cold storage in University of Wisconsin solution. The graft was reperfused with oxygenated buffer with or without hydrogen at 37° for 90 min on an isolated perfusion apparatus, comprising the H₂ (+) and H₂ (-) groups, respectively. In the control group (CT), grafts were reperfused immediately without preservation. Graft function, injury, and circulatory status were assessed throughout the perfusion. Tissue samples at the end of perfusion were collected to determine histopathology, oxidative stress, and apoptosis. In the H₂ (-) group, IRI was indicated by a higher aspartate aminotransferase (AST), alanine aminotransferase (ALT) leakage, portal resistance, 8-hydroxy-2-deoxyguanosine-positive cell rate, apoptotic index, and endothelial endothelin-1 expression, together with reduced bile production, oxygen consumption, and GSH/GSSG ratio (vs. CT). In the H₂ (+) group, these harmful changes were significantly suppressed [vs. H₂ (-)]. Hydrogen gas reduced hepatic reperfusion injury after prolonged cold preservation via the maintenance of portal flow, by protecting mitochondrial function during the early phase of reperfusion, and via the suppression of oxidative stress and inflammatory cascades thereafter.