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  4. The Molecular Biological Mechanism of Hydrogen Therapy and Its Application in Spinal Cord Injury

The Molecular Biological Mechanism of Hydrogen Therapy and Its Application in Spinal Cord Injury

Drug Design, Development and Therapy, 2024 · DOI: https://doi.org/10.2147/DDDT.S463177 · Published: April 29, 2024

Spinal Cord InjuryPharmacologyGenetics

Simple Explanation

Hydrogen, a novel biomedical molecule, is being researched for its anti-inflammatory, antioxidant, and antiapoptotic effects, showing promise in treating various diseases, including spinal cord injury. This review explores the potential molecular mechanisms of hydrogen therapy in treating spinal cord injury, aiming to understand its medical value and offer new options for adjuvant treatment. Hydrogen is now recognized as being the fourth signaling gas molecule after Nitric Oxide (NO), Carbon monoxide (CO), and Hydrogen sulfide (H2S) and is considered a novel medical gas molecule.

Study Duration
Not specified
Participants
Animal experiments and in vitro cell experiments
Evidence Level
Review

Key Findings

  • 1
    Hydrogen exhibits selective antioxidant action by eliminating excessive harmful free radicals and alleviating cellular damage, thereby promoting recovery from conditions such as cerebral ischemia.
  • 2
    Hydrogen possesses anti-inflammatory effects by reducing the generation of inflammatory factors and increasing the release of anti-inflammatory factors, impacting various inflammatory mediators.
  • 3
    Hydrogen can promote cell protection, mitochondrial biogenesis, adenosine triphosphate (ATP) generation, an increased NAD(+)/NADH ratio, Phase II enzymes for cell protection, heat shock proteins, and sirtuins, among other effects.

Research Summary

This paper provides a comprehensive review of the potential molecular biology mechanisms of hydrogen therapy and its application in treating SCI. Hydrogen has been proven to possess anti-inflammatory, selective antioxidant, and antiapoptotic effects, thus exhibiting considerable protective effects in various diseases. Since 2010, 12 studies on the protective effect of hydrogen on SCI have been published (Table 1), which have preliminarily confirmed the potential protective effect of hydrogen on SCI.

Practical Implications

Adjuvant SCI Treatment

Hydrogen therapy may provide new avenues for the adjuvant treatment of SCI.

Clinical Translation

Findings from basic and preclinical studies may translate into new conventional treatments for SCI.

Diagnostic Potential

Further research is needed to explore the possibility of using hydrogen as a diagnostic biomarker for SCI.

Study Limitations

  • 1
    Limited clinical research on hydrogen therapy for SCI.
  • 2
    Lack of research on contraindications for hydrogen therapy.
  • 3
    Comparatively few studies have investigated the effects of hydrogen treatment in comparison to other therapeutic drugs.

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