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A Systematic Review of Molecular Hydrogen Therapy in Cancer Management

Muhammad Nooraiman Zufayri Mohd Noor, Adlin Sofea Alauddin, Yin How Wong, Chung Yeng Looi, Eng Hwa Wong, Priya Madhavan, Chai Hong Yeong

Asian Pacific Journal of Cancer Prevention · 2023 · 24(1) · 37-47

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Abstract

Background: Cancer remains a challenging target to cure, with present therapeutic methods unable to exhibit restorative outcomes without causing severe negative effects. Molecular hydrogen (H2) has been reported to be a promising adjunctive therapy for cancer treatment, having the capability to induce anti-proliferative, anti-oxidative, pro-apoptotic and anti-tumoural effects. This review summarises the findings from various articles on the mechanism, treatment outcomes, and overall effectiveness of H2 therapy on cancer management. Methods: Using Cochrane, PubMed, and Google Scholar as the search engines, full-text articles in the scope of the study, written in English and within 10 years of publication were selected. Results: Out of the 677 articles, 27 articles fulfilled the eligibility criteria, where data was compiled into a table, outlining the general characteristics and findings. Throughout the different forms of H2 administration, study design and types of cancers reported, outcomes were found to be consistent. Conclusion: From our analysis, H2 plays a promising therapeutic role as an independent therapy as well as an adjuvant in combination therapy, resulting in an overall improvement in survivability, quality of life, blood parameters, and tumour reduction. Although more comprehensive research is needed, given the promising outcomes, H2 is worth considering for use as a complement to current cancer therapy.

Study details

Article type
Systematic Review / Meta-Analysis
Disease / injury model
Cancer (various types: lung, liver, colorectal, gastric, gallbladder, endometrial, ovarian, neuroblastoma, glioblastoma, renal, etc.)
Dose comparison
The review notes varying concentrations of hydrogen used across studies (e.g., 0.27–0.4 ppm, 0.55-0.65 mM for HRW, 67% for inhalation), and discusses that higher concentrations (e.g., 67% H2 gas) are commonly used for inhalation, but no direct dose-response relationship is established due to study heterogeneity.
Dose-dependent effect
No
Outcome
Positive
Findings
Molecular hydrogen (H2) therapy demonstrates consistent anti-proliferative, anti-oxidative, pro-apoptotic, and anti-tumoural effects across in vitro, in vivo, and clinical studies in cancer management. H2 improves survivability, quality of life, blood parameters, and reduces tumour size, both as an independent and adjunctive therapy, with no major adverse effects reported.

Classification

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Highlighted ArticlesMethods of Administration ComparedDose/Concentration ComparedDrug/Therapy/Supplement ComparedPharmacokinetics Discussed