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Systematic ReviewHighlighted

Molecular hydrogen therapy in musculoskeletal conditions: An evidence-based review and critical analysis

MHID-43477742026World Journal of Orthopedics

Naveen Jeyaraman, Madhan Jeyaraman, Swaminathan Ramasubramanian, Shrideavi Murugan, Arulkumar Nallakumarasamy, Sathish Muthu

Molecular hydrogen (H2) demonstrates selective antioxidant and anti-inflam- matory properties with therapeutic potential across musculoskeletal conditions including osteoarthritis, rheumatoid arthritis, exercise-induced muscle damage, chronic pain syndromes, tendinopathies, and muscle atrophy. This review critically evaluates preclinical and clinical evidence for H2 therapy and identifies research

Animal StudyHighlighted

Hydrogen-rich water improves endurance by reducing skeletal muscle oxidative stress and inflammatory responses

MHID-8967574PMID: 416411602026Frontiers in Nutrition

Eika Mizuno, Tatsuhiro Sato, Kosuke Okada, Ikuru Miura, Junichi Shoda, Makoto Saito, et al.

Introduction: Hydrogen-rich water (HRW) has been reported to reduce oxidative stress, suppress exercise fatigue, and enhance recovery. However, the molecular mechanisms of its effects on exercise capacity, especially during the early stages of adaptation in physically inactive individuals, remain unclear. Methods: Male 8-week-old C57BL/6 J mice were provided with purified water or HRW for 1, 2, 4,

Observational StudyHighlighted

Association Between Hydrogen-Rich Water Consumption and Lower Extremity Function in Older Adults Participating in Community Salons: A Prospective Observational Study

MHID-67657942026medRxiv

Yuusuke Harada, Michiko Miyakawa

Background: Falls among older adults are a leading cause of fractures, loss of independence, and need for long-term care. Community salons in Japan promote social participation and health activities among older adults. Hydrogen-rich water is widely used as a health product, but evidence in community settings remains limited. Methods: We conducted a prospective observational study among 48 communit

Animal StudyIn VitroHighlighted

Mechanism by which hydrogen-rich water mitigates exercise-induced fatigue: activation of the immunoresponsive gene 1-itaconate/nuclear factor erythroid 2-related factor 2/heme oxygenase-1 pathway

MHID-1663779PMID: 405801852026Medical Gas Research

Yinyin Zhang, Yajing Ying, Xianpeng Zu, Lingling Ding, Xuan Shi, Jing Wang, et al.

Exercise-induced fatigue limits athletic performance. Molecular hydrogen is an effective treatment for relieving fatigue, but the exact mechanism is not clear. In our study, a mouse model of fatigue was established to explore the molecular mechanism by which hydrogen-rich water reduces exercise-induced fatigue. The results showed that hydrogen-rich water improved the motor function of fatigue mice

Clinical TrialAnimal StudyHighlighted

Effect of hydrogen inhalation on functional characteristics and intestinal gas biomarkers in wrestlers during physical exercise

MHID-05612832025Sportivnaya meditsina: nauka i praktika (Sports medicine: research and practice)

Oleg S. Medvedev, Aleksey A. Uzhakov, Olga L. Konnova, Oxana V. Povarova

Purpose of the study: to investigate the effect of periodic hydrogen inhalations for one month on the main performance characteristics, lactate levels and other biochemical parameters determined in the blood of young wrestlers after physical activity. Materials and methods. 10 healthy volunteer athletes took part in a prospective clinical study. The analysis of hydrogen and methane levels in exha

Clinical TrialHighlighted

Hydrogen-rich water supplementation exhibits dose- and age-dependent effects on delayed-onset muscle soreness in professional soccer players

MHID-96660182025Journal of Physical Education and Sport

Jakub Krejčí, Michal Botek, Shigeo Ohta, Klara Botkova, Andrew McKune

Problem Statement: Effective inter-match recovery plays a crucial role in preserving performance and preventing injuries in well-trained soccer players. In this context, molecular hydrogen has attracted increasing attention in sports science due to its selective antioxidative, anti-inflammatory, and cell-signaling properties that may facilitate recovery. Among the various administration methods, h

Literature ReviewHighlighted

Exploring the Potential of Molecular Hydrogen in Different Heart Failure Models: A Review

MHID-2922681PMID: 413737252025International Journal of Molecular Sciences

Daria Kornieieva, Barbora Kalocayova, Jan Slezak, Branislav Kura

Heart failure (HF) is increasing in prevalence in many countries around the world. HF is a complex clinical syndrome characterized by the heart’s inability to pump blood effectively, resulting in significant morbidity and mortality. After an initial cardiac event (e.g., myocardial infarction, valve dysfunction, hypertension, etc.), adaptive mechanisms are activated to preserve cardiac function. Su

Animal StudyHighlighted

Preventing Cisplatin-Induced Neuropathy and Related Emotional Disorders with the Coadministration of Duloxetine and Hydrogen-Rich Water in Male and Female Mice

MHID-2282117PMID: 408679002025Antioxidants

Ignacio Martínez-Martel, Sylmara Esther Negrini-Ferrari, Olga Pol

Cisplatin (CIS)-induced peripheral neuropathy and associated comorbidities have a detrimental effect on the lives of cancer patients. Currently, there are no effective therapies to alleviate these symptoms. Duloxetine (DULO) is a recommended treatment, but it is linked with important side effects, thus making it essential to explore novel approaches. We examined the impact of a prophylactic treatm

Animal StudyIn VitroHighlighted

A H2-bioreactor for mitochondrial rehabilitation in infected bone defects regeneration

MHID-7283969PMID: 417999532025Materials Today Bio

Chunru Kong, Chao Si, Haofeng Liu, Yawen Wang, Jiakai Qiao, Xiaoduo Tang, et al.

The repair of infected bone defects (IBDs) presents a significant clinical challenge due to recurrent infections and inflammation. Characterized by reactive oxygen species (ROS) bursts and mitochondrial dysfunction, IBDs generates to a vicious oxidation-inflammation cycle that impairs bone remodeling. To address this, we developed a double-network hydrogel scaffold composed of phenylboronic acid-m

Literature ReviewObservational StudyHighlighted

A Case Report of Adjuvant Molecular Hydrogen Therapy in Refractory Rheumatoid Arthritis With Atlantoaxial Subluxation

MHID-3682903PMID: 411676902025IN VIVO

YOU‐CHI REN, JENG‐WEI LU, YI‐JUNG HO, SHAN‐WEN LUI, TING‐YU HSIEH, KUANG‐YIH WANG, et al.

Background/Aim: Rheumatoid arthritis (RA) is a chronic autoimmune disease affecting synovial joints, often causing to joint destruction and systemic comorbidities. Cervical spine involvement, especially atlantoaxial subluxation (AAS), can lead to spinal cord compression and neurological deficits. While disease‑modifying antirheumatic drugs (DMARDs) are standard therapy, intolerance to agents like

Animal StudyIn VitroHighlighted

Long-term administration of hydrogen-rich water enhances quality of life in diabetic rats and reduces renal neoplasm incidence through modulation of inflammatory and metabolic pathways

MHID-4061148PMID: 406876592025Translational Andrology and Urology

Qijie Chen, Shaoqing Yu, Yating Pan, Hong Tang, Yang Wang, Ninghan Feng, et al.

Background: Diabetes mellitus (DM) is a chronic metabolic disorder characterized by persistent hyperglycemia, leading to severe systemic complications and reduced quality of life. Current therapies often fail to comprehensively alleviate diabetic complications, highlighting the need for novel approaches. Animal studies and clinical trials have demonstrated the therapeutic potential of molecular hy

Animal StudyEx VivoHighlighted

Degradation products of magnesium implant synergistically enhance bone regeneration: Unraveling the roles of hydrogen gas and alkaline environment

MHID-4421003PMID: 398164752025Bioactive Materials

Yuanming An, Haozhi Zhang, Shi’an Zhang, Yuantao Zhang, Lizhen Zheng, Xin Chen, et al.

Biodegradable magnesium (Mg) implant generally provides temporary fracture fixation and facilitates bone regeneration. However, the exact effects of generated Mg ions (Mg2+), hydrogen gas (H2), and hydroxide ions (OH-) by Mg degradation on enhancing fracture healing are not fully understood. Here we investigate the in vivo degradation of Mg intramedullary nail (Mg-IMN), revealing the generation of

Animal StudyIn VitroEx VivoHighlighted

Hydrogen activates ACOD1-itaconate pathway to ameliorate steroid-associated osteonecrosis

MHID-9370665PMID: 404119852025Biomaterials

Yuanming An, Lizhen Zheng, Shi’an Zhang, Haozhi Zhang, Yuantao Zhang, Hongwei Shao, et al.

Steroid-associated osteonecrosis (SAON) remains a challenging clinical condition as there are few effective preventive measures. This study investigates the effects of hydrogen (H2) administrated via saturated hydrogen-rich water (HRW) in mice received high dose of glucocorticoids (for inducing SAON model). Here we find that HRW treatment significantly reduces osteocyte apoptosis, improves deterio

Animal StudyIn VitroHighlighted

The Rieske iron-sulfur protein is a primary target of molecular hydrogen

MHID-8939519PMID: 413302172025Redox Biology

Shuto Negishi, Mikako Ito, Tomoya Hasegawa, Hikaru Otake, Bisei Ohkawara, Akio Masuda, et al.

The mechanisms underlying the biomedical effects of molecular hydrogen (H2) remain poorly understood and are often attributed to its selective reduction of hydroxyl radicals, based on the long-held notion that H2 is biologically inert. We demonstrate that H2 is biologically active, specifically targeting the Rieske iron-sulfur protein (RISP). We first observed that H2 induces the mitochondrial unf

Literature ReviewHighlighted

Prospects of Hydrogen Medicine Based on Its Protective Effects on Mitochondrial Function

MHID-44233202024Molecular Hydrogen in Health and Disease, Advances in Biochemistry in Health and Disease

Shin-ichi Hirano, Yusuke Ichikawa, Bunpei Sato, Yoshiyasu Takefuji, Xiao-Kang Li, Fumitake Satoh

Mitochondria originated from aerobic bacteria in endosymbiosis. Through this symbiosis, eukaryotes acquired an efficient energy-producing system, but at the cost of exposure to oxidative stress from reactive oxygen species (ROS). Molecular hydrogen (H2) was recently identified as an antioxidant that selectively reduces ROS, such as hydroxyl radicals and peroxynitrite, which are strong oxidants, and

Clinical Trial

Effects of high concentration hydrogen water intake on active oxygen and performance in soccer players

MHID-98854012024Science & Sports

S.H. Ryu, J.H. Oh, K.W. Noh, S. Park

Summary Objective: This study aimed to contribute towards improving athletic performance by comparing the effects of highly concentrated hydrogen intake before and during exercise on soccer players’ metabolic and athletic performance. Materials and methods: This study followed a single-blind crossover design involving 10 male college soccer players. Before this experiment, the Vmax measurement a

Literature ReviewHighlighted

Synergistic Antioxidant Effects of Molecular Hydrogen and Cold Atmospheric Plasma in Enhancing Mesenchymal Stem Cell Therapy

MHID-1339888PMID: 397659102024Antioxidants

Mikhail Yu. Artamonov, Felix A. Pyatakovich, Inessa A. Minenko

In regenerative medicine, mesenchymal stem cells (MSCs) have shown their importance and potential in tissue reconstruction and immune system modification. However, such cells’ potential is often diminished by factors such as oxidative stress, immune rejection, and inadequate engraftment. This review highlights the role of molecular hydrogen (H2) and cold atmospheric plasma (CAP) as adjunct therapi

Systematic Review

Hydrogen Water: Extra Healthy or a Hoax?—A Systematic Review

MHID-7472923PMID: 382560452024International Journal of Molecular Sciences

Gagandeep Dhillon, Venkata Buddhavarapu, Harpreet Grewal, Pranjal Sharma, Ram Kishun Verma, Ripudaman Munjal, et al.

Hydrogen-rich water (HRW) has emerged as a novel approach in the field of health and wellness. It is believed to have therapeutic antioxidant properties that can neutralize harmful free radicals in the human body. It has also been shown to be beneficial in mitigating oxidative stress-induced damage through its anti-inflammatory and anti-apoptotic pathways. We aim to conduct a systematic review to

Clinical Trial

Inhalation of Hydrogen-rich Gas before Acute Exercise Alleviates Exercise Fatigue: A Randomized Crossover Study

MHID-0740382PMID: 386986242024International Journal of Sports Medicine

Gengxin Dong, Jianxin Wu, Yinglu Hong, Qian Li, Meng Liu, Guole Jiang, et al.

Hydrogen, as an antioxidant, may have the potential to mitigate fatigue and improve selected oxidative stress markers induced by strenuous exercise. This study focused on a previously unexplored approach involving pre-exercise inhalation of hydrogen-rich gas (HRG). Twenty-four healthy adult men first completed pre-laboratories to determine maximum cycling power (Wmax) and maximum cycling time (Tma

Clinical TrialHighlighted

Hydrogen gas inhalation prior to high-intensity training reduces attenuation of nitric oxide bioavailability in male rugby players

MHID-9198954PMID: 397039112024PeerJ

Yuqi Zhao, Chaoqun Li, Shi Zhou, Zhiguang Xu, Xin Huang, Li Wen

Background: Inhalation of hydrogen gas (H2) as an antioxidant supplement may alleviate exercise-induced oxidative damage and protect post-exercise hydrogen peroxide signaling, which may help mediate beneficial exercise adaptation. The aims of this study were to determine the effects of H2 inhalation on plasma nitric oxide (NO) level and its synthesis precursor in professional athletes. Methods: A