Key Points

 
  • Hydrogen Inhalation (HI) Therapy uses a medical gas, Molecular Hydrogen (H2), for treating disease and has been intensely studied for health benefits since 2007.
  • It is primarily recognized for its antioxidant, anti-inflammatory, and cytoprotective (cellular protective) properties.
  • Hydrogen Inhalation Therapy has been approved by the Japanese Government as a Class 2 Medical Research Treatment since 2016, but not yet fully approved for widespread medical use.
  • It has wide-spread utilization in anti-aging clinics and wellness centres in Japan since 2007.
  • Recent research highlights its broad effects on cellular and mitochondrial processes (up to a 50% boost in ATP energy production), including protein folding, which is critical for cellular health and overall biological function.
 

70 Years of Safety

 
  • Hydrogen Inhalation has been used in ultra-deep sea diving and as the “primary treatment” in decompression sickness for over 70 years, and the safety profile is one of the safest ever studied (safer than water, no joke)
  • The US Navy has done intense research into Hydrogen Inhalation Safety by exposing divers to 97% Hydrogen + 3% Oxygen mixtures at depths of 60 m underwater for multiple hours with NO ADVERSE side-effects. (https://apps.dtic.mil/sti/tr/pdf/ADA020046.pdf)

 

Benefits of Hydrogen Therapy

 

Hydrogen therapy has demonstrated a wide range of potential benefits across various diseases and conditions:

  • Antioxidant Properties: Molecular hydrogen selectively neutralizes harmful reactive oxygen species (ROS) like hydroxyl radicals, reducing oxidative stress without disrupting beneficial signaling molecules like nitric oxide (NO). It also enhances endogenous antioxidant enzyme activity, including superoxide dismutase (SOD) and glutathione peroxidase (GSH-Px)[4][5].
  • Anti-inflammatory Effects: Hydrogen modulates inflammatory pathways by downregulating pro-inflammatory cytokines (e.g., TNF-α, IL-6) and upregulating anti-inflammatory markers like IL-10. This can mitigate inflammation-related tissue damage[4][35].
  • Mitochondrial (Energy) Support: Hydrogen improves mitochondrial function by promoting ATP production, enhancing mitochondrial biogenesis, and protecting against oxidative damage. It also regulates autophagy pathways to maintain cellular homeostasis under stress conditions[4][36].
  • Neuroprotection: Clinical studies indicate that hydrogen inhalation may improve neurological outcomes after ischemic injuries such as cardiac arrest or stroke by reducing oxidative and inflammatory damage[1][14].
  • Anti-aging Potential: By reducing oxidative stress and improving protein folding efficiency, hydrogen therapy may slow cellular aging processes and improve skin health[3][8].
 

Hydrogen’s Role in Protein Folding

 

Protein folding is a fundamental process in which polypeptide chains fold into specific three-dimensional structures essential for their biological functions. Misfolded proteins can lead to cellular dysfunctions and diseases such as neurodegeneration, diabetes, and cancer. Emerging research suggests that hydrogen therapy may enhance protein folding efficiency through several mechanisms:

  1. Reduction of Oxidative Stress in the Endoplasmic Reticulum (ER):
    • The ER is the primary site for protein folding, where oxidative stress can disrupt proper folding by causing protein aggregation or misfolding. Hydrogen reduces ER stress by neutralizing ROS and activating autophagy pathways to clear damaged proteins[26][33].
    • Studies have shown that hydrogen-rich environments can alleviate ER stress-related damage in conditions like myocardial ischemia-reperfusion injury[33].
  2. Induction of Heat Shock Proteins (HSPs):
    • Hydrogen therapy has been found to upregulate heat shock proteins such as HSP70, which assist in protein folding and protect cells from stress-induced damage. These proteins act as molecular chaperones to ensure correct protein conformation and prevent aggregation[33].
  3. Activation of the Nrf2 Pathway:
    • The Nrf2 pathway regulates the expression of antioxidant enzymes and proteasomes involved in maintaining protein homeostasis. Hydrogen activates this pathway, enhancing the cellular capacity to manage misfolded proteins[5].
  4. Catalytic Role in Protein Folding & Unfolding Processes:
    • Preliminary evidence suggests that hydrogen may act as a catalyst in protein folding processes by stabilizing intermediate structures during folding. This could enhance the efficiency of folding pathways under normal or stressed conditions[5].
 

Potential Impacts on Cellular Biology and Health

 

Improved protein folding through hydrogen therapy could have profound effects on cellular biology, tissue health, and overall well-being:

  • Enhanced Cellular Function: Properly folded proteins are essential for enzymatic activity, signal transduction, and structural integrity. By supporting efficient folding, hydrogen may improve these fundamental processes.
  • Reduction of Disease Risk: Misfolded proteins are implicated in diseases like Alzheimer’s, Parkinson’s, diabetes, and certain cancers. Hydrogen’s ability to mitigate ER stress and promote correct folding may reduce the risk or progression of these conditions[4][26].
  • Improved Tissue Health: Efficient protein folding supports tissue repair and regeneration by ensuring the availability of functional proteins necessary for healing processes.
  • Anti-aging Effects: By reducing oxidative damage to proteins and supporting their proper assembly, hydrogen therapy may slow aging-related cellular decline.
 

Conclusion

 

Hydrogen Inhalation Therapy holds profound promise as a novel approach to improving cellular health through its antioxidant effects, regulation of inflammatory pathways, mitochondrial support, and enhancement of protein folding mechanisms. While more research is needed to fully understand its mechanisms — especially its role as a potential catalyst in protein folding — the current evidence suggests significant therapeutic potential across a wide range of diseases.

Citations:

[1] https://www.keio.ac.jp/en/press-releases/2023/Apr/4/49-136864/
[2] https://e-miz.co.jp/english/index.html
[3] https://wellbeingmagazine.com/discover-the-healing-power-of-japanese-hydrogen-therapy-at-suhaku-south-kensington/
[4] https://pmc.ncbi.nlm.nih.gov/articles/PMC11068043/
[5] https://pmc.ncbi.nlm.nih.gov/articles/PMC10045005/
[6] https://pmc.ncbi.nlm.nih.gov/articles/PMC7186690/
[7] https://pmc.ncbi.nlm.nih.gov/articles/PMC10707987/
[8] https://suhaku.com
[9] https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2024.1391282/full
[10] https://www.healthwellnessconnection.org/about-5-1
[11] https://www.nature.com/articles/s41598-024-83934-y
[12] https://atm.amegroups.org/article/view/38299/html
[13] https://www.morikawa-naika-clinic.com/en/hydrogen.html
[14] https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(23)00084-6/fulltext
[15] https://www.tripadvisor.com/Attraction_Review-g298566-d15582249-Reviews-MAITRII_H2_Inhalation_Therapy_relaxation-Osaka_Osaka_Prefecture_Kinki.html
[16] https://pmc.ncbi.nlm.nih.gov/articles/PMC3257754/
[17] https://9ru.tokyo/en/
[18] https://www.thelancet.com/pdfs/journals/eclinm/PIIS2589-5370(23)00084-6.pdf
[19] https://www.son-clinic.jp/en/hydrogen
[20] https://www.mdpi.com/1420-3049/28/23/7785
[21] https://www.thewellnesslab.com/molecular-hydrogen/
[22] https://www.dovepress.com/pilot-feasibility-and-safety-study-of-hydrogen-gas-inhalation-in-local-peer-reviewed-fulltext-article-OTT
[23] https://www.nature.com/research-intelligence/hydrogen-deuterium-exchange-mass-spectrometry-in-protein-analysis
[24] https://www.embopress.org/doi/abs/10.15252/embr.202256439
[25] https://www.pnas.org/doi/10.1073/pnas.1305887110
[26] https://pmc.ncbi.nlm.nih.gov/articles/PMC8861563/
[27] https://pubs.rsc.org/en/content/articlelanding/2024/bm/d4bm00446a/unauth
[28] https://molecularhydrogeninstitute.org/an-overview-of-hydration-and-the-influence-of-molecular-hydrogen/
[29] https://pmc.ncbi.nlm.nih.gov/articles/PMC10377251/
[30] https://spj.science.org/doi/10.34133/space.0027
[31] https://www.dovepress.com/the-molecular-biological-mechanism-of-hydrogen-therapy-and-its-applica-peer-reviewed-fulltext-article-DDDT
[32] https://www.nature.com/articles/s41598-022-07710-6
[33] https://pmc.ncbi.nlm.nih.gov/articles/PMC7495244/
[34] https://www.mdpi.com/2076-3921/12/3/636
[35] https://www.frontiersin.org/journals/physiology/articles/10.3389/fphys.2021.789507/full
[36] https://www.frontiersin.org/journals/cell-and-developmental-biology/articles/10.3389/fcell.2023.1283820/full

 

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