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Realizing brain therapy with "smart medicine": mechanism and case report of molecular hydrogen inhalation for Parkinson's disease.

パーキンソン病に対する分子状水素吸入の作用機序と症例報告

human case report inhalation positive

Abstract

In the midbrain of individuals with Parkinson's disease, hydroxyl radicals produced through the Fenton reaction initiate a cascade of dopamine oxidation. Because the hydrogen molecule is an exceptionally small diatomic species, it readily crosses cell membranes and reaches midbrain tissue, where it converts hydroxyl radicals into water, thereby interrupting dopamine oxidation. This paper examines the neurological etiology of Parkinson's disease from this mechanistic perspective and presents a case in which H2 inhalation was associated with symptomatic improvement, including reduction of postural bending and hand tremor. The authors propose that molecular hydrogen addresses fundamental obstacles encountered in central nervous system drug development, positioning it as a candidate approach for neurodegenerative conditions.

Mechanism

H2 molecules penetrate the blood-brain barrier and enter midbrain tissue, where they neutralize Fenton-reaction-derived hydroxyl radicals by converting them to water, thereby blocking the oxidative chain reaction that degrades dopamine.

Bibliographic

Authors
Ichikawa Y, Sato B, Hirano S, Takefuji Y, Satoh F
Journal
Med Gas Res
Year
2024 (2024-09-01)
PMID
39073335
DOI
10.4103/2045-9912.385949
PMC
PMC466992

Tags

Disease:認知機能低下 パーキンソン病 Delivery:吸入投与 Mechanism:ヒドロキシルラジカル消去 炎症抑制 酸化ストレス 活性酸素種

Delivery context

For inhalation applications of molecular hydrogen, the lower flammability limit (LFL) deserves careful handling. The classical 4% figure applies to closed-system mixtures; the practical inhalation-environment threshold is 10%. Even pure-hydrogen output (the UFL 75% paradox) passes through the flammable range at the air–gas boundary. High-concentration (66% / 100%) inhalers are documented in the Japanese Consumer Affairs Agency accident-information database and are not recommended.

Safety notes

For inhalation applications of molecular hydrogen, the lower flammability limit (LFL) deserves careful handling. The classical 4% figure applies to closed-system mixtures; the practical inhalation-environment threshold is 10%. Even pure-hydrogen output (the UFL 75% paradox) passes through the flammable range at the air–gas boundary. High-concentration (66% / 100%) inhalers are documented in the Japanese Consumer Affairs Agency accident-information database and are not recommended.

See also:

Other papers on the same disease / condition

Cite as: H2 Papers — PMID 39073335. https://h2-papers.org/en/papers/39073335
Source: PubMed PMID 39073335