Exploring the Potential of H2 Therapy in Reducing Surgical Complications: A Review on Anti-inflammatory, Antioxidant, and Anti-fibrotic Mechanisms.

IF 2.8 4区 医学 Q2 PHARMACOLOGY & PHARMACY Current pharmaceutical design Pub Date : 2025-01-01 DOI:10.2174/0113816128354067250211052237
Marzieh Neykhonji, Abdulridha Mohammed Al-Asady, Amir Avan, Majid Khazaei, Seyed Mahdi Hassanian
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Abstract

Objective: This review demonstrates the potential role of hydrogen in post-surgical adhesion prevention and calls for further investigation of its molecular pathways, as well as clinical studies to assess its efficacy and safety in a therapeutic setting.

Methods: PubMed and Google Scholar were extensively queried to investigate the potential role of hydrogen in preventing post-surgical adhesions and its underlying mechanisms.

Results: Molecular hydrogen exhibits selective antioxidant, anti-inflammatory, and anti-fibrotic properties, holding potential for the treatment and prevention of various disorders, including acute pancreatitis, respiratory diseases, and ischemia-reperfusion damage conditions, among others. Postoperative adhesion is associated with chronic pain, organ dysfunction, and acute complications, fundamentally rooted in inflammation, oxidative stress, and fibrosis. The surgical injury initiates an inflammatory response characterized by immune cell mobilization and an increase in pro-inflammatory cytokine levels, thereby promoting adhesion formation.

Conclusion: Hydrogen is demonstrated to attenuate the early inflammatory response by down-regulating proinflammatory cytokines alongside its anti-oxidative and anti-fibrotic effects. As a potential therapeutic agent for post-surgical adhesions, hydrogen warrants additional investigation to elucidate the exact molecular pathways responsible for its observed efficacy and safety.

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探索H2治疗在减少手术并发症中的潜力:关于抗炎、抗氧化和抗纤维化机制的综述。
目的:本文综述了氢在术后粘连预防中的潜在作用,并呼吁进一步研究其分子途径,以及临床研究以评估其在治疗环境中的有效性和安全性。方法:广泛查询PubMed和谷歌Scholar,探讨氢在预防术后粘连中的潜在作用及其机制。结果:氢分子具有选择性抗氧化、抗炎和抗纤维化的特性,具有治疗和预防各种疾病的潜力,包括急性胰腺炎、呼吸系统疾病和缺血再灌注损伤等。术后粘连与慢性疼痛、器官功能障碍和急性并发症有关,其根本原因是炎症、氧化应激和纤维化。手术损伤引发以免疫细胞动员和促炎细胞因子水平增加为特征的炎症反应,从而促进粘连形成。结论:氢可通过下调促炎细胞因子及抗氧化、抗纤维化作用减轻早期炎症反应。作为一种潜在的治疗术后粘连的药物,氢需要进一步的研究来阐明其观察到的疗效和安全性的确切分子途径。
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来源期刊
CiteScore
6.30
自引率
0.00%
发文量
302
审稿时长
2 months
期刊介绍: Current Pharmaceutical Design publishes timely in-depth reviews and research articles from leading pharmaceutical researchers in the field, covering all aspects of current research in rational drug design. Each issue is devoted to a single major therapeutic area guest edited by an acknowledged authority in the field. Each thematic issue of Current Pharmaceutical Design covers all subject areas of major importance to modern drug design including: medicinal chemistry, pharmacology, drug targets and disease mechanism.
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