Abstract

Molecular hydrogen (H2), either as a gas or as hydrogen-rich water (HRW), is suggested to be a useful treatment for a range of human diseases and also to improve agricultural output. It is often posited that H2 accomplishes its biological action, in part, through its antioxidant effects, including reacting with hydroxyl radicals (OH˙) and peroxynitrite (ONOOˉ); however, this direct reaction has been questioned. The antioxidant effects of H2 are also often mediated by heme oxygenase-1 (HO-1), although the exact mechanism remains elusive. Alternatively, it has been proposed that H2 can propagate its effects through the reduction of Fe3+ in various redox-active proteins, which is the focus of this review. It is suggested that a systematic experimental analysis of proteins containing heme prosthetic groups would help elucidate the biological mechanisms of H2 and its development as a medical and restorative therapeutic. (First online: May 10, 2021)

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