Oxidative stress is a causative factor in the pathogenesis of major neurodegenerative diseases including AD and PD. Recently, we demonstrated that hydrogen molecule (H2) selectively reduced the hydroxyl radical, the most cytotoxic ROS, without affecting the other oxygen-derived free radicals (Ohsawa et al., Nat. Med. 2007). Inhalation of H2 gas markedly suppressed brain injury caused by ischemia-reperfusion. Moreover, consumption of water with dissolved H2 to a saturated level (H2 water) prevented stress-induced cognitive decline in mouse and 6-hydroxydopamine-induced neurodegeneration in a rat model of PD. To evaluate the effect of H2 on AD, we used transgenic mice (DAL and Tg2576). DAL mice express a dominant-negative form of mitochondrial aldehyde dehydrogenase2 in the brain and decrease ability to detoxify 4-hydroxynonenal (HNE) in their cortical neurons. Consequently, age-dependent neurodegeneration with cognitive impairment is observed (Ohsawa et al., J. Neurosci. 2008). H2 was dissolved in water under to a saturated level (0.8 mM). Each day, H2 water was placed into a closed glass vessel equipped with an outlet line containing two ball bearings, which kept the water from being degassed. H2 water degassed by gentle stirring was used for control. Mice were allowed to freely drink water with or without H2. Providing H2 water prevented the deficits in learning and memory of DAL mice at age 12 month (P < 0.0244) and age 16 month (P < 0.044), as examined by object recognition task. In the blood, providing H2 water decreased HNE, indicating that H2 water prevented the accumulation of oxidative stress. H2 has no known toxic effect on human body. A clinical trial showed the decrease in modifying low-density lipoprotein by drinking H2 water. Thus, we propose that H2, one of the most well-known molecules, could be widely used in medical applications in neurodegenerative diseases as a safe and effective antioxidant.
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