Hydrogenology
Source-linked study record

High-flow hydrogen inhalation might suppresses the immune function of middle-aged participants: a self-controlled study

Chen JB, Kong XF, Mu F. · Medical Gas Research. 2021;11(1):12–17.

HumanInhaled H₂Published 2021Source checked
Study record, not medical adviceThis record reports what the source states. It is not medical advice and does not establish that molecular hydrogen is effective, safe or appropriate for any person.
Quick summary

Study at a glance

Evidence type

Human

Population or model

Twenty adults aged 31–60 years without malignant tumors or uncontrolled severe disease.

Intervention and dose

Nasal-tube inhalation from an AMS-H-03 generator at a total mixture flow of 3 L/min for 2 or 4 hours/day. · 66.7% H₂ and 33.3% O₂; total flow 3,000 mL/min.

Duration

2 or 4 hours/day for 2 weeks.

Reported result

Most immune-cell indicators and major T-cell subsets did not change. Several small anti-infection and antitumor subtypes decreased after two weeks; the authors interpreted these shifts as possible immune suppression/adverse response in healthy participants. The study did not test clinical illness, infection or cancer outcomes.

Main limitation

Only 20 participants, no control or sham, two weeks of follow-up and numerous immune subsets. The authors reported no financial support and no conflicts, while thanking the hydrogen-inhalation site and staff. Immune-cell proportion changes are surrogate findings, not demonstrated clinical harm or benefit.

Evidence and classification

What kind of evidence is this?

Evidence type

Human

Reported design

Uncontrolled self-comparison study with randomized 2-hour and 4-hour exposure groups

Research topic

Immune and inflammatory conditions

Administration form

Inhaled H₂

Information not yet classified

Some editorial classification fields are still pending. The source-reported outcomes and result are shown below; Hydrogenology does not infer a positive or negative signal from prose automatically.

Reported in the source

Methods

Population or model

Twenty adults aged 31–60 years without malignant tumors or uncontrolled severe disease.

Sample

20 participants randomized to 2 hours/day (n=10) or 4 hours/day (n=10).

Duration

2 or 4 hours/day for 2 weeks.

Intervention

Nasal-tube inhalation from an AMS-H-03 generator at a total mixture flow of 3 L/min for 2 or 4 hours/day.

Hydrogen form

Brown's gas / oxyhydrogen — H₂ and O₂ co-delivered, not H₂ alone.

Dose or H₂ specification

66.7% H₂ and 33.3% O₂; total flow 3,000 mL/min.

H₂ flow

Approximately 2,000 mL/min H₂, calculated from the reported 66.7% of 3,000 mL/min.

O₂ delivered with H₂

Approximately 1,000 mL/min O₂ co-delivered, calculated from the reported 33.3% of 3,000 mL/min.

Comparator

Each participant's pre-treatment values; no sham-gas or untreated control.

Reported, not endorsed

Outcomes and reported result

Outcomes measured

Peripheral-blood T, B, natural-killer, natural-killer-T and gamma-delta-T cell subsets by flow cytometry.

Reported result

Most immune-cell indicators and major T-cell subsets did not change. Several small anti-infection and antitumor subtypes decreased after two weeks; the authors interpreted these shifts as possible immune suppression/adverse response in healthy participants. The study did not test clinical illness, infection or cancer outcomes.

Extraction completeness

The complete PMC article, allocation, gas composition, total and calculated component flows, all immune tables, acknowledgements, funding and conflicts were checked; null findings are included.

A reported association, difference or mechanism is not automatically a clinical benefit.

Interpretation limits

Limitations and applicability

Main methodological cautions

Only 20 participants, no control or sham, two weeks of follow-up and numerous immune subsets. The authors reported no financial support and no conflicts, while thanking the hydrogen-inhalation site and staff. Immune-cell proportion changes are surrogate findings, not demonstrated clinical harm or benefit.

Applies directly to

Middle-aged adults under this short high-flow protocol; not a clinical efficacy study.

No single-study GRADE certainty rating is assigned. Read how records and evidence assessments are prepared.

Sources and status

Sources and record status

Identifiers

PMID: 33642332 · DOI: 10.4103/2045-9912.310054

Publisher access

Free full article on PubMed Central.

Extraction basis

PMC full article and PubMed record; full-text and article-status check completed 8 August 2026.

Last reviewed

10 August 2026

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