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Effects of hydrogen gas inhalation on L-DOPA-induced dyskinesia

Nascimento GC, Santos BM, Pedrazzi JF, Silva-Amaral D, Bortolanza M, Harris GT, Del Bel E, Branco LGS. · Brain, Behavior, & Immunity - Health. 2023;30:100623.

PreclinicalInhaled H₂Published 2023Source 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

Preclinical

Population or model

Rats with unilateral 6-hydroxydopamine lesions used as a preclinical model of Parkinsonian motor impairment and L-DOPA-induced dyskinesia.

Intervention and dose

After 15 days of chronic L-DOPA 20 mg/kg plus benserazide 5 mg/kg, rats inhaled the test gas for 1 hour immediately before the final L-DOPA dose and behavioral testing. · 2% H₂, 21% O₂ and balance N₂ at a reported total flow of 2.4 L/min; an air-mixture control contained 0% H₂, 21% O₂ and balance N₂. H₂ concentration was monitored with a gas analyzer.

Duration

A single 1-hour H₂ exposure before the last dose in the 15-day L-DOPA protocol; dyskinesia was observed for 120 minutes and tissues/cytokines were assessed afterward.

Reported result

The article reports about 48% lower abnormal-involuntary-movement scores with H₂ and no impairment of L-DOPA-restored locomotor activity. Microglial number/reactivity and several pro-inflammatory cytokines were lower, while IL-10 was higher. Astrocyte cell number and morphology, microglial process intersections and several control-group comparisons were not significantly changed.

Main limitation

Preclinical model, small assay-specific groups, a single H₂ exposure immediately before the final L-DOPA dose and many behavioral, cellular and cytokine outcomes. It does not show treatment of Parkinson's disease or dyskinesia in people. Brazilian CNPq and FAPESP grants supported the work; authors declared no competing financial interests or personal relationships.

Evidence and classification

What kind of evidence is this?

Evidence type

Preclinical

Reported design

Controlled 6-hydroxydopamine rat experiment after chronic L-DOPA treatment

Research topic

Parkinson’s disease

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

Rats with unilateral 6-hydroxydopamine lesions used as a preclinical model of Parkinsonian motor impairment and L-DOPA-induced dyskinesia.

Sample

The behavioral experiment used 42 rats (reported group sizes n=5–6); histology used 23 rats (n=7–8) and the separate cytokine experiment used 22 rats (n=7–8). The article does not present these assay cohorts as one consolidated sample.

Duration

A single 1-hour H₂ exposure before the last dose in the 15-day L-DOPA protocol; dyskinesia was observed for 120 minutes and tissues/cytokines were assessed afterward.

Intervention

After 15 days of chronic L-DOPA 20 mg/kg plus benserazide 5 mg/kg, rats inhaled the test gas for 1 hour immediately before the final L-DOPA dose and behavioral testing.

Hydrogen form

H₂ diluted in a normoxic nitrogen/oxygen carrier — H₂ alone was the added test gas, not Brown's gas.

Dose or H₂ specification

2% H₂, 21% O₂ and balance N₂ at a reported total flow of 2.4 L/min; an air-mixture control contained 0% H₂, 21% O₂ and balance N₂. H₂ concentration was monitored with a gas analyzer.

H₂ flow

48 mL/min H₂, calculated from the reported 2,400 mL/min total flow × 2% H₂.

O₂ delivered with H₂

21% O₂; 504 mL/min O₂, calculated from 2,400 mL/min × 21%. The remaining carrier was approximately 1,848 mL/min N₂.

Comparator

Matched air mixture containing 0% H₂, 21% O₂ and balance N₂ at the same 2.4 L/min flow, across sham, lesion, vehicle and L-DOPA conditions.

Reported, not endorsed

Outcomes and reported result

Outcomes measured

Axial, limb and orofacial abnormal involuntary movements, locomotor activity, striatal microglial and astrocyte morphology, plasma and striatal cytokines and correlations between cytokines and dyskinesia scores.

Reported result

The article reports about 48% lower abnormal-involuntary-movement scores with H₂ and no impairment of L-DOPA-restored locomotor activity. Microglial number/reactivity and several pro-inflammatory cytokines were lower, while IL-10 was higher. Astrocyte cell number and morphology, microglial process intersections and several control-group comparisons were not significantly changed.

Extraction completeness

The complete open-access PMC/Elsevier article, gas chamber protocol, concentration and total flow, behavioral, histology and cytokine cohorts, positive and null results, funding and conflict statement were checked.

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

Interpretation limits

Limitations and applicability

Main methodological cautions

Preclinical model, small assay-specific groups, a single H₂ exposure immediately before the final L-DOPA dose and many behavioral, cellular and cytokine outcomes. It does not show treatment of Parkinson's disease or dyskinesia in people. Brazilian CNPq and FAPESP grants supported the work; authors declared no competing financial interests or personal relationships.

Applies directly to

6-OHDA-lesioned rats receiving chronic L-DOPA; not clinical evidence in people with Parkinson's disease.

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: 37096172 · DOI: 10.1016/j.bbih.2023.100623

Publisher access

Open-access publisher article and PubMed Central copy.

Extraction basis

Complete PubMed Central/Elsevier article and PubMed metadata; full-text extraction checked 8 August 2026.

Last reviewed

10 August 2026

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