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Hydrogen gas mitigates acute hypoxia-induced oxidative and inflammatory brain injuries in medaka (Oryzias latipes)

Sato E, Shimamura N, Saiki C, Sunada K, Miwa N, Xiao L. · Antioxidants. 2025;14(9):1130.

PreclinicalOther formsPublished 2025Source 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

Mixed-sex adult Japanese medaka exposed to approximately nine minutes of severe low-oxygen water conditions.

Intervention and dose

After hypoxia, fish recovered for one hour in water bubbled with 4% H₂ in air. · The inlet mixture was 4% H₂ in air. Total gas flow and the resulting dissolved-H₂ concentration were not reported.

Duration

Nine-minute hypoxia exposure followed by one hour of recovery treatment.

Reported result

H₂ recovery reduced several histologic/hypoxia/oxidative markers and restored antioxidant, respiratory and locomotor measures relative to air recovery. AChE did not differ among groups; IL-6/TNF-α tended lower with H₂ but did not differ significantly across H₂, air and ozone comparisons. Ozone worsened several measures.

Main limitation

Aquatic fish model, acute one-hour recovery, uncertain unique total n, unmeasured H₂ uptake/dissolved dose, multiple endpoints and no mammalian validation. Japanese public grants supported the work; authors declared no conflicts.

Evidence and classification

What kind of evidence is this?

Evidence type

Preclinical

Reported design

Randomized medaka acute-hypoxia experiment with one-hour gas-bubbled-water recovery

Research topic

Other neurological conditions

Administration form

Other forms

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

Mixed-sex adult Japanese medaka exposed to approximately nine minutes of severe low-oxygen water conditions.

Sample

Figures commonly report n=20 fish/group with experiments repeated three or five times; the total number of unique fish across assays/repeats is not consolidated.

Duration

Nine-minute hypoxia exposure followed by one hour of recovery treatment.

Intervention

After hypoxia, fish recovered for one hour in water bubbled with 4% H₂ in air.

Hydrogen form

4% H₂ premixed in air and bubbled into recovery water — H₂/air, not Brown's gas and not direct inhalation.

Dose or H₂ specification

The inlet mixture was 4% H₂ in air. Total gas flow and the resulting dissolved-H₂ concentration were not reported.

Comparator

No-hypoxia control, hypoxia followed by air-bubbled water, and selected assays with ozone-bubbled water (0.02–0.03 ppm).

Reported, not endorsed

Outcomes and reported result

Outcomes measured

Tissue hypoxia/vascular congestion, HIF-1α, apoptosis, 8-OHdG, COX-2, IL-6/TNF-α, antioxidant capacity, acetylcholinesterase, breathing and locomotion.

Reported result

H₂ recovery reduced several histologic/hypoxia/oxidative markers and restored antioxidant, respiratory and locomotor measures relative to air recovery. AChE did not differ among groups; IL-6/TNF-α tended lower with H₂ but did not differ significantly across H₂, air and ozone comparisons. Ozone worsened several measures.

Extraction completeness

The complete free PMC article, methods, all result sections and disclosures were checked for randomization, concentration and missing flow/dissolved dose, sample reporting, positive and null endpoints, model limitations, funding and conflicts.

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

Interpretation limits

Limitations and applicability

Main methodological cautions

Aquatic fish model, acute one-hour recovery, uncertain unique total n, unmeasured H₂ uptake/dissolved dose, multiple endpoints and no mammalian validation. Japanese public grants supported the work; authors declared no conflicts.

Applies directly to

Acute hypoxic brain injury in medaka; it does not establish neurologic treatment or dosing in mammals or people.

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: 41009034 · DOI: 10.3390/antiox14091130

Publisher access

Free full article in PubMed Central.

Extraction basis

Complete PMC article and PubMed metadata; full-text extraction checked 9 August 2026.

Last reviewed

10 August 2026

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