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Hydrogen-rich water attenuates radiation-induced oral mucositis in mice via antioxidant and gut microbiota-stabilizing effects: a longitudinal study

Lan Z et al. · Gut Microbes Rep. 2025;2(1):2595392.

PreclinicalH₂-rich waterPublished 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

Six-week-old male C57BL/6J mice after a single 15-Gy head-and-neck radiation exposure

Intervention and dose

Fresh hydrogen-rich drinking water ad libitum from day −1 through day 21 · 1.0–1.4 ppm dissolved H₂, generated and replaced three times daily.

Duration

Day −1 through the 21-day study, with tissue sampling on days 7, 14 and 21

Reported result

The article reports lower mucositis scores, less epithelial and intestinal injury and partial stabilization of microbiota with H₂-rich water. It did not directly measure ROS or short-chain fatty acids.

Main limitation

Male-only preclinical single-fraction radiation model; microbiota associations do not establish causality, and ROS and short-chain fatty acids were not directly quantified.

Evidence and classification

What kind of evidence is this?

Evidence type

Preclinical

Reported design

Randomized three-group longitudinal mouse head-and-neck-irradiation experiment

Research topic

Oral and dental health

Administration form

H₂-rich water

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

Six-week-old male C57BL/6J mice after a single 15-Gy head-and-neck radiation exposure

Sample

45 mice, n=15/group; tissue time points used n=4–5/group and longitudinal microbiota used five mice/group

Duration

Day −1 through the 21-day study, with tissue sampling on days 7, 14 and 21

Intervention

Fresh hydrogen-rich drinking water ad libitum from day −1 through day 21

Hydrogen form

H₂ dissolved in drinking water — H₂ only, not Brown’s gas and not inhalation.

Dose or H₂ specification

1.0–1.4 ppm dissolved H₂, generated and replaced three times daily.

Comparator

Radiation with standard water and non-irradiated standard-water controls

Reported, not endorsed

Outcomes and reported result

Outcomes measured

Oral-mucositis score, tongue and colon histology, weight, cytokines, occludin and ZO-1 and longitudinal fecal microbiota

Reported result

The article reports lower mucositis scores, less epithelial and intestinal injury and partial stabilization of microbiota with H₂-rich water. It did not directly measure ROS or short-chain fatty acids.

Extraction completeness

Allocation, concentration, schedule, temporal sampling, principal results, funding, conflicts and stated measurement limitations checked in the open-access full text.

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

Interpretation limits

Limitations and applicability

Main methodological cautions

Male-only preclinical single-fraction radiation model; microbiota associations do not establish causality, and ROS and short-chain fatty acids were not directly quantified.

Applies directly to

Radiation-induced oral mucositis in mice, not radiotherapy supportive care in patients.

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: 41909889 · DOI: 10.1080/29933935.2025.2595392

Publisher access

Open-access full text is available through PMC and the publisher.

Extraction basis

Open-access PMC article and PubMed record; no retraction or expression of concern was shown in the checked records on 7 August 2026.

Last reviewed

10 August 2026

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