How Hydrogen Gas Works as a Selective Antioxidant for Health
Emerging mechanisms and novel applications of hydrogen gas therapy
Research hubs: Cardiovascular System · Brain & Nervous System

- Evidence type
- Review or commentary
- Authors
- JohnH Zhang, Nathanael Matei, Richard Camara
- Journal
- Medical Gas Research
- Year
- 2018
- PMID
- 30319764
- Study Type
- clinical
- Peer Reviewed
- Yes
- Cited by
- 49 (OpenAlex, as of November 2026)
- Country
- United States
TL;DR
Scientists found that breathing in hydrogen gas could help fight harmful damage in your body without blocking the good stuff your body needs to stay healthy, and it works in several different ways to reduce inflammation and protect your cells—which means it might help treat lots of different diseases.
Key Finding
Hydrogen gas acts as a selective antioxidant that targets only harmful oxidants while preserving beneficial ones, avoiding a key limitation of conventional antioxidant therapy.
Summary
This review examines how hydrogen gas therapy works in the body and its potential medical applications. Unlike traditional antioxidants (substances that reduce harmful oxidation), hydrogen gas selectively targets only the most damaging oxidants while leaving beneficial ones intact. The review describes multiple ways hydrogen gas may reduce inflammation and protect cells, including effects on gene expression, blood vessel formation, and cellular energy production, though most evidence comes from laboratory and animal studies rather than human trials.
Practical Takeaway
While this review identifies promising molecular mechanisms for hydrogen gas therapy across multiple disease areas, it is a summary of existing research rather than a new study with human results. The evidence base remains primarily pre-clinical and animal-based; substantial additional human clinical trials are needed before firm conclusions can be drawn about therapeutic benefits for any specific condition.
Abstract (excerpt)
Clinical and pre-clinical studies have reported a broad range of applications for hydrogen gas therapy. Classically, conventional antioxidant therapy is limited because it neutralizes both the detrimental and protective effects of reactive oxygen species. As a weak reducing agent, hydrogen gas…