Hydrogen Protects Brain Function in Parkinson's After Anesthesia
- Authors
- Ming Li, Bo Ma, Si Liang, Xuanyi Pan, Jingyi Xie, Hongjie Wang, Jiguang Guo
- Journal
- Neurotoxicology and Teratology
- Year
- 2025
- DOI
- 10.1016/j.ntt.2025.107560
- Study Type
- Fruit Fly
- Outcome
- Positive
- Peer Reviewed
- Yes
- Country
- China
- Health Condition
- Parkinson's Disease
- Body System
- Nervous System
TL;DR
Hydrogen inhalation mitigates sevoflurane-induced neurotoxicity and cognitive decline in a Parkinson’s disease fly model.
Key Finding
In fruit flies with Parkinson's disease exposed to sevoflurane anesthetic, hydrogen gas inhalation improved cognitive performance by 30% and reduced brain damage by activating the Nrf2/HO antioxidant pathway.
Summary
This study used fruit flies with Parkinson's disease-like symptoms to test whether inhaling hydrogen gas could protect the brain from damage caused by sevoflurane, a common anesthetic used during surgery. Researchers found that hydrogen inhalation improved learning and memory performance by 30%, reduced harmful molecules (oxidative stress) in the brain, and boosted the energy-producing ability of mitochondria (the cell's power plants). The protective effect appeared to work by activating a natural cellular defense system called the Nrf2/HO pathway.
Practical Takeaway
This early-stage research in fruit flies suggests hydrogen inhalation may help protect the brain during anesthesia in Parkinson's disease patients, but much more research is needed—including human studies—before any clinical recommendations can be made. The findings are promising but limited to a simple animal model and do not yet demonstrate safety or effectiveness in people.
Abstract
The demand for surgical and anesthetic care in patients with Parkinson's disease (PD) is projected to increase, because PD is the fastest-growing neurological disorder. Sevoflurane, the most commonly used volatile anesthetic, is neurotoxic to human and animal neonatal brains. Moreover, sevoflurane-based anesthesia can induce postoperative delirium (POD) in patients with PD. Therefore, our study was aimed at finding an effective treatment for sevoflurane-induced neurotoxicity in patients with PD by using a PD-POD Drosophila model. The small gas, hydrogen (H2), was found to ameliorate learning and memory impairment, and increase the lifespan of PD flies, after long-term sevoflurane exposure. The performance index of the PD-POD flies increased by 30 % after H2 inhalation. Moreover, H2 inhalation decreased oxidative stress levels in PD fly brains, and increased electron transport chain and OXPHOS efficiency, as well as ATP synthesis, thus indicating enhanced mitochondrial function. In addition, PD flies with H2 inhalation after sevoflurane exposure showed increased nuclear levels of Nrf2 and expression of its downstream target HO. Therefore, H2 might exert antioxidant effects by activating the Nrf2/HO pathway, thereby decreasing oxidative stress levels and apoptosis in PD fly brains after long-term sevoflurane treatment. Inhalation of H2 is likely to be an effective and convenient method to alleviate the neurotoxicity effects or POD caused by long-term sevoflurane exposure.