Hydrogen Therapy Prevents Kidney Dialysis Complications in Mice

Molecular hydrogen regulates PTEN-AKT-mTOR signaling via ROS to alleviate peritoneal dialysis-related peritoneal fibrosis

Evidence type
Animal study (cell culture)
Authors
Hongtao Lu, Wei Chen, Wenrui Liu, Yachen Si, Tingting Zhao, Xueli Lai, Zhimin Kang, Xuejun Sun, Zhiyong Guo
Journal
The FASEB Journal
Year
2020
DOI
10.1096/fj.201901981R
Study Type
Cell Culture
Outcome
Positive
Peer Reviewed
Yes
Country
China
Health Condition
End-Stage Renal Disease
Body System
Renal

This research was done in animals. Results in animals often don't carry over to people.

TL;DR

Adding molecular hydrogen to the fluid used in peritoneal dialysis could help prevent scarring in the abdomen caused by long-term dialysis treatment.

Key Finding

Molecular hydrogen reduced peritoneal fibrosis in laboratory and mouse models by reducing harmful reactive oxygen species and blocking the PTEN/AKT/mTOR signaling pathway.

Summary

Peritoneal dialysis is a kidney treatment that helps people with severe kidney disease, but using it long-term can cause scarring of the membrane lining the abdomen (peritoneal fibrosis). This study tested whether molecular hydrogen—a gas that can reduce harmful molecules called reactive oxygen species in cells—could prevent this scarring. Researchers used mouse models and laboratory cell cultures exposed to high glucose (similar to dialysis fluid) and found that hydrogen-rich dialysate reduced scarring by lowering harmful molecules and blocking specific cellular signaling pathways.

Practical Takeaway

While this early-stage research in cells and mice suggests hydrogen-rich dialysate may help protect against scarring in peritoneal dialysis patients, human clinical trials are needed to confirm safety and effectiveness. The study does not yet provide evidence that hydrogen water supplements would have similar benefits for dialysis patients.

Abstract (excerpt)

As a convenient, effective and economical kidney replacement therapy for end-stage renal disease (ESRD), peritoneal dialysis is available in approximately 11% of ESRD patients worldwide. However, long-term peritoneal dialysis treatment causes peritoneal fibrosis. In recent years, the application…

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