# Molecular mechanisms associated with effects of hydrogen molecule in liver diseases: the review of current evidence

## TL;DR

This review explores how molecular hydrogen may help treat liver diseases by reducing oxidative stress and inflammation.

## Contribution

The paper highlights molecular hydrogen's novel mechanisms in regulating liver metabolism and inflammation.

## Key findings

- Molecular hydrogen selectively scavenges harmful free radicals in liver diseases.
- Hydrogen therapy shows potential in improving glucolipid metabolism and protecting liver cells.
- It may also help reshape the intestinal microbiota to support liver health.

## Abstract

Oxidative stress and inflammation play a key role in the occurrence and progression of liver diseases, inducing hepatocyte apoptosis, fibrosis, and even cancer. However, there is a lack of effective therapeutic interventions to slow liver inflammation and the progression of metabolic liver diseases. The unique biological properties of molecular hydrogen’s selective scavenging of pathological free radicals have shown therapeutic potential in animal studies and clinical trials of chronic liver diseases. This review describes innovative technologies and applications of molecular hydrogen in the treatment of liver injury and liver metabolic diseases, focusing on its mechanisms of action in regulating redox and inflammatory cascade signal transduction and specifically discussing its potential for glucolipid metabolic homeostasis and intestinal microbiota remodeling, as well as cell protection. Future studies are needed to further identify the unknown mechanisms by which molecular hydrogen improves the beneficial role of the liver microenvironment and advance the clinical application of hydrogen therapy.

The online version contains supplementary material available at 10.1186/s40001-025-03347-z.