# Hydrogen‐Mediated Activation of the Nrf2/HO‐1 Signaling Pathway Improves Cognitive Impairment in Sleep‐Deprived Mice

**Authors:** QiFan Xiao, ShiRui Zhou, Bin Tang, YuQing Zhu

PMC · DOI: 10.1002/cns.70770 · CNS Neuroscience & Therapeutics · 2026-02-01

## TL;DR

Hydrogen improves cognitive function in sleep-deprived mice by reducing oxidative stress and inflammation through the Nrf2/HO-1 pathway.

## Contribution

This study demonstrates hydrogen's novel role in mitigating sleep deprivation-induced cognitive impairment via Nrf2/HO-1 pathway activation.

## Key findings

- Hydrogen-treated mice showed improved cognitive performance in memory and recognition tests.
- Hydrogen upregulated Nrf2/HO-1 signaling and reduced inflammatory markers like IL-1β and TNF-α.
- Hydrogen restored antioxidant enzyme activities such as glutathione peroxidase and superoxide dismutase.

## Abstract

This study investigated the effects of hydrogen (H2) on cognitive impairment in sleep‐deprived mice mediated by the nuclear factor erythroid 2‐related factor 2 (Nrf2)/heme oxygenase‐1 (HO‐1) signaling pathway.

A chronic sleep deprivation (SD) model was established using the modified multiple platform method, with 18 h of deprivation daily for 28 consecutive days. Cognitive function was evaluated using the Morris water maze and novel object recognition (NOR) test. Histopathological and biochemical analyses, including hematoxylin and eosin staining, Nissl staining, immunohistochemistry, and enzyme‐linked immunosorbent assay, were performed to assess oxidative stress and inflammation‐related markers.

The results demonstrated that H2‐treated mice showed significantly shorter escape latency, longer target quadrant duration, and higher NOR index compared to controls. Concurrently, Nrf2/HO‐1 expression was significantly upregulated, while interleukin‐1β and tumor necrosis factor‐alpha levels were reduced. Additionally, glutathione peroxidase and superoxide dismutase activities were restored.

These results indicate that H2 alleviates oxidative stress and neuroinflammation through Nrf2/HO‐1 pathway activation, mitigating SD‐induced cognitive impairment. This research provides a theoretical foundation for potential clinical applications.

Hydrogen enhances memory and learning capabilities in sleep‐deprived mice by activating the Nrf2/HO‐1 signaling pathway, while suppressing neuronal damage, oxidative stress, and inflammatory responses.

## Linked entities

- **Genes:** GABPA (GA binding protein transcription factor subunit alpha) [NCBI Gene 2551], HMOX1 (heme oxygenase 1) [NCBI Gene 3162], IL1B (interleukin 1 beta) [NCBI Gene 3553], TNF (tumor necrosis factor) [NCBI Gene 7124]
- **Chemicals:** H2 (PubChem CID 783)
- **Species:** Mus musculus (taxon 10090)

## Full-text entities

- **Genes:** Syp (synaptophysin) [NCBI Gene 20977] {aka A230093K24Rik, Syn, p38}, Nfe2l2 (NFE2 like bZIP transcription factor 2) [NCBI Gene 83619], Dlg4 (discs large MAGUK scaffold protein 4) [NCBI Gene 13385] {aka Dlgh4, PSD-95, PSD95, SAP90, SAP90A}, Il1b (interleukin 1 beta) [NCBI Gene 16176] {aka IL-1beta, Il-1b}, Tnf (tumor necrosis factor) [NCBI Gene 21926] {aka DIF, TNF-a, TNF-alpha, TNFSF2, TNFalpha, Tnfa}, Tlr4 (toll-like receptor 4) [NCBI Gene 21898] {aka Lps, Ly87, Ran/M1, Rasl2-8}, Ighv1-62 (immunoglobulin heavy variable 1-62) [NCBI Gene 668542] {aka IgG, IgM, IgVH, Igh}, HMOX1 (heme oxygenase 1) [NCBI Gene 3162] {aka HMOX1D, HO-1, HSP32, bK286B10}, Gapdh (glyceraldehyde-3-phosphate dehydrogenase) [NCBI Gene 14433] {aka Gapd}, Hmox1 (heme oxygenase 1) [NCBI Gene 24451] {aka HEOXG, Heox, Hmox, Ho-1, Ho1, hsp32}, Nfkb1 (nuclear factor of kappa light polypeptide gene enhancer in B cells 1, p105) [NCBI Gene 18033] {aka NF-KB1, NF-kappaB, NF-kappaB1, p105, p50, p50/p105}, Nfe2l2 (nuclear factor, erythroid derived 2, like 2) [NCBI Gene 18024] {aka Nrf2}, Il6 (interleukin 6) [NCBI Gene 16193] {aka Il-6}, NFE2L2 (NFE2 like bZIP transcription factor 2) [NCBI Gene 4780] {aka IMDDHH, NRF2, Nrf-2}, Hmox1 (heme oxygenase 1) [NCBI Gene 15368] {aka D8Wsu38e, HO-1, HO1, Hemox, Hmox, Hsp32}
- **Diseases:** sleep disorders (MESH:D012893), Neuroidal Injury (MESH:D014947), Cognitive Impairment (MESH:D003072), cardiometabolic disorders (MESH:D024821), neurological damage (MESH:D020196), chronic diseases (MESH:D002908), hippocampal damage (MESH:D000092223), Inflammation (MESH:D007249), SD (MESH:D012892), learning and memory deficits (MESH:D007859), brain injury (MESH:D001930), necrotic (MESH:D009336), neurodegenerative pathologies (MESH:D019636), neuroinflammation (MESH:D000090862), autoimmune diseases (MESH:D001327), cytotoxic (MESH:D064420), sepsis (MESH:D018805), neuronal damage (MESH:D009410), cancers (MESH:D009369)
- **Chemicals:** glycerol (MESH:D005990), acetic acid (MESH:D019342), polyvinylidene fluoride (MESH:C024865), H&amp;E (MESH:D006371), paraformaldehyde (MESH:C003043), ethanol (MESH:D000431), PI (MESH:D011419), CORT (MESH:D003345), CCK-8 (MESH:D012844), malondialdehyde (MESH:D008315), H2 (MESH:D006859), SYBR Green (MESH:C098022), Water (MESH:D014867), lipopolysaccharide (MESH:D008070), Saline (MESH:D012965), PBS (MESH:D007854), CO2 (MESH:D002245), paraffin (MESH:D010232), polyacrylamide (MESH:C016679), MDA (MESH:D015104), bicinchoninic acid (MESH:C047117), lipid (MESH:D008055), TRIzol (MESH:C411644), sodium dodecyl sulfate (MESH:D012967), periodic acid (MESH:D010504), 3,3'-diaminobenzidine (MESH:D015100), xylene (MESH:D014992), citrate (MESH:D019343), Hematoxylin and Eosin (-), polypropylene (MESH:D011126)
- **Species:** Mus musculus (house mouse, species) [taxon 10090], Rodentia (rodent, order) [taxon 9989], Homo sapiens (human, species) [taxon 9606]
- **Mutations:** C-8 C, C for 12-16, C +- 1 C
- **Cell lines:** /6 — Homo sapiens (Human), Tongue squamous cell carcinoma, Cancer cell line (CVCL_5985), PC12 — Rattus norvegicus (Rat), Rat adrenal gland pheochromocytoma, Cancer cell line (CVCL_0481)

## Full text

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## Figures

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## References

40 references — full list in the complete paper: https://tomesphere.com/paper/PMC12862102/full.md

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Source: https://tomesphere.com/paper/PMC12862102