Systemic molecular hydrogen exposure is governed by pulmonary clearance: insights from an arterioarterial shunt approach

This study establishes a quantitative framework for hydrogen (H 2 ) pharmacokinetics, demonstrating that inhalation is the only way to achieve rapid and homogeneous systemic exposure, whereas hydrogen-rich water delivers H 2 only to downstream organs. Using complementary physiological, intragastric, and high-dose systemic approaches, we validate a nonsaturable pulmonary clearance model across clinically relevant and supraphysiological concentrations. These findings resolve inconsistencies in the literature and redefine how hydrogen-based therapies should be interpreted and optimized.

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Publication Details

Journal
American Journal of Physiology-Heart and Circulatory Physiology
Published
2026-10-14
DOI
https://doi.org/10.1152/ajpheart.00421.2026
Primary Topic
Hydrogen's biological and therapeutic effects
Type
article
Field-Weighted Citation Impact
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article

Systemic molecular hydrogen exposure is governed by pulmonary clearance: insights from an arterioarterial shunt approach

François R. Boucher, Cordélia Salomez‐Ihl, Stéphane Tanguy, Jean‐Pierre Alcaraz et al.
American Journal of Physiology-Heart and Circulatory Physiology
Hydrogen's biological and therapeutic effects
article

Systemic molecular hydrogen exposure is governed by pulmonary clearance: insights from an arterioarterial shunt approach

François R. Boucher, Cordélia Salomez‐Ihl, Stéphane Tanguy, Jean‐Pierre Alcaraz, Théo Ziegelmeyer, Victor Pascal‐Moussellard, Philippe Cinquin
article en

Abstract

This study establishes a quantitative framework for hydrogen (H 2 ) pharmacokinetics, demonstrating that inhalation is the only way to achieve rapid and homogeneous systemic exposure, whereas hydrogen-rich water delivers H 2 only to downstream organs. Using complementary physiological, intragastric, and high-dose systemic approaches, we validate a nonsaturable pulmonary clearance model across clinically relevant and supraphysiological concentrations. These findings resolve inconsistencies in the literature and redefine how hydrogen-based therapies should be interpreted and optimized.

American Journal of Physiology-Heart and Circulatory PhysiologyVol. 331(5)
Institut polytechnique de Grenoble (FR), Centre National de la Recherche Scientifique (FR), Inserm (FR), Centre Hospitalier Universitaire de Grenoble (FR), VetAgro Sup (FR), Translational Innovation in Medicine and Complexity (FR), Université Grenoble Alpes (FR)
Good health and well-being
Openalex Percentile: Top 10%
Hydrogen's biological and therapeutic effects
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