The role of medical gas in stroke: an updated review

Med Gas Res. 2019 Oct-Dec;9(4):221-228. doi: 10.4103/2045-9912.273960.

Abstract

Medical gas is a large class of bioactive gases used in clinical medicine and basic scientific research. At present, the role of medical gas in neuroprotection has received growing attention. Stroke is a leading cause of death and disability in adults worldwide, but current treatment is still very limited. The common pathological changes of these two types of stroke may include excitotoxicity, free radical release, inflammation, cell death, mitochondrial disorder, and blood-brain barrier disruption. In this review, we will discuss the pathological mechanisms of stroke and the role of two medical gases (hydrogen and hydrogen sulfide) in stroke, which may potentially provide a new insight into the treatment of stroke.

Keywords: cell death; hydrogen; hydrogen sulfide; medical gas; stroke.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Blood-Brain Barrier / metabolism
  • Gases / chemistry
  • Gases / therapeutic use*
  • Humans
  • Hydrogen / therapeutic use
  • Hydrogen Sulfide / therapeutic use
  • Mitochondria / metabolism
  • Neuroprotective Agents / chemistry
  • Neuroprotective Agents / therapeutic use
  • Reactive Oxygen Species / metabolism
  • Stroke / drug therapy*
  • Stroke / pathology

Substances

  • Gases
  • Neuroprotective Agents
  • Reactive Oxygen Species
  • Hydrogen
  • Hydrogen Sulfide