Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet model

Abstract Acute kidney injury (AKI) has been reported to occur in 30–70% of asphyxiated neonates. Hydrogen (H2) gas became a major research focus in neonatal medicine after the identification of its robust antioxidative properties. However, the ability of H2 gas to ameliorate AKI is unknown. We exami...

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Main Authors: Takuma Iwaki, Shinji Nakamura, Takayuki Wakabayashi, Yasuhiro Nakao, Yinmon Htun, Toui Tsuchiya, Tsutomu Mitsuie, Kosuke Koyano, Aya Morimoto, Noriko Fuke, Takayuki Yokota, Sonoko Kondo, Yukihiko Konishi, Takanori Miki, Masaki Ueno, Takashi Iwase, Takashi Kusaka
Format: Article
Language:English
Published: Nature Portfolio 2025-01-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-85231-8
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author Takuma Iwaki
Shinji Nakamura
Takayuki Wakabayashi
Yasuhiro Nakao
Yinmon Htun
Toui Tsuchiya
Tsutomu Mitsuie
Kosuke Koyano
Aya Morimoto
Noriko Fuke
Takayuki Yokota
Sonoko Kondo
Yukihiko Konishi
Takanori Miki
Masaki Ueno
Takashi Iwase
Takashi Kusaka
author_facet Takuma Iwaki
Shinji Nakamura
Takayuki Wakabayashi
Yasuhiro Nakao
Yinmon Htun
Toui Tsuchiya
Tsutomu Mitsuie
Kosuke Koyano
Aya Morimoto
Noriko Fuke
Takayuki Yokota
Sonoko Kondo
Yukihiko Konishi
Takanori Miki
Masaki Ueno
Takashi Iwase
Takashi Kusaka
author_sort Takuma Iwaki
collection DOAJ
description Abstract Acute kidney injury (AKI) has been reported to occur in 30–70% of asphyxiated neonates. Hydrogen (H2) gas became a major research focus in neonatal medicine after the identification of its robust antioxidative properties. However, the ability of H2 gas to ameliorate AKI is unknown. We examined histopathological injuries in the piglet renal cortex on day 5 after a hypoxic-ischemic (HI) insult and if H2 gas can alleviate kidney injuries. Twenty piglets were divided into three groups: no insult (Control, n = 6), HI insult alone (HI, n = 8), and HI insult with H2 gas ventilation (HI-H2, 2.1–2.7% for 24 h, n = 6). The total glomerular cell count was significantly higher in the HI group than in the other groups, with no difference between the HI-H2 and control groups. Proximal tubular lumen narrowing was significantly increased in the HI group versus control, but not in the HI-H2 group. In this piglet model, glomerular enlargement with an increase in glomerular cell number due to tubular lumen narrowing was observed on day 5 after HI insult. H2 gas effectively suppressed this glomerular cell increase and tubular lumen narrowing.
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spelling doaj-art-dec0c9047dcf437391400d987425ce672025-01-12T12:16:18ZengNature PortfolioScientific Reports2045-23222025-01-0115111210.1038/s41598-025-85231-8Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet modelTakuma Iwaki0Shinji Nakamura1Takayuki Wakabayashi2Yasuhiro Nakao3Yinmon Htun4Toui Tsuchiya5Tsutomu Mitsuie6Kosuke Koyano7Aya Morimoto8Noriko Fuke9Takayuki Yokota10Sonoko Kondo11Yukihiko Konishi12Takanori Miki13Masaki Ueno14Takashi Iwase15Takashi Kusaka16Department of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityMedical Engineering Equipment Management Center, Kagawa University Hospital, Kagawa UniversityMaternal Perinatal Center, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Anatomy and Neurobiology, Faculty of Medicine, Kagawa UniversityDepartment of Pathology and Host Defense, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityDepartment of Pediatrics, Faculty of Medicine, Kagawa UniversityAbstract Acute kidney injury (AKI) has been reported to occur in 30–70% of asphyxiated neonates. Hydrogen (H2) gas became a major research focus in neonatal medicine after the identification of its robust antioxidative properties. However, the ability of H2 gas to ameliorate AKI is unknown. We examined histopathological injuries in the piglet renal cortex on day 5 after a hypoxic-ischemic (HI) insult and if H2 gas can alleviate kidney injuries. Twenty piglets were divided into three groups: no insult (Control, n = 6), HI insult alone (HI, n = 8), and HI insult with H2 gas ventilation (HI-H2, 2.1–2.7% for 24 h, n = 6). The total glomerular cell count was significantly higher in the HI group than in the other groups, with no difference between the HI-H2 and control groups. Proximal tubular lumen narrowing was significantly increased in the HI group versus control, but not in the HI-H2 group. In this piglet model, glomerular enlargement with an increase in glomerular cell number due to tubular lumen narrowing was observed on day 5 after HI insult. H2 gas effectively suppressed this glomerular cell increase and tubular lumen narrowing.https://doi.org/10.1038/s41598-025-85231-8Acute kidney injuryAsphyxiaGlomerular enlargementHydrogen gasHypoxic-ischemiaPiglet
spellingShingle Takuma Iwaki
Shinji Nakamura
Takayuki Wakabayashi
Yasuhiro Nakao
Yinmon Htun
Toui Tsuchiya
Tsutomu Mitsuie
Kosuke Koyano
Aya Morimoto
Noriko Fuke
Takayuki Yokota
Sonoko Kondo
Yukihiko Konishi
Takanori Miki
Masaki Ueno
Takashi Iwase
Takashi Kusaka
Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet model
Scientific Reports
Acute kidney injury
Asphyxia
Glomerular enlargement
Hydrogen gas
Hypoxic-ischemia
Piglet
title Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet model
title_full Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet model
title_fullStr Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet model
title_full_unstemmed Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet model
title_short Hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic-ischemic insult in asphyxiated piglet model
title_sort hydrogen gas inhalation ameliorates glomerular enlargement after hypoxic ischemic insult in asphyxiated piglet model
topic Acute kidney injury
Asphyxia
Glomerular enlargement
Hydrogen gas
Hypoxic-ischemia
Piglet
url https://doi.org/10.1038/s41598-025-85231-8
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