Key result
Hydrogen sulfide exhibits potential therapeutic effects in hypertension via multiple mechanisms, including ATP-sensitive potassium channel opening and ACE inhibition, though its exact role remains ambiguous.
Hydrogen sulfide shows potential as a therapeutic agent in hypertension through multiple vasorelaxant mechanisms, though its exact clinical role requires further elucidation.
In the family of gas transmitters, hydrogen sulfide (H2S) is yet not adequately researched. Known for its rotten egg smell and adverse effects on the brain, lungs, and kidneys for more than 300 years, the vasorelaxant effects of H2S on blood vessel was first observed in 1997. Since then, research continued to explore the possible therapeutic effects of H2S in hypertension, inflammation, pancreatitis, different types of shock, diabetes, and heart failure. However, a considerable amount of efforts are yet needed to elucidate the mechanisms involved in the therapeutic effects of H2S, such as nitric oxide-dependent or independent vasodilation in hypertension and regression of left ventricular hypertrophy. More than a decade of good repute among researchers, H2S research has certain results that need to be clarified or reevaluated. H2S produces its response by multiple modes of action, such as opening the ATP-sensitive potassium channel, angiotensin-converting enzyme inhibition, and calcium channel blockade. H2S is endogenously produced from two sulfur-containing amino acids L-cysteine and L-methionine by the two enzymes cystathionine γ lyase and cystathionine β synthase. Recently, the third enzyme, 3-mercaptopyruvate sulfur transferase, along with cysteine aminotransferase, which is similar to aspartate aminotransferase, has been found to produce H2S in the brain. The H2S has interested researchers, and a great deal of information is being generated every year. This review aims to provide an update on the developments in the research of H2S in hypertension amid the ambiguity in defining the exact role of H2S in hypertension because of insufficient number of research results on this area. This critical review on the role of H2S in hypertension will clarify the gray areas and highlight its future prospects.
No takes yet. Share an insight, caveat, or question.
Sattar et al. (2015) conducted a review in hypertension. Hydrogen Sulfide (H2S) was evaluated. Hydrogen sulfide exhibits potential therapeutic effects in hypertension via multiple mechanisms, including ATP-sensitive potassium channel opening and ACE inhibition, though its exact role remains ambiguous.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: