Role of hydrogen sulfide in secondary neuronal injury

Neurochem Int. 2014 Jan:64:37-47. doi: 10.1016/j.neuint.2013.11.002. Epub 2013 Nov 14.


In acute neuronal insult events, such as stroke, traumatic brain injury, and spinal cord injury, pathological processes of secondary neuronal injury play a key role in the severity of insult and clinical prognosis. Along with nitric oxide (NO) and carbon monoxide (CO), hydrogen sulfide (H2S) is regarded as the third gasotransmitter and endogenous neuromodulator and plays multiple roles in the central nervous system under physiological and pathological states, especially in secondary neuronal injury. The endogenous level of H2S in the brain is significantly higher than that in peripheral tissues, and is mainly formed by cystathionine β-synthase (CBS) in astrocytes and released in response to neuronal excitation. The mechanism of secondary neuronal injury exacerbating the damage caused by the initial insult includes microcirculation failure, glutamate-mediated excitotoxicity, oxidative stress, inflammatory responses, neuronal apoptosis and calcium overload. H2S dilates cerebral vessels by activating smooth muscle cell plasma membrane ATP-sensitive K channels (KATP channels). This modification occurs on specific cysteine residues of the KATP channel proteins which are S-sulfhydrated. H2S counteracts glutamate-mediated excitotoxicity by inducing astrocytes to intake more glutamate from the extracellular space and thus increasing glutathione in neurons. In addition, H2S protects neurons from secondary neuronal injury by functioning as an anti-oxidant, anti-inflammatory and anti-apoptotic mediator. However, there are still some reports suggest that H2S elevates neuronal Ca(2+) concentration and may contribute to the formation of calcium overload in secondary neuronal injury. H2S also elicits calcium waves in primary cultures of astrocytes and may mediate signals between neurons and glia. Consequently, further exploration of the molecular mechanisms of H2S in secondary neuronal injury will provide important insights into its potential therapeutic uses for the treatment of acute neuronal insult events.

Keywords: 1-methyl-4-phenylpyridinium ion; AC; AD; AMPA; AOAA; ATP-sensitive K channels; Acute neuronal insult event; Alzheimer’s disease; CBS; CNS; CSE; ERK1/2; GluTs; H(2)S; HA; HSP 90; Hcy; Hydrogen sulfide; IAPs; IL-1β; IP3; K(ATP) channels; LTP; MACO; MCP-1; MPP(+); Mechanism; N-methyl-d-aspartate; NF-кB; NMDA; NO; NaHS; Neuromodulator; PKA; PKC; PLC; PLP; PPG; ROS; Role; S-adenosyl methionine; SAM; SCI; SUR2B; Secondary neuronal injury; TBI; TNF-α; adenylate cyclase; alpha-amino-3-hydroxy-5-methyl-4-isoxazole propionic acid; aminooxyacetate; cAMP; central nervous system; cyclic adenosine monophosphate; cystathionine β-synthase; cystathionine γ-lyase; d,l-propargylglycine; extracellular signal-regulated kinasel1/2; glutamate transporters; heat shock protein 90; homocysteine; hydrogen sulfide; hydroxylamine; inhibitor-of-apoptosis proteins; interleukin-1β; long term potentiation; monocyte chemotactic protein-1; nitric oxide; nuclear factor kappa B; occlusion of the middle cerebral artery; p38 mitogen activated protein kinase; p38MAPK; phospholipase C; protein kinase A; protein kinase C; pyridoxal 5′-phosphate; reactive oxygen species; ryanodine and inositol triphosphate; sodium hydrosulfide; spinal cord injury; sulfonylurea receptor 2B; traumatic brain injury; tumor necrosis factor-α; γ-GCS; γ-glutamylcysteine synthetase.

Publication types

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

MeSH terms

  • Animals
  • Calcium / metabolism
  • Cysteine / metabolism
  • Humans
  • Hydrogen Sulfide / pharmacology*
  • Neurons / drug effects*
  • Neurons / metabolism
  • Neurotransmitter Agents / metabolism
  • Nitric Oxide / metabolism


  • Neurotransmitter Agents
  • Nitric Oxide
  • Cysteine
  • Calcium
  • Hydrogen Sulfide