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as well as (iii) forkhead box O transcription factors.11 Experimental evidence supports these observations, showing H-rich saline ability to attenuate renal inflammation and preserve endothelial glycocalyx integrity in sepsis-induced AKI.12 Moreover, novel solid-state H sources demonstrated efficacy against toxin-induced kidney injury by inhibiting critical inflammatory pathways.8 Additionally, high-concentration H inhalation has been reported to reduce mitochondrial dysfunction in septic AKI models by promoting mitochondrial biogenesis and fusion processes.13 Beyond conventional delivery methods, advanced H-generating nanomaterials have been explored to achieve targeted reactive oxygen species modulation in renal conditions.9 Clinical case reports have shown improved renal function and reduced fatigue in diabetic nephropathy,14 while preclinical research also indicates protective effects in crush syndromeassociated AKI.15 Despite these promising results, the existing literature on H therapies is marked by considerable methodological heterogeneity

CAT-mediated decomposition of H 2 O 2 to water minimizes the downstream flow of excessive ROS, which otherwise could trigger OxS and m -Dys in COVID-19 and PASC patients

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10.1016/j.clinbiochem.2008.05.013 103 MoaazM.YoussryS.ElfatatryA.El RahmanM

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