Medical Gas Research


Open Access Letter to the Editor

Lactulose: an effective preventive and therapeutic option for ischemic stroke by production of hydrogen

Xiao Chen1, Xiao Zhai2, Zhimin Kang3 and Xuejun Sun3*

Author Affiliations

1 Graduates Management Unit, Changhai hospital, Second Military Medical University, Shanghai 200433, PR China

2 Graduates Management Unit, Second Military Medical University, Shanghai 200433, PR China

3 Department of Diving Medicine, Faculty of Naval Medicine, Second Military Medical University, Shanghai 200433, PR China

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Medical Gas Research 2012, 2:3 doi:10.1186/2045-9912-2-3

Published: 6 February 2012

Abstract

Lactulose, a synthetic sugar not able to be digested and absorbed by human beings, is widely used to treat constipation and hepatic encephalopathy clinically. Through fermentation by the bacteria in the gastrointestinal tract, lactulose can produce considerable amount of hydrogen, which is protective for ischemic stroke as a unique antioxidant. We propose that lactulose can induce the production of endogenous hydrogen that in turn reduces oxidative stress and ameliorate the stroke damage in human beings.

Keywords:
lactulose; hydrogen; ischemia/reperfusion; antioxidant; stroke