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Updated: Dec 12, 2025

Author Spotlight: A Pharmacodissection Approach to Uncover Mechanisms in Cardiovascular Disease Risk Populations
Published on: July 21, 2023
Role of hydrogen sulfide in cardiovascular ageing
Lara Testai1, Valentina Citi2, Alma Martelli1
1Department of Pharmacy, University of Pisa, via Bonanno, 6-56120, Pisa, Italy; Interdepartmental Research Centre of Ageing, Biology and Pathology, University of Pisa, 56120, Pisa, Italy; Interdepartmental Research Centre "Nutraceuticals and Food for Health (NUTRAFOOD)", University of Pisa, 56120, Pisa, Italy.
Insights
Hydrogen sulfide (H2S) plays a key role in cardiovascular ageing. Declining H2S levels are linked to age-related cardiovascular diseases, highlighting H2S as a potential therapeutic target for healthy ageing.
Area of Science:
- Cardiovascular Science
- Gerontology
- Molecular Biology
Background:
- Cardiovascular diseases (CVDs) are a leading cause of death, with ageing being a primary risk factor.
- Endothelial dysfunction and atherosclerosis are key features of vascular ageing, impacting cardiac function.
- Intracellular mechanisms like the SIRT1/AMPK/PCG1α pathway and oxidative stress are implicated in cardiovascular ageing.
Purpose of the Study:
- To review the role of hydrogen sulfide (H2S) in cardiovascular ageing.
- To explore the link between declining endogenous H2S levels and age-related CVDs.
- To identify H2S as a potential target for promoting healthy cardiovascular ageing.
Main Methods:
- Literature review of studies on H2S, cardiovascular ageing, and related molecular pathways.
- Analysis of evidence connecting endogenous H2S levels with cardiovascular health during ageing.
- Synthesis of current understanding of H2S's influence on intracellular ageing mechanisms.
Main Results:
- Hydrogen sulfide (H2S) emerges as a significant modulator of cellular processes involved in ageing.
- A progressive decrease in endogenous H2S levels is associated with the development of cardiovascular diseases.
- H2S influences key pathways implicated in cardiovascular ageing, including antioxidant and anti-inflammatory responses.
Conclusions:
- Hydrogen sulfide (H2S) is a critical factor in regulating cardiovascular ageing.
- Therapeutic strategies targeting H2S may offer a novel approach to prevent or mitigate age-related cardiovascular diseases.
- Maintaining adequate endogenous H2S levels is crucial for promoting healthy cardiovascular ageing.
Abstract:
Cardiovascular diseases are the main cause of morbidity and mortality in the Western society and ageing is a relevant non-modifiable risk factor. Morphological and functional alterations at endothelial level represent first events of ageing, inevitably followed by vascular dysfunction and consequent atherosclerosis that deeply influences cardiovascular health. Indeed, myocardial hypertrophy and fibrosis typically occur and contribute to compromise overall cardiac output. As regards the intracellular molecular mechanisms involved in the cardiovascular ageing, an intricate network is emerging, revealing a role for many mediators, including SIRT1/AMPK/PCG1α pathway, anti-oxidants factors (i.e. Nrf-2 and FOXOs) and pro-inflammatory cytokines. Thus, the search for pharmacological and non-pharmacological strategies that can promote a "healthy ageing", in order to slow down age-related machinery, are currently an exciting challenge for the biomedical research. Interestingly, hydrogen sulfide (H2S) has been recently recognized as a new player capable to influence intracellular machinery involved in ageing and then it is view as a potential target for preventing cardiovascular diseases. Therefore, this review is focused on the role of H2S in cardiovascular ageing, and on the evidence of the relationship between progressive decline in endogenous H2S levels and the onset of various cardiovascular age-related diseases.
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