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CSE/H2S/SESN2 Signalling Mediates the Protective Effect of Exercise Against Immobilization-Induced Muscle Atrophy in
Xiuru Li1, Yating Huang1, Xuege Yang1
1Department of Rehabilitation, School of Medical Technology, Tianjin Medical University, Tianjin, China.
Journal of Cachexia, Sarcopenia and Muscle
|October 1, 2025
Summary
Hydrogen sulphide (H2S) protects against muscle atrophy by boosting antioxidant defenses through the SESN2/Nrf2 pathway. This suggests H2S as a potential therapeutic strategy to maintain muscle mass and function, mimicking exercise benefits.
Area of Science:
- Muscle physiology
- Biochemistry
- Cellular biology
Background:
- Hydrogen sulphide (H2S), a gasotransmitter, possesses antioxidant properties and may replicate exercise-induced muscle protection.
- The precise role of H2S in muscle atrophy and exercise interventions remains incompletely understood.
Purpose of the Study:
- To investigate the protective mechanisms of H2S against disuse-induced muscle atrophy.
- To explore the involvement of the SESN2/Nrf2 signaling pathway in H2S-mediated muscle protection.
- To evaluate H2S as a potential therapeutic mimic of exercise for muscle preservation.
Main Methods:
- Hindlimb immobilization followed by exercise or pharmacological treatment with an H2S donor (NaHS) or CSE inhibitor (PAG) in mice.
- In vitro studies using C2C12 myotubes exposed to oxidative stress and treated with NaHS.
- Assessment of muscle mass, fiber cross-sectional area (CSA), collagen deposition, and oxidative stress markers using histology and Western blot.
Main Results:
- Exercise intervention and NaHS administration significantly increased muscle mass, CSA, and reduced collagen deposition compared to immobilization.
- Pharmacological inhibition of CSE attenuated exercise-induced benefits, while NaHS mimicked exercise effects.
- NaHS upregulated SESN2, Nrf2, HO-1, and NQO1 expression in vitro and in vivo.
- SESN2 deficiency abolished NaHS-mediated muscle protection, confirming SESN2's crucial role.
Conclusions:
- H2S confers protection against disuse-induced muscle atrophy by enhancing antioxidant defenses via the SESN2/Nrf2 pathway.
- H2S acts as an exercise-mimetic agent, offering a potential therapeutic avenue for preserving muscle mass and function.

