Review
Hydrogen sulfide: Neurochemistry and neurobiology

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Abstract

Current evidence suggests that hydrogen sulfide (H2S) plays an important role in brain functions, probably acting as a neuromodulator as well as an intracellular messenger. In the mammalian CNS, H2S is formed from the amino acid cysteine by the action of cystathionine β-synthase (CBS) with serine (Ser) as the by-product. As CBS is a calcium and calmodulin dependent enzyme, the biosynthesis of H2S should be acutely controlled by the intracellular concentration of calcium. In addition, it is also regulated by S-adenosylmethionine which acts as an allosteric activator of CBS. H2S, as a sulfhydryl compound, has similar reducing properties as glutathione. In neurons, H2S stimulates the production of cAMP probably by direct activation of adenylyl cyclase and thus activate cAMP-dependent processes. In astrocytes, H2S increases intracellular calcium to an extent capable of inducing and propagating a “calcium wave”, which is a form of calcium signaling among these cells. Possible physiological functions of H2S include potentiating long-term potentials through activation of the NMDA receptors, regulating the redox status, maintaining the excitatory/inhibitory balance in neurotransmission, and inhibiting oxidative damage through scavenging free radicals and reactive species. H2S is also involved in CNS pathologies such as stroke and Alzheimer's disease. In stroke, H2S appears to act as a mediator of ischemic injuries and thus inhibition of its production has been suggested to be a potential treatment approach in stroke therapy.

Introduction

Hydrogen sulfide (H2S) is a poisonous gas used as a chemical reagent. It is a broad-spectrum toxicant as it affects most organ systems in the body. The early symptoms of H2S exposure include sore throat, dizziness, nausea, and respiratory effects attributed to airway irritation. Acute exposure to H2S exhibits a very steep dose–response relationship with an LD50 of 15 mg/kg (rats), especially for CNS and respiratory depression, which is the major cause of death in acute H2S poisoning (Warenycia et al., 1989). The primary cause of death in H2S poisoning has been attributed to respiratory paralysis (Beauchamp et al., 1984). In addition, pulmonary edema has consistently been reported as the single most notable lesion in autopsies of individuals killed by H2S poisoning (Burnett et al., 1977). At present, although the mechanism of action for these toxic effects is not clear, it is widely believed that H2S targets mitochondria at low micromolar concentrations via reversible inhibition of cytochrome c oxidase (Reiffenstein et al., 1992).

It had long been assumed that H2S exists in animal tissues at very low concentrations because of its toxicity, although it could be produced endogenously. However, more recent studies have shown that H2S is present in mammalian tissues at levels far higher than first expected, up to 50–160 μmol/L (Goodwin et al., 1989, Warenycia et al., 1989) as measured in rat, human and bovine brain tissues. Abe and Kimura (1996) have shown that sodium hydrosulfide (NaHS, an H2S donor) at concentrations (10–130 μM) similar to the physiological concentrations of H2S selectively enhances N-methyl d-aspartate (NMDA) receptor-mediated responses and facilitates the induction of hippocampal long-term potentiation (LTP). This review presents an overview of the current evidence that H2S plays an important role in brain functions, probably acting as a neuromodulator and/or as an intracellular messenger (Moore et al., 2003).

Section snippets

Physical properties of H2S

H2S is the sulfur analog of water with a molecular weight of 34.08. But unlike water, it has weak intermolecular forces and thus exists in the gaseous form at room temperature and pressure. H2S is a colorless gas characterized by its offensive odor described as the smell of rotten eggs. It can be oxidized by a variety of agents to form sulfur dioxide and sulfuric acid. In the mammalian body, at a physiological pH of 7.4, approximately one-third of H2S exists as the un-dissociated form and

Biochemical pathways related to the production of H2S

In mammalian tissues, two pyridoxal-5′-phosphate (PLP)-dependent enzymes – cystathionine-β-synthase (CBS, EC 4.2.1.22) and cystathionine-γ-lyase (γ-cystathionase CSE, EC 4.4.1.1) – are responsible for most of the biosynthesis of H2S from l-cysteine (Cys). As shown in Fig. 1, H2S is released from the desulfuration of Cys (Stipanuk and Beck, 1982). Firstly, Cys may be hydrolyzed by CBS to produce H2S with l-serine (Ser) as the by-product or hydrolyzed by CSE to produce H2S, pyruvate and ammonia

Biosynthesis of H2S in the brain via CBS

The primary translational product of both the human and the rat CBS gene is a precursor protein with a molecular weight of 63 kDa (Skovby et al., 1984) that forms tetramers or higher oligomers. Proteolysis of the precursor protein yields the active enzyme of CBS (amino acid residues 40–413) (Skovby et al., 1984, Kraus and Rosenberg, 1983). CBS activities are highly regulated (Miles and Kraus, 2004) and tissue-specific (Quere et al., 1999). It is localized in the cytoplasm and compartmentalized

Precursors of H2S

Met is an essential amino acid in mammals and thus generally considered as the source of all sulfur-containing amino acids. Cys, on the other hand, is non-essential and can be synthesized from Met via Hcy (the transsulfuration pathway). The mammalian liver regulates its free Cys pool tightly even when dietary source of sulfur-containing amino acid varies from sub- to over-requirement (Lee et al., 2004). This is achieved by regulating the synthesis of glutathione, which acts as a reservoir of

Metabolic fate of H2S

The metabolism of sulfur amino acid has been reviewed by Stipanuk (2004). Briefly, the sulfur of Met is transferred to serine to form Cys through the transsulfuration pathway. The end products of Cys catabolism are sulfate (77–92% of total sulfur excreted in the urine), ester sulfate (7–9%), and taurine (2–6%). The main metabolic pathway of H2S is a series of oxidation yielding thiosulfate (S2O32−), sulfite (SO32−) and sulfate (SO42−) (Beauchamp et al., 1984). The reported amount of thiosulfate

Neurons

Much progress has been made in the past decade in elucidating the roles of H2S at physiological and pathological conditions at the cellular level. H2S, at physiological levels, was first shown to selectively stimulate NMDA receptor-mediated currents. This stimulation facilitates the induction of hippocampal LTP, but only in the presence of a weak titanic stimulation. H2S alone does not induce LTP thus suggesting that H2S mainly facilitates LTP in active synapses (Abe and Kimura, 1996, Kimura,

Ischemic stroke

A stroke occurs when an artery in the brain is blocked leading to a loss of blood supply to the affected tissues. A lack of oxygen and glucose causes the level of the energy molecule ATP to plummet, ATPase fail and intracellular Na+ and Ca2+ increase. Membrane depolarization occurs and Glu is released leading to activation of its excitatory receptors and thus more membrane depolarization. Glu transport also fails for a lack of energy supply and extracellular Glu levels soar. All these events

Concluding remarks

Sufficient evidence has accumulated in support of H2S acting as a signaling molecule in the mammalian CNS. This field is still in its infancy and much will be learnt in the near future about the central roles play by H2S in health and disease as interest on this molecule grows among neuroscientists. One area that is of particular interest concerns the crosstalk between H2S and NO in the CNS. It is obvious that the two systems have much in common. For instance, it is well established that NMDA

Acknowledgements

P.T.H. Wong receives a grant from the Biomedical Research Council of Singapore (BMRC 01/1/21/19/169).

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