Hydrogen sulfide is a gaseous signaling molecule (gasotransmitter) produced by both host enzymes (CBS, CSE, 3-MST) and gut bacteria—primarily sulfate-reducing bacteria (Desulfovibrio). Like nitric oxide and carbon monoxide, H₂S has dual roles: physiological signaling at low concentrations and cytotoxicity at high concentrations.

This concentration-dependent duality makes H₂S a critical node in the metal-microbiome-disease axis.

Evidence map5 cited passagesInspect provenance +
01
Microbial H₂S Production

High-fat diets combined with metal exposure amplify SRB abundance and H₂S production.

02
Physiological Roles (Low Concentration)

Vasodilation: H₂S relaxes vascular smooth muscle, complementing nitric oxide—relevant to erectile function.

03
Pathological Roles (High Concentration)

Colonocyte toxicity: Excess H₂S inhibits cytochrome c oxidase (complex IV) in colonocytes, impairing butyrate oxidation—the energy source for colonic epithelium.

04
Pathological Roles (High Concentration)

Endometriosis: H₂S activates NF-kB in endometrial stromal cells, promoting inflammation and lesion growth.

05
Pathological Roles (High Concentration)

CKD: Altered H₂S metabolism in CKD gut.

Contents1. Microbial H₂S Production2. Physiological Roles (Low Concentration)3. Pathological Roles (High Concentration)4. Metal Connection5. Cross-References

Microbial H₂S Production#

Desulfovibrio and other sulfate-reducing bacteria (SRB) are the primary microbial H₂S sources, reducing dietary sulfate to H₂S as a terminal electron acceptor. Protein-rich and high-sulfur amino acid diets increase colonic H₂S production.

High-fat diets combined with metal exposure amplify SRB abundance and H₂S production.[1]Liu 2020 — High-Fat Diet Affects Heavy Metal Accumulation and Kidney Toxicity via Gut MicrobiotaLiu, Liu, Liu et al. · 2020Open reference 1

Physiological Roles (Low Concentration)#

Vasodilation: H₂S relaxes vascular smooth muscle, complementing nitric oxide—relevant to erectile function.[2]Cai 2022 — Gut Microbiota Supports Male Reproduction via Nutrition, Immunity, and SignalingHui Cai, Xuanhong Cao, Dezhe Qin et al. · 2022Open reference 2 Anti-inflammatory: Inhibits NF-kB at physiological concentrations. Cytoprotection: Maintains mitochondrial electron transport chain function.

Pathological Roles (High Concentration)#

Colonocyte toxicity: Excess H₂S inhibits cytochrome c oxidase (complex IV) in colonocytes, impairing Butyrate oxidation—the energy source for colonic epithelium.[3]The Impact of Ketogenic Diet on Colorectal Cancer Progression and the Co-evolution of Gut Microbiota: A Research ProtocolMelika Shirdarreh, Yasamin Sadeghi, Tina Rahimi · 2021Open reference 3

CRC promotion: High H₂S damages DNA and promotes colorectal carcinogenesis. Endometriosis: H₂S activates NF-kB in endometrial stromal cells, promoting Metal-Driven Inflammation and lesion growth.[4]H2S promotes proliferation of endometrial stromal cells via activating the NF-kB pathway in endometriosisLei S, Cao Y, Sun J et al. · 2018Open reference 4 CKD: Altered H₂S metabolism in CKD gut.[5]Alterations to the Gut Microbiota and Their Correlation with Inflammatory Factors in CKDFengXia Li, MeiHong Wang, JunPing Wang et al. · 2019Open reference 5

Metal Connection#

H₂S binds and precipitates Heavy Metals (forming insoluble metal sulfides), potentially serving as a detoxification mechanism in the gut—but this also alters metal bioavailability for the microbiome.

Iron-sulfur cluster enzymes throughout the microbiome are sensitive to H₂S levels.

Cross-References#

Generated evidence record

References 6

Numbered by first appearance in the article, then reconciled with its declared source list.

  1. 1

    Liu, Liu, Liu et al. (2020). Liu 2020 — High-Fat Diet Affects Heavy Metal Accumulation and Kidney Toxicity via Gut Microbiota. Frontiers in Microbiology.

  2. 2

    Hui Cai, Xuanhong Cao, Dezhe Qin et al. (2022). Cai 2022 — Gut Microbiota Supports Male Reproduction via Nutrition, Immunity, and Signaling. Frontiers in Microbiology.

  3. 3

    Melika Shirdarreh, Yasamin Sadeghi, Tina Rahimi (2021). The Impact of Ketogenic Diet on Colorectal Cancer Progression and the Co-evolution of Gut Microbiota: A Research Protocol. URNCST Journal.

  4. 4

    Lei S, Cao Y, Sun J et al. (2018). H2S promotes proliferation of endometrial stromal cells via activating the NF-kB pathway in endometriosis. American Journal of Translational Research.

  5. 5

    FengXia Li, MeiHong Wang, JunPing Wang et al. (2019). Alterations to the Gut Microbiota and Their Correlation with Inflammatory Factors in CKD. Frontiers in Cellular and Infection Microbiology.

  6. 6

    Ji Sung Shim, Dae Hee Kim, Jae Hyun Bae et al. (2016). Shim 2016 — Omega-3 Fatty Acids Improve Erectile Function in Atherosclerosis-induced Chronic Pelvic Ischemia Rat Model. Journal of Korean Medical Science.

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