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Research ArticleClinical Studies
Open Access

Molecular Hydrogen Capsule Therapy for Primary Biliary Cholangitis With Elevated IgG4: A Case Report on Immune Marker Normalization

YUN-TING LIN, JENG-WEI LU, JUNG-CHUN LIN, YI-JUNG HO, SHAN-WEN LUI, TING-YU HSIEH, HSIAO-CHEN LIU, KUANG-YIH WANG and FENG-CHENG LIU
In Vivo May 2025, 39 (3) 1669-1675; DOI: https://doi.org/10.21873/invivo.13968
YUN-TING LIN
1Department of General Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.;
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JENG-WEI LU
2Department of Bioscience and Biotechnology, National Taiwan Ocean University, Keelung, Taiwan, R.O.C.;
3Biotech Research and Innovation Centre, University of Copenhagen, Copenhagen, Denmark;
4The Finsen Laboratory, Rigshospitalet/National University Hospital, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark;
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JUNG-CHUN LIN
5Division of Gastroenterology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.;
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YI-JUNG HO
6School of Pharmacy, National Defense Medical Center, Taipei, Taiwan, R.O.C.;
7Graduate Institute of Life Sciences, National Defense Medical Center, Taipei, Taiwan, R.O.C.;
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SHAN-WEN LUI
8Department of Internal Medicine, Linkou Chang-Gung Memorial Hospital, Taoyuan, Taiwan, R.O.C.;
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TING-YU HSIEH
9Department of Internal Medicine, Taichung Veterans General Hospital, Taichung, Taiwan, R.O.C.;
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HSIAO-CHEN LIU
10Department of Biotechnology, National Yang Ming Chiao Tung University, Taipei, Taiwan, R.O.C.;
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KUANG-YIH WANG
11Rheumatology/Immunology and Allergy, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
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FENG-CHENG LIU
11Rheumatology/Immunology and Allergy, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, R.O.C.
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  • For correspondence: lfc10399{at}yahoo.com.tw
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    Figure 1.

    Changes in serum levels of aspartate transaminase (AST) and alanine aminotransferase (ALT) before (August 27, 2024) and after the initiation of molecular hydrogen therapy. Both AST and ALT levels exhibited decreasing trends following the commencement of molecular hydrogen therapy on August 30, 2024.

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    Figure 2.

    Immunophenotypic changes of B cells following molecular hydrogen therapy. Whole blood analysis was conducted before and after molecular hydrogen therapy with the Health Control (HC) group shown for comparison (far left). Panels (A, B, and E) show that naïve B cell PD-1+, total B cell PD-1+, and regulatory B cell (Breg) populations significantly increased after molecular hydrogen therapy, surpassing the levels observed in the HC group. Panels (C, D, and F) demonstrate stable conditions for switched memory (SM) B cell Fas+, SM B cell CD21+, and naïve B cell HLADR+ populations following therapy.

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    Figure 3.

    Immunophenotypic changes of T cells following molecular hydrogen therapy. Whole blood analysis was conducted before and after molecular hydrogen therapy, with the Health Control (HC) group shown for comparison (far left). Panels (A, B, C, D, E, and F) show that the percentage of effector memory (EM) cytotoxic T cells (Tc) Tim-3+, effector helper T cells (Th) KLRG1+, effector Tc Tim-3+, EM Tc KLRG1+, EM Th Tim-3+, and effector Tc KLRG1+ increased following molecular hydrogen therapy, eventually returning to levels comparable to those in the HC group.

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In Vivo: 39 (3)
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May-June 2025
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Molecular Hydrogen Capsule Therapy for Primary Biliary Cholangitis With Elevated IgG4: A Case Report on Immune Marker Normalization
YUN-TING LIN, JENG-WEI LU, JUNG-CHUN LIN, YI-JUNG HO, SHAN-WEN LUI, TING-YU HSIEH, HSIAO-CHEN LIU, KUANG-YIH WANG, FENG-CHENG LIU
In Vivo May 2025, 39 (3) 1669-1675; DOI: 10.21873/invivo.13968

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Molecular Hydrogen Capsule Therapy for Primary Biliary Cholangitis With Elevated IgG4: A Case Report on Immune Marker Normalization
YUN-TING LIN, JENG-WEI LU, JUNG-CHUN LIN, YI-JUNG HO, SHAN-WEN LUI, TING-YU HSIEH, HSIAO-CHEN LIU, KUANG-YIH WANG, FENG-CHENG LIU
In Vivo May 2025, 39 (3) 1669-1675; DOI: 10.21873/invivo.13968
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Keywords

  • Primary biliary cholangitis
  • molecular hydrogen
  • liver enzymes
  • IgG4
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  • immune modulation
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