腐った卵”臭のガスが爪感染症の治療に(“Rotten egg” gas could be the answer to treating nail infections, say scientists)

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2025-11-04 バース大学

バース大学とキングス・カレッジ・ロンドンの研究チームは、難治性の爪感染症に対し、硫化水素(H₂S)ガスを利用した新たな治療法の可能性を発見した。H₂Sは爪を効率的に透過し、抗真菌薬が届きにくい感染部位まで到達できる特性を持つ。研究では、H₂Sを放出する化合物が真菌のエネルギー代謝を阻害し、耐性菌を含む広範な病原真菌を死滅させることを実証。既存の経口・外用薬に比べ、短期間で効果を発揮し副作用も少ないとされる。臭気や毒性の懸念はあるが、適切な製剤化で安全使用が可能と見込まれる。今後5年以内に臨床応用を目指す。成果は英科学誌『Scientific Reports』に掲載された。

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硫化水素の爪病原菌に対する抗菌効果とメカニズム Antimicrobial effects and mechanisms of hydrogen sulphide against nail pathogens

Fritz Ka-Ho Ho,Alyaa Al-Tabtabai,Sara M. Nasereddin,Osamah S. Malallah,Mark A. Lindsay,Stuart A. Jones & Albert Bolhuis
Scientific Reports  Published:31 October 2025
DOI:https://doi.org/10.1038/s41598-025-22062-7

腐った卵”臭のガスが爪感染症の治療に(“Rotten egg” gas could be the answer to treating nail infections, say scientists)

Abstract

Nail infections are common but challenging to treat. Oral treatments can be effective but may cause adverse effects and drug interactions, while topical treatments only work in about a third of patients due to poor penetration of antifungals into the nail plate. Small polar molecules, such as hydrogen sulphide (H2S), penetrate readily into the nail plate, and previous studies have shown that H2S has antimicrobial properties. Using the donor sodium hydrogen sulphide (NaHS), we found that H2S has potent activity against causative agents of nail infections, including fungi and bacteria. The most active form appeared to be H2S, not the anion HS, but this was most likely related to the faster cellular uptake of H2S. We showed that H2S inhibits cytochrome C oxidase (COX), a key respiratory enzyme, increases reactive oxygen species and protein S-sulfhydration. Transcriptomic analysis revealed a stress response, with 96 genes upregulated and 117 downregulated, indicating efforts to reduce oxidative stress. COX inhibition likely causes electron leakage, generating ROS and oxidising cysteine residues, which then react with H2S to form S-sulfhydrated proteins. This novel mechanism, along with the ability of H2S to penetrate the nail, suggests topical delivery of an H2S donor is a promising new treatment for onychomycosis.

有機化学・薬学
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