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     Global Translational Medicine                                               Hydrogen for acute lung injury
                                                               Figure  4. Effect of  hydrogen  for malondialdehyde. Weighted means
                                                               difference was used to analyze data. 95% confidence interval was used as
            Figure  2.  Effect  of  hydrogen  for  wet-to-dry  ratio.  Weighted  means   effect sizes. The random-effects model was used to pool data.
            difference was used to analyze data. 95% confidence interval was use as
            effect sizes. The random-effects model was used to pool data.
                                                               Figure 5. Effect of hydrogen for superoxide dismutase. Weighted means
                                                               difference was used to analyze data. 95% confidence interval was used as
                                                               effect sizes. The random-effects model was used to pool data.
            Figure 3. Effect of hydrogen for arterial oxygen pressure. Weighted means
            difference was used to analyze data. 95% confidence interval was used as   the degrees of lipid peroxidation and inflammation. On
            effect sizes. The random-effects model was used to pool data.
                                                               the other hand, the group receiving hydrogen saline had
                                                               higher SOD levels than the 2% H  group, reflecting the
                                                                                           2
            interventions  could  affect  the  effects  of  hydrogen  in   ability of SOD in scavenging free radicals in vivo (2% H  =
                                                                                                           2
            the  preclinical trials of ALI.  The results indicated that   14.14 [95% CI = 3.31 – 24.97]) vs. hydrogen saline = 39.89
            there  were no  significant differences in  W/D  and PaO     [95% CI = 29.76 – 50.02]); P < 0.001; Figure 7).
                                                          2
            (P > 0.05) between the two groups. However, significant
            differences were observed in MDA, SOD, and TNF-α   3.7. Meta-regression
            (P < 0.05). Compared with the group receiving hydrogen   We classified the species used in the W/D-included studies
            saline, the group receiving 2% H  showed significantly   into two groups: Seven studies used SD rats, and four studies
                                        2
            lower  levels of MDA (2% H  =  −4.12 [95%  CI = −6.67   used other species, including C57BL/6J mice, ICR mice, KM
                                   2
            – −1.57] vs. hydrogen saline = −0.96 [95% CI = −1.50 –   mice, and Wistar rats. Since the number of studies with
            −0.43]; P = 0.02 < 0.05) and TNF-α (2% H  = 6.54 [95%   other species is relatively small, and we can only select one
                                               2
            CI = −10.99 – −2.10] vs. hydrogen saline = −1.67 [95% CI   covariate for meta-regression analysis, we chose to classify
            = −3.14 – −0.21); P = 0.04 < 0.05). The results reflected   the studies based on whether they used SD rats or other
            Volume 2 Issue 3 (2023)                         7                        https://doi.org/10.36922/gtm.0379
     	
