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Article

Hydrogen Sulfide Inhibits H. pylori-Induced Gastric Fibroblast Activation: Implications for Cancer Prevention

by
Gracjana Krzysiek-Maczka
1,*,
Aneta Targosz
1,
Patrycja Bronowicka-Adamska
2,
Urszula Szczyrk
1,
Malgorzata Strzalka
1,
Hubert Mączka
3,
Mateusz Wierdak
4,
Izabela Rodzon
1,
Jaroslaw Czyz
5,
Tomasz Brzozowski
1,* and
Agata Ptak-Belowska
1
1
Department of Physiology, Faculty of Medicine, Jagiellonian University Medical College, Grzegorzecka 16, 31-531 Cracow, Poland
2
Department of in Medical Biochemistry, Faculty of Medicine, Jagiellonian University Medical College, Mikolaja Kopernika 7c, 31-034 Cracow, Poland
3
Student Research Group, Department of Physiology, Faculty of Medicine, Jagiellonian University Medical College, Grzegorzecka 16, 31-531 Cracow, Poland
4
Department of Endoscopic, Metabolic and Soft Tissue Malignancies Surgery of University Hospital, Jagiellonian University, Jakubowskiego 2, 30-688 Cracow, Poland
5
Department of Cell Biology, Faculty of Biochemistry, Biophysics and Biotechnology, Jagiellonian University, Gronostajowa 7, 30-387 Cracow, Poland
*
Authors to whom correspondence should be addressed.
Cells 2026, 15(2), 167; https://doi.org/10.3390/cells15020167 (registering DOI)
Submission received: 3 November 2025 / Revised: 29 December 2025 / Accepted: 9 January 2026 / Published: 16 January 2026

Abstract

Early prevention of pathological changes underlying gastric cancer (GC) development is a critical strategy, offering the most effective opportunity to limit malignant progression and improve patient outcomes. We have previously demonstrated that Helicobacter pylori (Hp) (cagA+vacA+) contributes to GC development by activating gastric fibroblasts toward CAF-like phenotype, eliciting aggressive, cancer stem cells (CSCs)-related malignant transformation of LGR5+ normal epithelial cells. A key mediator of these processes appears to be the NF-κB/STAT3 axis. Therefore, our aim was to investigate the protective role of hydrogen sulfide (H2S) as a potential novel strategy for counteracting Hp-induced fibroblast reprogramming. Human fibroblasts were infected with Hp (cagA+vacA+) for 120 h. The fast-releasing H2S donor NaHS (50, 100, 200 and 400 µM) was added every 24 h. Activation markers, corresponding signaling pathways, H2S release and activities of H2S-metabolizing enzymes were determined. NaHS reduced Hp-induced fibroblast activation and their pro-inflammatory, pro-tumorigenic markers, which was associated with the inhibition of NF-κB/STAT3 axis and Twist expression. Additionally, it modulated sulfur metabolism while preserving sulfur-enzyme homeostasis. NaHS limited Hp adhesion (high doses), reduced reinfection-induced activation and increased sensitivity of Hp to metronidazole. These findings suggest that H2S signaling may represent a modulatory factor of NF-κB/STAT3-driven inflammatory responses during Hp infection and warrant further investigation.
Keywords: helicobacter pylori-activated fibroblasts; gastric cancer associated fibroblasts; NF-κB; STAT3; hydrogen sulfide (H2S) helicobacter pylori-activated fibroblasts; gastric cancer associated fibroblasts; NF-κB; STAT3; hydrogen sulfide (H2S)

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MDPI and ACS Style

Krzysiek-Maczka, G.; Targosz, A.; Bronowicka-Adamska, P.; Szczyrk, U.; Strzalka, M.; Mączka, H.; Wierdak, M.; Rodzon, I.; Czyz, J.; Brzozowski, T.; et al. Hydrogen Sulfide Inhibits H. pylori-Induced Gastric Fibroblast Activation: Implications for Cancer Prevention. Cells 2026, 15, 167. https://doi.org/10.3390/cells15020167

AMA Style

Krzysiek-Maczka G, Targosz A, Bronowicka-Adamska P, Szczyrk U, Strzalka M, Mączka H, Wierdak M, Rodzon I, Czyz J, Brzozowski T, et al. Hydrogen Sulfide Inhibits H. pylori-Induced Gastric Fibroblast Activation: Implications for Cancer Prevention. Cells. 2026; 15(2):167. https://doi.org/10.3390/cells15020167

Chicago/Turabian Style

Krzysiek-Maczka, Gracjana, Aneta Targosz, Patrycja Bronowicka-Adamska, Urszula Szczyrk, Malgorzata Strzalka, Hubert Mączka, Mateusz Wierdak, Izabela Rodzon, Jaroslaw Czyz, Tomasz Brzozowski, and et al. 2026. "Hydrogen Sulfide Inhibits H. pylori-Induced Gastric Fibroblast Activation: Implications for Cancer Prevention" Cells 15, no. 2: 167. https://doi.org/10.3390/cells15020167

APA Style

Krzysiek-Maczka, G., Targosz, A., Bronowicka-Adamska, P., Szczyrk, U., Strzalka, M., Mączka, H., Wierdak, M., Rodzon, I., Czyz, J., Brzozowski, T., & Ptak-Belowska, A. (2026). Hydrogen Sulfide Inhibits H. pylori-Induced Gastric Fibroblast Activation: Implications for Cancer Prevention. Cells, 15(2), 167. https://doi.org/10.3390/cells15020167

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