1. Introduction
Methane (CH
4) is an important and highly abundant carbon molecule in the Earth’s atmosphere that affects the Earth’s radiative balance. Around 600 to 700 million tons of CH
4 are released annually to the atmosphere by natural and anthropogenic sources, mostly of biological origin [
1]. For a long time, biological CH
4 formation was considered to only occur from the metabolism of microorganisms—methanogens that belong to the domain Archaea—living under strictly anaerobic conditions in natural wetlands, landfills, rice fields, or in the alimentary tract of vertebrates, including ruminants or humans. However, in 2006 it was clearly demonstrated that plants—from the Eukarya domain—are able to produce CH
4 per se [
2]. This breakthrough finding fueled research to search for alternative biological CH
4 sources other than those derived from archaeal methanogens. Since then, many studies have unambiguously confirmed direct (endogenous) CH
4 formation and release from eukaryotes, including plants [
3,
4,
5,
6,
7,
8], animals [
9,
10], fungi [
11,
12], and marine and freshwater algae [
13,
14,
15]. In addition, cyanobacteria—belonging to the domain Bacteria—thriving in aquatic and terrestrial environments are also able to generate CH
4 at substantial rates depending on species and environmental conditions [
16]. Finally, a universal mechanistic formation for CH
4 has recently been proposed that might explain why all living organisms produce CH
4 under aerobic conditions [
17]. In conclusion, the recent findings have stimulated great interest in endogenous CH
4 formation processes all over the three life-domains, which are now often referred to as “aerobic”, “non-archaeal”, or “non-microbial” CH
4 formation processes [
18]. Therefore, in the following paragraphs we first discuss the traditional view of CH
4 formation before we deal with the recently identified alternative pathways.
Traditionally, CH
4 formation in humans was considered to exclusively arise from anaerobic microbial activity in the gastrointestinal tract [
19,
20,
21]. The microbial species identified so far in the distal part of the colon (methylotrophic Methanospaera stadtmaniae and hydrogenotrophic Methanobrevibacter smithii) were considered to contribute to the observed 25% to 70% of humans defined as CH
4 producers. The terms “CH
4 producer” (with breath CH
4 emission > 1 part per million (ppmv) above background values) and “CH
4 non-producer” (breath CH
4 emission < 1 ppmv above background values), used in many previous publications, have become somewhat misleading after Keppler et al. [
22] demonstrated through high precision measurements that every human produces breath CH4 at least 26 parts per billion by volume (ppbv) above background CH
4 values. This value is around three orders of magnitude lower if compared with the average values from typical breath CH
4 “producers”. Based on these results, it was proposed to preferentially use the terminology of high (> 4 ppmv), medium (1–4 ppmv), and low (< 1 ppmv) breath CH
4 producers instead of CH
4 producers and non-producers.
Regarding CH
4-producing status, several studies suggested that factors such as age [
23,
24], ethnic background [
25,
26], gender [
24,
27], exercise status [
28], and various gastrointestinal diseases [
29,
30,
31,
32,
33,
34] play a role in the increased level of breath CH4. Polag and Keppler [
35] gave an overview of the variability of study parameters and calculated that 38% of humans globally are CH
4 producers, with an average CH
4 content of around 17 ppmv in breath air. For further discussion regarding microbial formation of CH
4 in the human gut system and the physiological factors that might control these processes, see the review articles by de Lacy Castello et al. [
36] and Levitt et al. [
20].
Hereafter, based on the stable carbon isotope and CH
4 emission patterns of various age groups, it was hypothesized that next to microbial sources in the gastrointestinal tracts there might be other, yet unidentified, endogenous cellular processes involved in CH
4 formation [
18,
22,
37]. Indeed, long-term monitoring of CH
4 in combination with the observation of physical conditions suggested a relationship between deviations in breath CH
4 production from base level and immune reactions and inflammatory processes [
37,
38]. Thus, there was increasing evidence that CH
4 has a bioactive role in the cellular physiology of eukaryotes and could be considered as a diagnostic marker of oxido-reductive stress [
18,
39].
In plants, it has been shown that CH
4 production is influenced by environmental factors such as visible light [
4], ultraviolet-B radiation [
5,
6,
40,
41,
42,
43,
44], and temperature [
2,
6,
42,
45]. Several precursors of non-microbial CH
4 production, including methoxy groups of plant pectins [
2,
5,
46], lignin, cellulose [
45], ascorbic acid [
47], L-methionine [
8,
48], and epicuticular wax [
49], have been suggested. In addition, for higher plants and microalgae, it has been demonstrated that environmental stressors enhance CH
4 formation drastically [
14,
50].
To understand non-microbial CH
4 formation in eukaryotes and other organisms, it is important to consider the role of reactive oxygen species (ROS, e.g., hydroxyl radicals (·OH), superoxide radicals (O
2-), hydrogen peroxide (H
2O
2), or carbonate radicals (CO
3-)), iron species, and carbon precursor compounds. In highly oxidative environments generated in vitro by a chemical model system containing iron (II/III), H
2O
2, and the radical scavenger ascorbate, CH
4 is readily formed from organosulfur and nitrogen compounds, with the highest conversion rates found for DMSO ([
51]. Under these Fenton-type conditions, in the presence of H
2O
2, nonheme oxo-iron(IV) ([Fe
IV =O]
2+) oxidizes methyl sulfides to sulfoxides, which then results in selective formation of methyl radicals by sulfoxide demethylation and ultimately leads to CH
4 [
51,
52]. Alternatively, ROS can directly react with methyl sulfides to produce methyl radicals or peroxomethyl radicals in the presence of oxygen [
53,
54,
55], subsequently resulting in CH
4 formation or oxidized C1-species such as methanol or formaldehyde.
The Fenton reaction, including the interaction of free iron species and H
2O
2, is a key reaction in biological systems; its major cause is oxidative stress. In living cells, Fenton chemistry takes place as iron is an essential trace element [
56] and H
2O
2 is produced during respiratory, and generally metabolic, activity [
57]. Hydrogen peroxide and ferrous iron (Fe
2+) either react to ferric iron (Fe
3+), OH- and ·OH radicals, or, alternatively, to [Fe
IV =O]
2+ and water [
58]. This provides the basis for our understanding of CH
4 formation in cells under oxic conditions. A wide spectrum of molecules that act as methyl donors for CH
4 formation are conceivable. However, of particular interest are compounds with sulfur (S) and nitrogen (N)-bonded methyl groups that arise during cellular metabolism or are externally provided. For methylated sulfur compounds, these include DMSO and methionine, which are ubiquitous in the environment [
59]. In addition, methylated nitrogen compounds such as betaine, choline, or trimethylamine might also serve as CH
4 precursors. This has recently been proven for many organisms from the three domains of life using culture experiments, and a detailed reaction mechanism for CH
4 formation has been suggested, highlighting the interaction between ROS, iron, and S- and N-methylated compounds [
17]. The authors also showed that oxidative stress led to increased CH
4 formation in the studied organisms.
In summary, the reaction of methylated sulfur compounds such as DMSO and methionine with Fenton type chemistry involving ROS, carbonate radicals, or oxo-iron(IV) results in the formation of methyl radicals (·CH3), of which a portion reacts to CH4 through abstraction of a hydrogen atom from hydrocarbons, hydrogen peroxide, or hydrogen carbonate. Alternatively, the methyl radicals form oxidized C1-species such as methanol, formaldehyde, or formic acid. Thus, it is conceivable that there is in vivo formation of C1 compounds as a result of ROS formation and interaction with methylated compounds. Therefore, we consider the administration of isotopically labeled DMSO and methionine as ideal model compounds to confirm the occurrence of ROS-driven CH4 formation in humans.
Dimethyl sulfoxide (DMSO) is an organic polar aprotic molecule that was first synthesized in 1866. It was used as an important solvent for many decades before being proposed for use as a pharmaceutical in the 1960s by Stanley Jacob. Because of its ability to rapidly penetrate through human skin and its properties as a free-radical (·OH) scavenger, it was widely used as an anti-inflammatory, antipain, and neuroprotective agent. A wide range of biological and pharmacological effects of DMSO is described by Jacob and Herschler [
60] for the interested reader. Since 1978, DMSO has been approved by the United States Food and Drug Administration (FDA) for treatment of interstitial cystitis. Other medical applications, as well as potential physiological and pathological effects of DMSO, are highly controversially discussed. For example, Amemori et al. [
61] found that oral administration of DMSO is an effective treatment for amyloid A amyloidosis. On the other hand, experiments with rats found that DMSO might induce retinal apoptosis [
62]. Despite the differing results of the various studies, it is generally assumed that DMSO is nontoxic below 10% (v/v) [
63] with an oral medium lethal dose of 28,300 mg/kg (rat) and a dermal medium lethal dose of 40,000 mg/kg (rat).
Recent results have shown that CH4 might be formed in all organisms and that the formation of methyl radicals induced by ROS is a prerequisite for the generation of CH4. The experiments described in this paper were undertaken in order to unambiguously demonstrate (as a first proof of principle) that CH4 is endogenously formed in humans by a radical-driven process without involvement of the well-known microbial sources (methanogens) living in the gastrointestinal tract. Therefore, a volunteer—the first author of this study—applied isotopically labeled (2H or 13C) DMSO on the skin (arm), consumed it by mouth, and applied it to blood samples. In addition, the amino acid methionine (with an isotopically labeled 13C methyl group) was also applied to the blood samples. The released gases were analyzed for their isotopic composition to unambiguously identify formation of CH4 from the precursor compounds DMSO and methionine. Based on the results and the formation patterns observed, we discuss several hypotheses concerning the origin of cell-based CH4 production and its potential physiological role in mammals. Finally, as DMSO has already been investigated for many years while its potential positive role for medical use is highly uncertainl, we will briefly discuss the potential application of DMSO to reveal and counteract oxidative stress.
4. Discussion
The three sets of experiments—involving the application of two potential CH4 precursor compounds, DMSO and methionine, with isotopic labels—provide independent lines of evidence for partial conversion of the supplemented methyl group to CH4 in the human body. The combination of the three experiments (oral intake, blood incubations, and skin application) were undertaken to confirm that CH4 is endogenously formed in humans by a ROS-driven process without involvement of the well-known microbial sources (methanogens) occurring under anoxic conditions in the gastrointestinal tracts. However, we are aware that it is almost impossible to exclude the contribution of microbes during the screening of humans for CH4 emissions.
The measured isotopic changes for the two labeling experiments (Figure 3) unambiguously demonstrated that the methyl group of DMSO is converted to CH
4. The
2H- and
13C-excess values indicated that only a marginal fraction (0.68‰ and 0.028‰) of the CH
4 concentration measured in the subject’s breath air (~2 to 16 ppmv) was actually derived from the isotopic labeled precursor methyl groups of DMSO. The observed variabilities in concentrations during the individual experiments (
Figure 3a and 3b, top panels) were in the range of intraday fluctuations. The observed difference in CH
4 base levels of approximately 10 ppmv between the experiments with
13C DMSO and
2H DMSO reflected usual changes in the individual’s breath CH
4 state, as the two experiments were performed a few months apart. For details regarding variabilities of CH
4 base levels of the volunteer, see Polag and Keppler [
37,
38]. The small concentration changes indicated by the supplementation of
13C-labeled DMSO would be nondetectable when using conventional measurement techniques, and can only be traced using isotopic labeling techniques. To better compare the conversion of the two labeling approaches, it is necessary to consider the
2H/
13C excess values, as shown in
Figure 3c. The calculated maximum excess values of
2H-CH
4 and
13C-CH
4 (occurring at around 40 to 50 minutes) were ~0.68‰ and 0.028‰, respectively, and thus the maximum excess found for
2H-CH
4 was by a factor of around 24 higher when compared with
13C-CH
4. Please note that the
2H-CH
4 excess value of 0.68‰ includes three deuterium atoms from a
2H-labeled methyl group and a fourth, unlabeled hydrogen atom (see
Figure 6). To correct for this effect the maximum excess of
2H increases to 0.91‰ and the differences between excess values of
2H-CH
4 and
13C-CH
4 changes to a factor of 32. This value closely reflects the relationship of orally administered
2H and
13C isotope tracers (factor of 34). The reason for applying different amounts of
2H/
13C DMSO isotopic labels was due to financial issues, as
2H-labeled DMSO is considerably cheaper than
13C-labeled DMSO. Nevertheless, both isotope tracers independently and clearly indicated similar conversion rates of the methyl group of DMSO when normalized to the amount of applied isotopic tracer. We suggest that the observed CH
4 formation is indicative of the formation of methyl radicals from DMSO induced by hydroxyl radicals or oxo-iron(IV) species, as recently proposed by Ernst et al. [
17], Benzing et al. [
52], and Althoff et al. [
51] for biological and abiotic chemical systems. Once methyl radicals are formed, they can react with a hydrogen atom from hydrocarbons, hydrogen peroxide, or hydrogen carbonate to form CH
4. Formation of
13C-enriched CH
4 was already measurable a few minutes after the oral intake of the labeled substance for both isotope labeling experiments (
2H and
13C). However, around 2 hours after oral administration, CH
4 formation from DMSO was barely detectable in breath air, potentially implying that most of the DMSO is converted in the human body within this timespan. A possible decay mechanism is the conversion of DMSO to dimethyl sulfide (DMS) by the molybdoenzyme DMSO reductase, which is widespread in all domains of life [
67]. A currently proposed mechanism of DMSO reductase can be found in Le et al. [
68].
The experiments with blood samples were conducted to further demonstrate non-microbial formation of CH
4 when different S-methylated compounds were supplemented. When equimolar amounts of DMSO and methionine were added to the blood samples, the conversion of S-methyl bonded groups to CH
4 was much higher for DMSO than for methionine, with factors ranging from 43 to 423. It is well known that DMSO is a potent hydroxyl radical scavenger [
69] forming CH
4, ethane, and oxidized C1 compounds such as formaldehyde and formate, depending on the experimental conditions [
70,
71,
72]. The observed differences between application of DMSO and methionine are in line with previous experiments conducted by Althoff et al. [
51] and Ernst et al. [
17], who showed the preferential formation of ROS-induced formation of CH
4 from DMSO relative to methionine in chemical systems and living organisms, respectively. However, in our study the difference between DMSO and methionine was even more pronounced, and might be explained by the specific composition of the blood samples, i.e., amounts and availability of iron species and ROS. In addition, methionine needs to be oxidized to methionine sulfoxide before the methyl groups can be cleaved off [
51]. Human blood and plasma contain high amounts of iron species, particularly in the form of hemoglobin, and the range of H
2O
2 might be in a normal concentration range of 1–5 µM but increase 30–50 µM during chronic inflammation in certain disease states [
73]. Thus, the interplay between iron species and ROS in blood might be highly supportive for the formation of CH
4, given that the required methyl precursor compounds are also available. Interestingly, ten-fold higher DMSO supplementation was well reflected by the amounts of formed labeled CH
4 (factor of ~8), whilst a considerably lower increase was observed (mean factor of ~4) for the addition of methionine. It is also obvious that CH
4 formation from DMSO was observable for much longer (at least for 48 hours) in the blood samples when compared with oral administration of DMSO (see section above), indicating that different degradation processes in the human body might have contributed to the observed pattern.
The application of
13C-labeled DMSO on the volunteer’s forearm clearly showed release of isotopically labeled CH
4 immediately after incubation of the penetrated skin section (
Figure 5) under laboratory conditions. Based on our current understanding—including knowledge on ROS-driven CH
4 formation, and that DMSO rapidly penetrates through human skin—this observation is highly indicative of methyl radical formation induced by ROS that occurs in the epidermis or dermis of the skin. There is frequent formation of ROS in the cells and it is well known that skin exposure to light—including wavelengths of visible light, UVA/UVB, and IR—induces and increases ROS levels [
74,
75]. After the volunteer exposed his left forearm to natural sunlight in the field for 1 hour, a strong isotope change in δ
13C-CH
4-values (~70% higher relative to laboratory light exposure) was measured, even though these measurements were conducted after the exposure of direct solar radiation. This implies that enhanced levels of ROS were caused by the irradiation of solar light, leading to the formation of CH
4, which could only be made visible by the administration of
13C-labeled DMSO. After around 24 hours, the release of
13C-labeled CH
4 from the skin under laboratory incubation conditions was still measurable, and increased again (by about 50%) after the exposure of the skin to natural sunlight. When repeating the same procedure after 48 hours, a small but indicative change in δ
13C-CH
4-values was still observed for the laboratory exposure incubations of the forearm. No additional increase of δ
13C-CH
4-values could be measured for the effect of natural sunlight. However, it was remarkable to observe DMSO-related liberation of CH
4 from the skin even 50 hours after application of
13C-labeled DMSO. There exist only a few studies that deal in detail with the release of CH
4 from human skin, and in general these emissions are considered to be much smaller than those measured for breath release [
35]. This was recently confirmed by Li et al. [
76], who quantified dermal and exhaled CH
4 of 20 volunteers using climate chambers and reported that the average estimated exhaled CH
4 release rate was about 19 (max. range 13–37) times higher than the average dermal CH
4 emission rate. For completeness it should be noted that Mochalski et al. [
77] measured emission rates of selected volatile organic compounds from the skin of healthy volunteers. However, the researchers did not detect CH
4 as they screened for larger carbon compounds, including C4 to C10 substances, and found relatively large emissions for three volatiles: acetone, acetaldehyde and 6-methyl-5-hepten-2-one.
The observed formation of CH
4 from the S-bonded methyl groups of DMSO or methionine provides strong support for a radical-driven process of CH
4 formation. Based on the three applied isotopic labeling experiments and a previous study demonstrating ROS-driven CH
4 formation from in vitro experiments of many organisms [
17], we propose a reaction scheme showing the interplay of methyl precursors, ROS, and iron species that eventually leads to formation of CH
4 in humans (
Figure 6).
The three major players in this reaction scheme are ROS, iron, and methyl groups bonded to sulfur and nitrogen compounds. Below, we will briefly summarize their role in humans with respect to non-microbial CH4 formation.
Initially considered as principally toxic, today ROS are well-known for having beneficial or deleterious effects in aerobic organisms [
57,
78,
79,
80]. The concentration of H
2O
2 in the normal cytoplasm, mitochondrial matrix, and endoplasmic reticulum (ER) lumen varies by several orders of magnitudes (from 80 pM to 700 nM) [
81] and is even higher in blood and plasma at normal concentrations of 1–5 µM, but increases to 30–50 µM during chronic inflammation in certain disease states [
73]. On the one hand, ROS play various roles in the cellular functioning of aerobic organisms, are involved in many redox-governing activities of the cells for the preservation of cellular homeostasis, and are required for many important signaling reactions. On the other hand, elevated ROS levels can lead to severe damage in cells. In this context, it has been suggested that frequently increased oxidative stress leads to an overproduction of ROS, causing many diseases and a variety of age-related disorders such as Parkinson’s disease, Alzheimer’s dementia, chronic inflammatory diseases, atherosclerosis, heart attacks, cancer, ischaemia/reperfusion injury and arteriosclerosis. Thus, it can be easily envisaged that CH
4 might be formed at highly fluctuating levels in different organelles and might potentially serve to monitor enhanced ROS levels in humans. This hypothesis is supported by several recent monitoring studies:
(I) The observation that breath CH
4 levels increase with advanced age [
24] might be an indication of the human age-related increase of systemic inflammation accompanied by enhanced ROS levels. (II) Long-term monitoring studies of breath CH
4 from several volunteers provided evidence that abrupt deviations in breath CH
4 levels from baseline were linked to inflammatory processes and immune reactions [
37]. In this context, infectious diseases were mostly accompanied by temporary elevated breath CH
4 formation. Next, it was hypothesized that vaccinations as induced perturbations of the immune system might cause substantial fluctuations in the breath CH
4 level of people, indicating individual immune responses and immune states. (III) This has recently been proven by Polag and Keppler [
38], who investigated the breath CH
4 levels of 12 volunteers after Covid-19 vaccination. They clearly found large deviations from the average breath CH
4 values of the subjects after vaccination and concluded that these deviations were likely related to immune reactions and may also have originated from redox homeostasis in cells. A change in the breath CH
4 levels from individual baseline values could be used to monitor changes in levels of ROS and oxidative stress, and could potentially be used to classify immune responses. (IV) Finally, Tuboly et al. [
82] investigated the possibility of CH
4 generation in low-CH
4 emitters that consumed high doses of ethanol with the aim to increase oxidative stress. A transient, significant CH
4 production was noted after excessive ethanol intake. The researchers found similar results when they repeated the ethanol experiments with rats. They further investigated the hypothesis that L-alpha-glycerylphosphorylcholine (GPC) may influence CH
4 formation through the modulation of alcohol-induced mitochondrial dysfunction.
This brings us to the next point: to counteract oxidative stress, aerobic cells possess many antioxidative systems that function to keep the ROS level in a non-toxic range. Methyl precursors—particularly those where the methyl group is bonded to sulfur and nitrogen compounds—can readily be cleaved off to produce CH
4 or oxidized C1-species [
17,
51,
52]. The various available S-/N-methylated compounds in biological systems will cause different efficiency of CH
4 production and consumption of ROS. DMSO is not produced in humans and is only consumed via the diet in relatively small quantities [
83]. However, this effective radical scavenger was ideally suited to test the hypothesis of non-microbial CH
4 formation in humans. It is non-toxic in the applied doses, penetrates rapidly through human skin, and is easily distributed in the body, as it dissolves in both polar and nonpolar compounds. On the other hand, the other applied S-methylated compound, methionine, is an essential amino acid in humans that has an important role in metabolism and health. It is the precursor of other important compounds, such as cysteine, S-adenosyl methionine (SAM), and glutathione. It has also been shown to produce CH
4, albeit at much lower conversion rates when compared with DMSO.
Nitrogen-methylated substances such as choline (2-Hydroxyethyl-trimethylammonium) are formed in humans but are also essential compounds for maintaining health. Therefore, they must be consumed by diet as choline or as choline phospholipids. Large amounts of choline are stored in the human cell membranes and organelles as phospholipids, and inside cells as phosphatidylcholines and GPC. Choline has been shown to form CH
4 in a chemical model system containing iron and hydrogen peroxide [
51,
84] but this was not confirmed in bacterial culture experiments [
17]. Tuboly et al. [
82] showed that exogenous GPC protected against ethanol-induced mitochondrial electron transport chain dysfunction in rat liver, the primary target of alcohol-induced oxido-reductive stress. Therefore, exogenous addition of methylated compounds might strongly increase CH
4 production and ROS consumption. In this context, it is of interest to further discuss the potential role of DMSO as an effective scavenger of radicals to counteract enhanced oxidative stress induced by ROS. DMSO has already been investigated for many years, but its beneficial role for medical use remained highly uncertain (see introduction).
Finally the concentrations of free iron (in the form of iron(II)) is of importance for enhanced production of hydroxyl radicals (Fenton type reactions) in biological systems [
57]. However, inappropriately low or high levels of iron are detrimental and contribute to a wide range of diseases [
85], so understanding the dysregulation of iron metabolism is crucial in the search for therapeutics [
86]. Harmful oxidative distress could be observed in states of both iron deficiency (anemia) and overload (ferroptosis) [
87]. It is plausible that appropriate supplementation of iron is beneficial to health, which may be related to its role in contributing to the homeostasis of cellular ROS through production of CH
4.
A detailed understanding of the interplay between ROS, iron, and methylated substrates in humans is necessary to better understand radical-driven CH
4 and to answer the question if cellular formation of CH
4 has a physiological role in humans. In this context, monitoring CH
4 as an indicator for ROS-driven processes could be a promising approach in biochemical research, and breath CH
4 could be used as a diagnostic tool in the fields of system biology and precision medicine. This could include the application of isotopic labeling experiments of methylated precursor substances (with a
13C or
2H label), as this approach could specifically visualize ROS-related CH
4 generation and thus overcome the problem of higher breath CH
4 background concentrations derived from microbial sources. These changes may be interesting for diagnostic purposes. Moreover, the possibility exists that such changes may affect the overall cellular response to intracellular hypoxia. Simple asphyxiants, such as CH
4, act by physically limiting the utilization of oxygen and can modify the symbiosis with other gaseous compounds within the internal milieu of aerobic cells. Although CH
4 is conventionally believed to be physiologically inert, a comprehensive view of its biological effects in various hypoxic and inflammatory scenarios has been demonstrated [
88]. Notably, it has been shown that CH
4 can modulate the pathways involved in key events of inflammation via master switches, such as Nrf2/Keap1 and NF-κB (for a review, see [
18]). Several studies have also demonstrated that exogenous CH
4 modulates the intrinsic, mitochondrial pathway of pro-apoptotic activation in model experiments [
89]. Furthermore, sequential in vitro studies with exogenous normoxic CH
4 in simulated ischemia-reperfusion environments provided evidence that CH
4 preserves the mitochondrial respiratory capacity in cells exposed to anoxia [
90]. In a similar protocol, CH
4 treatment restricted the forward electron transfer within Complex I in control mitochondria while effectively restricting reverse electron transport (RET) in post-anoxic mitochondria. In parallel studies, CH
4 influenced several components of the endoplasmic reticulum-mitochondria-related pro-apoptotic signaling pathways, the oxidative phosphorylation capacity was more preserved, and the relative mRNA expression for hypoxia- and ER stress-associated genes (including HIF-1α) was significantly reduced [
91]. For detailed discussion regarding the potential applications of monitoring CH
4 in medical research and health sciences, see [
18,
38,
92,
93].