Abstract
Significance:
Hydrogen sulfide (H2S) is an important biological signaling molecule involved in many physiological processes. These diverse roles have led researchers to develop contemporary methods to deliver H2S under physiologically relevant conditions and in response to various stimuli.
Recent Advances:
Different small-molecule donors have been developed that release H2S under various conditions. Key examples include donors activated in response to hydrolysis, to endogenous species, such as thiols, reactive oxygen species, and enzymes, and to external stimuli, such as photoactivation and bio-orthogonal chemistry. In addition, an alternative approach to release H2S has utilized the catalyzed hydrolysis of carbonyl sulfide (COS) by carbonic anhydrase to generate libraries of activatable COS-based H2S donors.
Critical Issues:
Small-molecule H2S donors provide important research and pharmacological tools to perturb H2S levels. Key needs, both in the development and in the use of such donors, include access to new donors that respond to specific stimuli as well as donors with well-defined control compounds that allow for clear delineation of the impact of H2S delivery from other donor byproducts.
Future Directions:
The abundance of reported small-molecule H2S donors provides biologists and physiologists with a chemical toolbox to ask key biological questions and to develop H2S-related therapeutic interventions. Further investigation into different releasing efficiencies in biological contexts and a clear understanding of biological responses to donors that release H2S gradually (e.g., hours to days) versus donors that generate H2S quickly (e.g., seconds to minutes) is needed.
Introduction
Hydrogen sulfide (H2S), historically dismissed as a toxic and malodorous gas, has emerged in the scientific community as an important biological signaling molecule (1, 50, 90). The physicochemical properties of H2S have been studied extensively, and we refer the interested reader to recent reviews that cover this area in depth (22, 38, 52, 59, 81, 103). Since its initial recognition as a relevant biomolecule, diverse scientific communities ranging from chemists to physiologists have focused on investigating the role of H2S in various biosystems.
H2S is produced endogenously in mammals predominantly from cysteine through the action of three main enzymes. Cystathionine-β-synthase is primarily localized in the nervous system, brain, and liver; cystathionine-γ-lyase produces H2S primarily in the cardiovascular system; and 3-mercaptopyruvate sulfurtransferase is localized in the mitochondria (1, 11). Investigations into the biological roles of H2S have established its critical roles in different disease states and pathologies in almost every human organ system (Fig. 1) (13, 28, 42, 45). As brief examples, H2S plays important roles in the central nervous system, participates in neurotransmission, and has been shown to have neuroprotective effects, specifically in mouse models of Parkinson's disease (12, 60, 74). In addition, H2S upregulates glutathione (GSH) production in the brain during periods of high oxidative stress and contributes to regulating key sodium channels in neuronal cells (74). In the respiratory system, H2S plays roles in different conditions, including chronic obstructive pulmonary disease, pulmonary fibrosis, and hypoxia-induced pulmonary hypertension (21). In the cardiovascular system, H2S mitigates oxidative stress and reduces myocardial injury related to ischemia

More broadly, H2S interacts through several signaling pathways, such as the KATP channels, and promotes angiogenesis by the protein kinase B and phosphatidylinositol 3-kinase pathways (44). Low levels of H2S have been demonstrated to promote cell proliferation and migration (88, 113). Importantly, the activity of administered H2S often shows a stark concentration dependence, with low versus high concentrations frequently producing contrasting effects. More recently, a study of psoriasis patients demonstrated lower serum H2S levels than healthy patients, underscoring the potential role that H2S plays in skin protection and repair (3). As a whole, the established pathophysiological targets of H2S are incredibly diverse, and they include activities as an established antiapoptotic (97), anti-inflammatory (35, 86, 87), and antioxidative agent (93), as well as contributing to many other processes.
With such a broad range of biological targets and activities, significant effort has focused on investigating and understanding the direct effects of H2S on specific systems with a long-term goal of leveraging these insights to deliver H2S-related therapeutic interventions. Much of the preliminary work in this area relied on direct inhalation of H2S or administration of inorganic sulfide salts, such as sodium hydrosulfide and sodium sulfide (Na2S). Although highly efficient, these systems often release an instantaneous bolus of H2S and fail to mimic the more gradual rates or distributions of endogenous H2S production (83, 101). This discrepancy, as well as other significant limitations, has driven the development of small-molecule “donors” that are capable of releasing H2S under physiologically relevant conditions and in response to specific stimuli.
Many reported H2S donor systems respond to specific exogenous or biocompatible stimuli to release H2S (7, 26, 38, 61, 67, 76, 82, 94, 103). Such activation profiles allow for donor activities to be tuned to respond to specific activators and stimuli present in a given system. Although there is no single universal “ideal donor,” certain donor classes provide distinct advantages and useful properties. For example, donors should have readily accessible control compounds that can be used to clearly delineate observed biological activities and outcomes associated with H2S from those of donor byproducts. Similarly, donors that respond to specific stimuli enable experiments in which H2S delivery can be controlled or triggered by specific activators. Coincident with these primary needs, significant advances in the development of activatable H2S donors have occurred in the past 5 years, with key examples including donors activated by light, various pH regimes, enzymes, biological thiols, and hydrogen peroxide (H2O2).
In developing activatable H2S-releasing donors, a number of primary strategies have emerged, which are summarized briefly in this section but are expanded on in various sections of this review (Fig. 2). The first commonly used strategy is to replace an oxygen atom in a molecule with a sulfur, such that hydrolysis releases H2S. A second common strategy is to develop systems that generate an intermediate persulfide, which can be subsequently cleaved by thiols, such as GSH or cysteine, to generate H2S and a disulfide. A third strategy is to develop systems that release carbonyl sulfide (COS) as an intermediate, which can be quickly converted to H2S, the ubiquitous mammalian enzyme carbonic anhydrase (CA) (79). These three general approaches are summarized in Figure 2 and will be discussed briefly throughout the review. Rather than focus on the mechanistic details of each structure in this review, we refer interested readers to the Supplementary Appendix, which includes the activation mechanism of different donor platforms.

Enzyme-Activated Donors
Because H2S has myriad biological targets, disentangling the effects of sulfide delivery in specific environments can be challenging. One approach to overcome this difficulty is to incorporate an enzymatically cleaved trigger on a sulfide donor. This approach allows for donors to be developed that are stable until the activating group is cleaved or modified by the target enzyme to release H2S or an H2S equivalent, such as COS. This strategy has the benefit of being readily tuned to specific triggering groups and enzyme pairs. In addition, utilizing an enzyme to carry out the donor activation event does not consume cellular nucleophiles or thiols, which could otherwise perturb the redox balance of related reactive sulfur species—an inherent challenge with many thiol-triggered H2S donors.
The first enzyme-triggered H2S donor, HP-101, was reported by Zheng et al. (114) (Fig. 3a). In this system, esterase-mediated cleavage of an acyl-protecting group on the donor motif was used to generate an unstable phenolic intermediate that subsequently underwent an intramolecular lactonization with a pendant thioacid to release H2S (114). Esterases are expressed in most tissue types and are involved in the activation or metabolism of ∼10% of drugs (Fig. 3b) (32). One benefit of this design is that the rate of H2S release could be tuned by varying the identity of the ester triggering group or by modifying the geminal-dimethyl substitution in the “trimethyl lock” backbone to facilitate lactonization. Notably, the authors were able to conjugate this sulfide-donating scaffold to the nonsteroidal anti-inflammatory drug naproxen, forming an activatable H2S-drug hybrid.

In 2017, both Chauhan et al. (17) and our group (78) independently reported esterase-activated donors that functioned through the intermediacy of COS release. In these approaches, self-immolative thiocarbamates or thiocarbonates functionalized with ester motifs were enzymatically activated to release COS, which is rapidly metabolized to H2S by CA, rather than H2S directly. In this context, “self-immolation” refers to the spontaneous cascade reaction of a molecular linker after a chemical triggering event that results in release of a desired payload.
Chauhan et al. (17) utilized a tert-butyl ester trigger with an extended methylenedioxy linker to connect the donor motif to the core amine scaffold. These donors, such as Esterase-TCM-SA, encompassed both aryl- and benzyl-amine terminating S-alkyl thiocarbamates, as well as S-alkyl thiocarbonates (Fig. 3a). The different scaffolds exhibited different release rates based on the identity of the parent amine, and different toxicity profiles toward MCF-7 (human breast cancer) cells. Our group also reported tert-butyl ester triggered motifs, including the donor compound Esterase-TCM-OA, as well as the analogous triggerless and sulfide-depleted carbamate control compounds (Fig. 3a) (78). The COS/H2S donors showed significant cytotoxicity in BEAS 2B human lung epithelial cells when compared with the carbamate and triggerless control compounds or with equivalent concentrations of the H2S sources/donors Na2S, AP39, or GYY4137.
Further investigations using bioenergetics assays revealed that the esterase-activated thiocarbamate donors inhibited mitochondrial respiration, whereas exogenous H2S or the triggerless and sulfur-depleted control compounds did not. Building from the hypothesis that the observed cytotoxicity could be due to a buildup of COS in the mitochondria, due to faster rates of ester cleavage and self-immolation than COS hydrolysis by CA, we prepared a suite of esterase-triggered self-immolative thiocarbamates with esters of varying steric bulk. These esters displayed different rates of COS release, which correlated inversely with cytotoxicity in HeLa (human cervical cancer) cells. Again, the triggerless control and sulfur-depleted control compounds failed to show significant cytotoxicity, showing the utility of having readily accessible control compounds. These results support the hypothesis that COS may function as more than a simple H2S shuttle in certain circumstances; however, these observations do not account for differences in subcellular localization of different donors or differential activities of various CA isoforms toward COS (49). We do note that as a whole, most developed COS-releasing compounds appear to function as H2S donors, with activities directly attributable to the release of H2S.
Shukla et al. (75) further expanded work on enzyme-triggered donor platforms to develop donors activated by bacterial nitroreductase (NTR) (Fig. 3b). NTRs are frequently found in bacteria and are also upregulated under hypoxic conditions in different cell types (8, 91). The NTR-mediated reduction of the electron-withdrawing nitro groups on NTR-H2S to the corresponding aniline, with the nitrogen lone pair now free to resonate through to release the iminoquinone methide, was used to reveal a geminal-dithiol intermediate that hydrolyzes in buffer to generate H2S (Fig. 3a). H2S release was confirmed and measured in these systems by using monobromobimane and fluorescence assays. These donors have been used to study the role of H2S in the intracellular redox balance and the development of antibiotic resistance in bacteria, specifically Escherichia coli (75).
Reactive Oxygen Species-Activated Donors
H2S exhibits anti-inflammatory activities and protective effects against reactive oxygen species (ROS), which has motivated a number of groups to develop H2S donors that are activated in the presence of ROS, such as H2O2. The cellular localization and levels of these ROS can vary in response to different stress states. In 2016, our group reported a caged thiocarbamate equipped with a pinacol boronate ester, Peroxy-TCM-OA, that self-immolates on exposure to H2O2 to release COS (Fig. 4) (108). These thiocarbamate donors are stable toward aqueous hydrolysis, but respond to H2O2, and to a lesser extent to superoxide and peroxynitrite, to release H2S. In these studies, H2S release was measured by using an H2S-responsive electrode, and fluorescence imaging in HeLa cells confirmed that the thiocarbamate donor could be activated in a biological environment with either exogenous H2O2 or endogenous ROS. Cytotoxicity experiments showed that the donor provided cytoprotection against exogenous H2O2 treatment. The sulfur-depleted control compounds showed modest cytoprotection, due to H2O2 consumption by the boronate moiety, whereas the triggerless control compounds failed to provide protection against H2O2 as expected. These experiments underscore the importance of having high fidelity control compounds to fully understand the mechanism of action of donor molecules.

Expanding from this initial report, we reported experimental and computational investigations of all the COS-releasing isomers of boronate-functionalized thiocarbamates and thiocarbonates (106). We found that S-alkyl thiocarbamates, Peroxy-TCM-SA, released H2S slower than the analogous S-alkyl thiocarbonates, and that S-alkyl dithiocarbonate released H2S faster and more efficiently than the other S-alkyl derivatives. Further contributing to the understanding of COS/H2S release profiles, Chauhan et al. (18) employed related S-alkyl boronate-functionalized thiocarbamates to demonstrate that the rate of H2O2-triggered COS release can additionally be tuned by the basicity of the amine payload. These investigations also demonstrated that alkyl amine payload, such as a propylamine, significantly reduced the rate of H2S release when compared with aryl amine payloads.
More recently, Hu et al. (39) further leveraged the boronate-functionalized self-immolative thiocarbamates to access the turn-on fluorescent H2S donor Peroxy-FL (Fig. 4). Exchanging the amine payload with the 3-amino-N-butyl-1,8-naphthalimide fluorophore allowed for the fluorescence of this system that is modulated by cleavage of the thiocarbamate motif to generate the parent aryl amine on the naphthalimide fluorophore. H2S generation was confirmed by using the methylene blue assay, and the fluorescence response was demonstrated in both HeLa and RAW 264.17 murine macrophage cells. These donors released H2S in response to both exogenous and endogenous H2O2, as demonstrated in cell culture experiments.
Hydrolysis-Based and pH-Sensitive Donors
Numerous H2S donors are activated by hydrolysis mechanisms, and most of these respond through acid-mediated pathways. Figure 5 shows the structures of these donors and the pH value or ranges at which the compounds have been reported to release H2S. This class of H2S donors provides the unique opportunity to target specific diseases, cells, and/or organelles in which acidic microenvironments are present. As a simple example, thioacetamide can function as a pH-activated H2S donor in extremely acidic environments (pH 1.0) and was initially used for the precipitation of dissolved metals as metal sulfides from acidic solutions for qualitative analysis (48). We note that the inherent toxicity of thioacetamide has severely limited the use of this H2S donor in biological studies.

As interest in the chemical biology of H2S has grown, the use of related thioamides as H2S donors has expanded to include various aryl thioamides, which are highlighted in a separate Forum Review in this issue (58). Other simple small molecules have also been reported as pH-activated H2S donors. For example, both thioglycine and thiovaline release H2S in the presence of bicarbonate (HCO3 −) at physiological pH (115). Both of these thioamino acids were demonstrated to increase intracellular cyclic guanosine monophosphate levels and promote vasorelaxation in mouse aortic rings, with both being more efficacious and potent than GYY4137.
One of the most commonly used, GYY4137, is a water-soluble H2S donor that draws inspiration from Lawesson's Reagent (47), which is traditionally used in organic synthesis to prepare various organosulfur compounds (64). The release of H2S from GYY4137 occurs slowly at physiological pH, but it can be accelerated under acidic conditions (pH <3.0) (51). Relative to other pH-sensitive H2S donors, the biological activities of GYY4137 have been studied extensively and are highlighted in a separate review in this Forum. To tune the rate of pH-dependent H2S release from P = S motifs related to GYY4137, Park et al. (63) investigated the use of analogous phosphorodithioates as H2S donors. The inclusion of phenolic groups was found to enhance the rates of H2S release at physiological pH, whereas alkyl alcohols decreased the efficiency of H2S production consistent with the enhanced leaving group ability of phenols relative to alkyl alcohols. Moreover, pretreatment of H9c2 mouse cardiomyocytes with these H2S donors provided significant cytoprotection against H2O2-induced oxidative damage. Interestingly, analogous experiments with GYY4137 failed to provide similar results due to the inherent cytotoxicity of this donor at higher concentrations.
In a follow-up study of phosphorodithioate-based H2S donors by Feng et al. (30), they prepared a library of derivative compounds and examined the H2S-releasing properties of these compounds. The cyclized derivative FW1256 displayed relatively high levels of H2S release and potent cytotoxicity against MCF7 breast cancer cells. In 2016, this concept was revisited by Kang et al. (41), leading to the design of GYY4137 derivatives, including JK-2, that bear a pendant nucleophile that can participate in an intramolecular cyclization to generate H2S (41). H2S release was demonstrated within a range of pH 5.0 to 8.0, with significant enhancements in releasing efficiency more than GYY4137. Moreover, treatment with JK-2 resulted in significant reductions in infarction size in a myocardial ischemia
In an alternative approach, our group recently reported pH-sensitive γ-ketothiocarbamate donors, including γ-KetoTCM-1, that function through intermediate COS release. This system was inspired by the use of 4-hydroxy-2-butanone esters to prepare self-immolative carbamate polymers that undergo β-elimination to generate carbon dioxide as a function of pH (71). The release of H2S from γ-KetoTCM-1 was measured over a range of pH values (6.0–8.0), with increasing rates in more basic solution. The H2S release half-life could be modified by structural tuning, and the donors provided anti-inflammatory activity in RAW 264.7 cells (109). More recently, we reported a self-immolative thiocarbamate (S-pHTCM) with a pendant aryl imine trigger as a pH-sensitive donor that releases COS/H2S. (36) Notably, this triggering motif was designed to be activated within a specific acidic pH window and showed optimal cleavage rates between pH 4.3 and 7.3.
Thiol-Activated Donors
Compounds activated by biological thiols, including cysteine and reduced GSH, represent the largest class of small-molecule H2S donors (Fig. 6a, b). The activation of many of these compounds proceed through persulfide intermediates, although others function through poorly understood mechanisms. The fundamental role and abundance of biological thiols, especially GSH, allows researchers to use these nucleophiles to probe the effects of H2S donor administration. Expanding from thioacetamide, many aryl thioamides have been reported as H2S donors. These compounds are stable at physiological pH and exhibit a cysteine-dependent H2S release, yet the mechanism of H2S release is unclear (58). Despite the low H2S-releasing efficiencies, such compounds possess unique pharmacological activities, which are covered in a separate review in this Forum. The use of structurally related iminothioethers as cysteine-activated H2S donors was reported by Barresi et al. (4). H2S release from these donors was evaluated in buffer containing 4 mM cysteine, and releasing efficiencies were dependent on donor derivatization. In isolated rat hearts, two donors were demonstrated to reverse the effects of angiotensin II induced reduction in basal coronary flow, and studies on human aortic smooth muscle cells showed that these donors exhibited membrane hyperpolarizing effects. The mechanism of cysteine-mediated H2S release from iminothioethers remains unclear.

Aryl isothiocyanates were first reported as cysteine-activated H2S donors in 2014 by Martelli et al. (57). Although release efficiency from these compounds was relatively low and required millimolar levels of cysteine for release, the isothiocyanates were found to cause membrane hyperpolarization of vascular smooth muscle cells and vasorelaxation in coronary arteries, both of which are consistent with H2S release. In 2019, Lin et al. (55) investigated the mechanism of H2S release from aryl isothiocyanates, and their data suggest that H2S release proceeds through a native chemical ligation-type mechanism after initial attack on the isothiocyanate by the cysteine sulfhydryl group.
Also building from a native chemical ligation mechanistic approach (24), our group reported in 2018 that thionoesters, which are structural isomers of thioesters commonly used in native chemical ligation, respond selectively to cysteine over other thiols to release H2S with >80% efficiency (16). Mechanistic investigations demonstrated that the N-to-S acyl transfer step was the rate-limiting step of this reaction. We later expanded this approach to demonstrate that dithioesters, which are more synthetically diversifiable than thionoesters, release H2S selectively in the presence of cysteine (15). This approach has also been extended to provide fluorescent H2S donors activated in the presence of cysteine (CysP-1) (43). Proceeding through a key N-to-S acyl transfer step, Zhao et al. (107) showed that acyl-protected geminal dithiols react selectively to release H2S in the presence of cysteine, through generation of an unstable geminal dithiol intermediate. Expanding to bioactive thioketone derivatives, Zhu et al. (116) demonstrated during an investigation into the metabolism of clopidogrel (Plavix) that an intermediate metabolite containing a thioenol motif releases H2S efficiently at physiological pH, suggesting possible future application of these and related compounds as H2S donor motifs.
Inspired by the unique reactivity of S–N motifs present in S-nitrosothiols, Zhao et al. (111) developed a series of compounds termed “N-mercapto donors” and demonstrated H2S release in the presence of cysteine. The mechanism of H2S release from these donors proceeds through the N-acylation of cysteine and generation of cysteine persulfide as the key H2S-releasing intermediate. This class of donors was later expanded on in the development of NHSD-2, which exhibited significant cardioprotective effects in a murine model of myocardial
In a related approach, Foster et al. (31) reported the related S-aroylthiooxime class of compounds, which release H2S in the presence of cysteine and can be tuned predictably by simple electronic modulation. H2S release from these compounds likely proceeds by initial attack by cysteine on the donor to release an iminothiol intermediate, which further reacts with cysteine to generate a cysteine persulfide intermediate en route to H2S release. More recently, the intermediate persulfide generation from S–X hybrid systems was further leveraged by Kang et al. (40) to develop a series of cyclic sulfur
An often overlooked yet uncontrolled method of generating H2S from persulfide intermediates is by treatment of organic polysulfides with thiols (66). The most widely used organic polysulfide, diallyl trisulfide (DATS), is a simple organosulfur compound readily isolated from alliums, including garlic (5). In the presence of thiols, DATS is reduced to generate allyl persulfide, which is further reduced by thiols to generate H2S. We note that although diallyl disulfide (DADS) is often used in the literature as an H2S donor, its apparent H2S-releasing activity has been demonstrated to be a result of a DATS impurities (54). Both experimental and computational results support the lack of direct H2S release from DADS in the presence of thiols, except for a minor, slow pathway involving attack at the α-carbon by a thiol to generate an allyl persulfide intermediate (10). Consistent with this slow release, the generation of H2S from thioester donors reported by Yao et al. (98) is likely due to the intermediate release of allyl thiol and subsequent oxidation to form DADS, which results in slow H2S donation.
Expanding investigations into H2S from organic polysulfides, our group recently reported bis(aryl)- and bis(alkyl)-tetrasulfides as H2S donors and demonstrated that tetrasulfides release more H2S than trisulfides, as expected (14). In comparing a series of benzyl di-, tri-, and tetra-sulfides (6), we confirmed cysteine and GSH-mediated H2S release occurs exclusively from dibenzyl trisulfide and dibenzyl tetrasulfide, which is consistent with the presence of sulfane sulfur (84). A related study by Ercole et al. (29) highlighted the efficient release of H2S from polysulfide-based donors built around polyethylene glycol/trisulfide/cholesterol conjugates that assemble into supramolecular macrostructures.
COS-based H2S donors that are activated by thiols have also been reported. In 2018, we reported a small library of sulfenyl thiocarbonate motifs, including FLD-1 that undergoes thiol-mediated decomposition to generate COS (105). By using a fluorophore as a payload that is released upon COS/H2S donation, these donors provide a fluorescent response that correlates linearly with COS/H2S release and allows for spatiotemporal resolution of cellular COS/H2S release in live cell imaging. We also reported cysteine-selective COS-based H2S donors, such as OA-CysTCM-1, which utilized a cysteine-mediated cyclization to activate a self-immolative donor motif (110). A large library of 1,2,4-thiadiazolidine-3,5-diones was reported by Severino et al. (72) that was demonstrated to release H2S in the presence of cysteine. We note that the proposed mechanism of donor activation in this system proceeds through an anionic thiocarbamate intermediate, which likely results in the direct release of COS with concomitant hydrolysis to H2S.
Photoactivated Donors
The ability to control H2S donation using external bio-orthogonal stimuli that selectively activate the desired compound in the presence of diverse biological functional groups is a powerful method that has garnered significant interest. Of such strategies, photoactivatable donors offer the potential for high spatiotemporal control of H2S release (Fig. 7). Photocaged species react on exposure to specific wavelengths of light to cleave a protecting group and reveal, in these cases, an H2S-releasing moiety. This approach allows for noninvasive triggering of H2S release in cells in vitro and the potential for photo-triggering on skin or at shallow sub-cutaneous levels (2, 19). The first photoactivated H2S donor Photo-gem-dithiol was reported by Devarie-Baez et al. (25), in which a bis-orthonitrobenzyl protected geminal-dithiol undergoes a Norrish type II rearrangement on irradiation (λirr = 365 nm) to unmask an unstable gem-dithiol intermediate that is subsequently hydrolyzed to release H2S. Sulfide release was confirmed by using the methylene blue assay, as well as through fluorescence imaging with HeLa cells. Moreover, these donors displayed pH-dependent H2S release, consistent with other donors involving hydrolysis of gem-dithiols, an acid-mediated process. Similar photocleavable gem-dithiol scaffolds (λirr = 365 nm) have since been incorporated into water-soluble polymers and block copolymer nanoparticles (53, 89), as well as upconverting nanoparticles, which absorb low-energy near-infrared light (λirr = 980 nm) and emit ultraviolet to visible light, that can trigger H2S release (20).

An alternative photocontrollable H2S donor was reported by Fukushima et al. (34), which centers around a functionalized thioether that releases H2S directly after photocleavage of the protecting groups, rather than relying on a subsequent hydrolysis step. Initially employing 2-nitrobenzyl photoactivatable groups, this approach was expanded to incorporate ketoprofenate photocages to avoid the production of the potentially deleterious 2-nitrosobenzaldehyde byproduct. These donors were further adapted to function by photoexcitation (λirr = 325–385 nm) of xanthone chromophores (33). Photocaged thiobenzaldehydes have also been used as light-activated H2S donors. In these systems, irradiation (λirr = 355 nm) reveals a thiobenzaldehyde intermediate that requires a subsequent nucleophilic attack by an amine to liberate the H2S (96). Such donors have been incorporated into both water-soluble H2S releasing polymers and hydrogels. One benefit of this approach is that the byproduct of photolysis is simply acetophenone, which is a benign and Food and Drug Administration-approved excipient.
Expanding to visible light photoexcitation, Yi et al. (99) harnessed the photogeneration of singlet oxygen to trigger H2S release. Photoirradiation (λirr = 500–550 nm) of a photosensitizer in the presence of ambient oxygen and 1,3-diphenylisobenzothiophene generated an unstable endoperoxide intermediate, which undergoes rapid fragmentation to generate 2-benzoylbenzophenone and H2S (99). This system was incorporated into artificial vesicles or polymersomes, which enabled H2S generation in water. An interesting advantage of this system is that the photoirradiation wavelengths are dictated by the choice of photosensitizer rather than the donor itself, which allows for a broad range of wavelengths to be used (λex = 380–550 nm demonstrated).
A number of photoactivatable COS-based H2S donors have also been reported. In 2017, our group reported the first light-activated COS-based H2S donor, PhotoTCM-1, in which an o-nitrobenzyl protecting group masked a caged thiocarbamate, which was cleaved on irradiation (λirr = 365 nm) to release COS (104). PhotoTCM-1 was also shown through a series of selectivity studies to be stable to relevant biological thiols and nucleophiles, releasing COS only on photoirradiation. This strategy was later expanded by Sharma et al. (73) with a BODIPY-based photolabile group protecting an S-alkyl thiocarbamate that releases COS under irradiation at a more biocompatible wavelength (λirr = 470 nm) (BODIPY-TCM-1). More recently, efforts in this area have been focused on developing light-activated donors that function within a “tissue-transparent” window, the bounds of which are set by the absorbance of hemoglobin below 600 nm and of water above 900 nm (23, 65). This goal was accomplished by Stacko et al. (77) using a COS-based delivery approach coupled to a modified BODIPY core protecting an S-alkyl thiocarbamate. COS release from BODIPY-TCM-2 was accomplished with longer wavelength irradiation (λirr = 700 nm), which is a significant improvement over prior COS donors.
In a hybrid system, Woods et al. (92) reported a red-light activated complex of GYY-4137 and a common ruthenium photocage (Ru-GYY) that releases H2S on irradiation (λirr = 626 nm). Interestingly, although GYY-4137 is known to spontaneously hydrolyze in aqueous systems, complexation to the ruthenium metal center suppresses this H2S release. The authors were thus able to demonstrate controlled H2S release from this donor, as well as its activity against a model of ischemia
Miscellaneous Activatable Donors
In addition to the compounds described earlier in this review, a number of H2S donors that are triggered by specific stimuli have been reported and do not correspond to the categories outlined earlier (Fig. 8). For example, our group reported the initial demonstration of leveraging intermediate COS release to access H2S donors by developing self-immolative thiocarbamates, which we incorporated into analyte replacement fluorescent probes (Fig. 8a) (79). This donor serves as an analyte-replacement probe, as it regenerates the consumed H2S during the mechanism of release.

In a bio-orthogonal delivery approach, we also demonstrated that self-immolative thiocarbamates bearing a trans-cyclooctene moiety can be utilized as “click and release” COS-based H2S donors in the presence of tetrazines undergoing an inverse-electron demand Diels–Alder reaction (Fig. 8b) (80). Such bio-orthogonal approaches leverage the bimolecular reaction between two specific components to form a chemical bond while remaining inert to common reactive functional groups present in the surrounding biological milieu (9). The development of N-thiocarboxyanhydrides (NTA) by Powell et al. (68) provides an alternative to self-immolative thiocarbamates (Fig. 8c). This donor scaffold was demonstrated to release COS and generate a peptide byproduct in the presence of glycine and has recently been leveraged to develop a number of macromolecular H2S donors (69), which is the topic of a related review in this Forum. One benefit of the NTA-based approach is that donor activation does not release electrophilic byproducts such as a para-quinone methide, which are often found in other self-immolative COS-based donors.
Conclusions and Outlook
The development of activatable small-molecule H2S donors has been one of the most significant advances in the field of H2S chemical biology over the past 5 to 10 years. This palette of triggerable H2S donors provides researchers with a toolbox to better probe the biological activities of H2S. The range of activators for controlled H2S release has grown significantly in the past 5 years, and it is poised to enable new types of biological investigations that are not feasible with simple sulfide salts. Key needs include broader comparisons of different classes of donors in specific biological contexts to better delineate the bioavailability and localized release of H2S from different donor constructs. Moreover, H2S-releasing dynamics measured in vitro are likely to be perturbed in a biological system and may significantly alter the biological viability of these donors. As the chemistry that enables triggered release of H2S and related reactive sulfur species from synthetic donors continues to evolve, the development of donors that respond to molecular stimuli upregulated during specific disease states is likely to provide new tools to harness the therapeutic potential of H2S, alongside more finely tuned organelle or cell-type specific targeted donors. Overall, the rapid expansion of chemistry that enables small-molecule H2S donors is poised to advance the field and help elucidate the inherent complexities of reactive sulfur species in biology.
Footnotes
Author Disclosure Statement
No financial conflicts of interest are reported.
Funding Information
Our work related to hydrogen sulfide delivery is supported by the NIH (M.D.P.; R01GM113030), Dreyfus Foundation, and NSF/GRFP (C.M.L.; DGE-1309047).
Supplementary Material
Supplementary Appendix
Abbreviations Used
References
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