“…This problem is magnified by the sheer abundance of RBCs in circulation, which in the absence of an H 2 S clearance mechanism, would lead to certain death due to the buildup of toxic levels of H 2 S and its facile permeation across lipid bilayers (2,3). As a signaling molecule, H 2 S elicits profound physiological effects ranging from cardioprotection to being an anti-inflammatory mediator and a neuromodulator (4,5). Three enzymes, cystathionine -synthase (CBS), 2 ␥-cystathionase (CSE), and mercaptopyruvate sulfurtransferase (MST) are primarily responsible for cellular H 2 S biogenesis, and their relative contributions vary in a tissue-specific manner (6,7).…”