Basic and clinical studies have shown that hydrogen (H 2), the lightest gas in the air, has significant biological effects of anti-oxidation, anti-inflammation, and anti-apoptosis. The mammalian cells have no abilities to produce H 2 due to lack of the expression of hydrogenase. The endogenous H 2 in human body is mainly produced by anaerobic bacteria, such as Firmicutes and Bacteroides, in gut and other organs through the reversible oxidation reaction of 2 H + + 2 e-⇌ H 2. Supplement of exogenous H 2 can improve many kinds of liver injuries, modulate glucose and lipids metabolism in animal models or in human beings. Moreover, hepatic glycogen has strong ability to accumulate H 2 , thus, among the organs examined, liver has the highest concentration of H 2 after supplement of exogenous H 2 by various strategies in vivo. The inadequate production of endogenous H 2 play essential roles in brain, heart, and liver disorders, while enhanced endogenous H 2 production may improve hepatitis, hepatic ischemia and reperfusion injury, liver regeneration, and hepatic steatosis. Therefore, the endogenous H 2 may play essential roles in maintaining liver homeostasis.