Abstract
Reactive sulfur species (RSS) are increasingly recognized as important bioactive agents across phyla. Application of newly developed chemical tools, detection methods and multi-omics techniques has uncovered new and specific roles of endogenous RSS and revealed that a number of biological actions previously attributed to reactive oxygen species or reactive nitrogen species can also be mediated by RSS. This Review describes the versatile chemical biology of RSS with focus on persulfide formation on cysteine residues. We examine their pro-oxidant and antioxidant capacities, involvement in redox signaling and metabolic pathways, stress responses, and their role in the pathophysiology of major disease groups, including cardiovascular and neurodegenerative diseases and cancer. We also provide a critical discussion of available detection methods and potential pharmacological and genetic approaches to adjusting persulfide levels. We cover current knowledge and its limitations, along with practical recommendations for advancing persulfide-based therapeutic interventions.

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Acknowledgements
The study was supported by the National Research, Development and Innovation Fund of the Ministry of Culture and Innovation under the National Laboratories Program, National Tumor Biology Laboratory (grant 2022-2.1.1-NL-2022-00010 to P.N.); the National Research, Development and Innovation Fund under the Hungarian Thematic Excellence Program (grant TKP2021-EGA-44 to P.N.); HUN-REN Hungarian Research Network (grant 1500207 to P.N.); Postdoctoral Excellence Fellowship (grant PD132082 to É.D.); NIH/NIA R01AG071512 (to B.D.P.), NIH/NIA R21AG073684 (to B.D.P.) and American Heart Association and Paul Allen Foundation Initiative in Brain Health and Cognitive Impairment (19PABH134580006 to B.D.P.) and Medical Research Council UK (MC_UU_00028/4 to M.P.M.) and a Wellcome Trust Investigator (award 220257/Z/20/Z to M.P.M). Support is acknowledged from Universidad de la República (EI_2020) and Programa de Alimentos y Salud Humana (IDB-R.O.U. 4950/OC-UR to R.R.). Additional funding was obtained from Programa de Desarrollo de Ciencias Básicas (to R.R.).
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P.N. conceived the study. P.N., É.D., A.D., B.D.P., J.B., M.P.M., C.W., R.R., S.H.S., L.J.I. and H.S. contributed to the writing and editing of the manuscript.
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Nagy, P., Dóka, É., Domán, A. et al. Multifaceted roles for persulfide species in redox chemical biology. Nat Chem Biol (2026). https://doi.org/10.1038/s41589-026-02142-z
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DOI: https://doi.org/10.1038/s41589-026-02142-z