In vitro and in vivo studies reported the anti-
cancer potential of organosulfur compounds (OSCs) as they trigger biological effects leading to cell cycle arrest with accumulation of cells in G2/M, alteration of the microtubular network, modulation of Bcl-2 family
protein expression patterns and changes of the redox status. Despite these well-described effects, no OSC derivative is yet undergoing clinical trials even though their chemistry is well understood as OSCs act as
hydrogen sulfide (H2S) donors. H2S is a biological mediator, synthesized through
cysteine degradation and modulates vasodilation, cytoprotection,
inflammation and angiogenesis. It is well accepted that H2S plays a biphasic pharmacological role: the inhibition of endogenous synthesis of H2S and paradoxically also the use of H2S donors to increase H2S concentration, induce both anti-
cancer effects leading therefore to controversial discussions. Altogether, the role of H2S in the anti-
cancer action of OSCs remains poorly understood. In this review, we hypothesize that OSCs act through H2S signaling pathways in
cancer cells, and that a clearer understanding of the mechanism of action of H2S in OSC-mediated anti-
cancer activity is required for further application of these compounds in translational medicine.