Evidence mapPaperPMID 40307302Full record

ArticleScientific reports2025

Cardioprotection by poloxamer 188 is mediated through increased endothelial nitric oxide production.

Gaoxian Chen, Hunter F Douglas, Zhu Li, William J Cleveland, Claudius Balzer, Demetris Yannopoulos, Ian Y Chen, Detlef Obal, Matthias L Riess

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Gaoxian ChenDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University, Stanford, CA, USA.ORCID http://orcid.org/0000-0003-4975-8309
Hunter F DouglasDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0009-0005-0782-6547
Zhu LiDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0001-6228-8845
William J ClevelandDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0001-5248-0710
Claudius BalzerDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0003-0773-2792
Demetris YannopoulosDivision of Cardiology, Department of Medicine, University of Minnesota, Minneapolis, MN, USA.ORCID http://orcid.org/0000-0002-7131-2015
Ian Y ChenDepartments of Medicine (Cardiovascular Medicine) and Radiology, Stanford University School of Medicine, Stanford, CA, USA.ORCID http://orcid.org/0000-0002-9694-5468
Detlef ObalDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University, Stanford, CA, USA. dobal@uiowa.edu.ORCID http://orcid.org/0000-0002-1126-2132
Matthias L RiessDepartment of Anesthesiology, TVHS VA Medical Center, Nashville, TN, USA. matthias.riess@vanderbilt.edu.ORCID http://orcid.org/0000-0001-8748-5757

Funding

American Heart Association Transformative Project Award (962204)BLRD VA I01 BX003482BLRD VA I01 BX005993Deutsche Forschungsgemeinschaft Project BA 6287/1-1NHLBI NIH HHS R01 HL123227NIH HHS 5R01 HL123227Stanford Maternal and Child Health Research Institute 1232057-100-DHPFC TIP grant
6 · The paper itself

Abstract

Ischemia/reperfusion (I/R) injury significantly contributes to the morbidity and mortality associated with cardiac events. Poloxamer 188 (P188), a non-ionic triblock copolymer, has been proposed to mitigate I/R injury by stabilizing cell membranes. However, the underlying mechanisms remain incompletely understood, particularly concerning endothelial cell (EC) function and nitric oxide (NO) production. We employed human induced pluripotent stem cell (iPSC)-derived cardiomyocytes (CMs) and ECs to elucidate the effects of P188 on cellular survival, function, and NO secretion under simulated I/R conditions. iPSC-CMs contractility and iPSC-ECs' NO production were assessed following exposure to P188. Further, an isolated heart model using Brown Norway rats subjected to I/R injury was utilized to evaluate the ex-vivo cardioprotective effects of P188, examining cardiac function and NO production, with and without the administration of a NO inhibitor. In iPSC-derived models, P188 significantly preserved CM contractile function and enhanced cell viability after hypoxia/reoxygenation. Remarkably, P188 treatment led to a pronounced increase in NO secretion in iPSC-ECs, a novel finding demonstrating endothelial protective effects beyond membrane stabilization. In the rat isolated heart model, administration of P188 during reperfusion notably improved cardiac function and reduced I/R injury markers. This cardioprotective effect was abrogated by NO inhibition, underscoring the pivotal role of NO. Additionally, a dose-dependent increase in NO production was observed in non-ischemic rat hearts treated with P188, further establishing the critical function of NO in P188 induced cardioprotection. In conclusion, our comprehensive study unveils a novel role of NO in mediating the protective effects of P188 against I/R injury. This mechanism is evident in both cellular models and intact rat hearts, highlighting the potential of P188 as a therapeutic agent against I/R injury. Our findings pave the way for further investigation into P188's therapeutic mechanisms and its potential application in clinical settings to mitigate I/R-related cardiac dysfunction.

Indexed as

Cardiotonic AgentsEndothelial CellsMyocardial Reperfusion InjuryNitric OxidePoloxamerAnimalsCell SurvivalHumansInduced Pluripotent Stem CellsMaleMyocytes, CardiacRatsRats, Inbred BNCardiotonic AgentsNitric OxidePoloxamerCardiac arrestCopolymerIschemia/reperfusion injuryMyocardial infarctionNOP188

Identifiers

PMID40307302
PMCPMC12043958

What Socratic holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.