Evidence map›Paper›PMID 40722060›Full record

ArticleCellular & molecular biology letters2025

Xanthosine alleviates myocardial ischemia-reperfusion injury through attenuation of cardiomyocyte ferroptosis.

Yang Xu, Wenfeng Zhou, Zhongguo Fan, Yiwei Cheng, Yujia Xiao, Yu Liu, Xinxin Li, Zhenjun Ji, Yi Fan, Genshan Ma

Abstract read
In one paragraph

Article in Cellular & molecular biology letters, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Yang Xu *Department of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Wenfeng Zhou *Department of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Zhongguo Fan *Department of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Yiwei Cheng *State Key Laboratory of Reproductive Medicine and Offspring Health, Nanjing Medical University, Nanjing, China.
Yujia XiaoDepartment of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Yu LiuDepartment of Endocrinology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Xinxin LiDepartment of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Zhenjun JiDepartment of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China.
Yi FanDepartment of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. yfan246@wisc.edu.
Genshan MaDepartment of Cardiology, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, China. magenshan@hotmail.com.ORCID http://orcid.org/0000-0003-2566-9416

Funding

China Postdoctoral Science Foundation 2023M730571Jiangsu Province Natural Science Foundation BK20200362Jiangsu Provincial Key Research and Development Program BE2022852National Natural Science Foundation of China 82000334National Natural Science Foundation of China 82370346National Natural Science Foundation of China 82404346
6 · The paper itself

Abstract

backgroundIschemic heart disease remains a leading cause of morbidity and mortality worldwide, with myocardial ischemia-reperfusion (I/R) injury significantly contributing to cardiomyocyte death and poor outcomes post-acute myocardial infarction (AMI). Emerging evidence highlights metabolic changes during myocardial injury, particularly in purine metabolism. This study investigates the protective role of xanthosine (XTS), a purine metabolism intermediate, in alleviating I/R injury.

methodsNeonatal and adult mouse myocardial tissues post-myocardial infarction (MI) were analyzed using untargeted and targeted metabolomics to explore metabolic profiles. The effects of XTS on I/R injury were evaluated in vivo using a murine I/R model and in vitro with hypoxia/reoxygenation-treated neonatal rat cardiomyocytes (NRCMs). Cardiac function, fibrosis, apoptosis, oxidative stress markers, and ferroptosis-related pathways were assessed via echocardiography, biochemical assays, western blotting, and electron microscopy. Integrated drug affinity responsive target stability (DARTS)-based drug target screening and RNA-seq transcriptomic profiling elucidate XTS-mediated mechanisms against I/R injury.

resultsMetabolomics revealed distinct differences in purine metabolism between neonatal and adult mice post-MI, with significant XTS accumulation observed in neonatal hearts. In vivo, XTS treatment in adult mice enhanced left ventricular function, reduced fibrosis, and alleviated lipid peroxidation and mitochondrial damage post-I/R injury. In vitro, XTS significantly improved cardiomyocyte viability, reduced oxidative stress, and mitigated ferroptosis by restoring glutathione peroxidase 4 (GPX4) levels and reducing acyl-coenzyme A synthetase long-chain family member 4 (ACSL4) expression. Mechanistically, XTS stabilized metabolic enzymes, upregulated L-arginine and glutathione (GSH) to mitigate reactive oxygen species(ROS), and inhibited ferroptosis.

conclusionsXTS, a key purine metabolism intermediate, improves cardiac remodeling and function following I/R injury by suppressing ferroptosis and reducing mitochondrial ROS production. These findings provide novel insights into the therapeutic potential of XTS as an adjunctive treatment for patients with AMI undergoing revascularization.

Indexed as

FerroptosisMyocardial Reperfusion InjuryMyocytes, CardiacRibonucleosidesAnimalsMaleMetabolomicsMiceMice, Inbred C57BLMyocardial InfarctionOxidative StressRatsRibonucleosidesFerroptosisIschemia–reperfusion (I/R) InjuryPurine metabolismReactive oxygen species (ROS)Xanthosine (XTS)

Identifiers

PMID40722060
PMCPMC12306105

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.